Evidence mapPaperPMID 41009539Full record

ReviewInternational journal of molecular sciences2025

Mitochondria, Sex, and Cardiovascular Disease: A Complex Interplay.

Andrea Iboleon-Jimenez, Alberto Contreras-Muñoz, Cristian Peláez-Berdún, Rafael Franco-Hita, Alba Sesmero, Ainhoa Robles-Mezcua, Jose M García-Pinilla, Manuel Jimenez-Navarro, Mora Murri

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Andrea Iboleon-JimenezÁrea de Gestión Sanitaria Este de Málaga-Axarquía, Vélez-Málaga, 29700 Malaga, Spain.ORCID 0009-0005-5769-0676
Alberto Contreras-MuñozCardiology and Cardiovascular Surgery Department, Virgen de la Victoria University Hospital, Campus de Teatinos s/n, 29010 Malaga, Spain.ORCID 0009-0007-1753-1958
Cristian Peláez-BerdúnCardiology and Cardiovascular Surgery Department, Virgen de la Victoria University Hospital, Campus de Teatinos s/n, 29010 Malaga, Spain.ORCID 0000-0001-9596-4926
Rafael Franco-HitaCardiology and Cardiovascular Surgery Department, Virgen de la Victoria University Hospital, Campus de Teatinos s/n, 29010 Malaga, Spain.
Alba SesmeroCardiology and Cardiovascular Surgery Department, Virgen de la Victoria University Hospital, Campus de Teatinos s/n, 29010 Malaga, Spain.
Ainhoa Robles-MezcuaCardiology and Cardiovascular Surgery Department, Virgen de la Victoria University Hospital, Campus de Teatinos s/n, 29010 Malaga, Spain.ORCID 0000-0001-6212-9959
Jose M García-PinillaCardiology and Cardiovascular Surgery Department, Virgen de la Victoria University Hospital, Campus de Teatinos s/n, 29010 Malaga, Spain.ORCID 0000-0001-5999-5741
Manuel Jimenez-NavarroCardiology and Cardiovascular Surgery Department, Virgen de la Victoria University Hospital, Campus de Teatinos s/n, 29010 Malaga, Spain.ORCID 0000-0002-6759-0514
Mora MurriCardiology and Cardiovascular Surgery Department, Virgen de la Victoria University Hospital, Campus de Teatinos s/n, 29010 Malaga, Spain.ORCID 0000-0002-6482-192X

Funding

Instituto de Salud Carlos III PI22/00570Instituto de Salud Carlos III PI23/00293
6 · The paper itself

Abstract

Cardiovascular diseases (CVDs) remain the leading cause of morbidity and mortality worldwide. Increasing evidence indicates that sex differences significantly influence the development, progression, and outcomes of CVDs. Recent advances have highlighted the central role of mitochondria, not only as cellular energy hubs but also as key regulators of oxidative stress, inflammation, and apoptosis, in mediating sex-specific cardiovascular responses. This review explores sexual dimorphism in cardiovascular disease, focusing on the interplay between mitochondrial function and sex hormones in cardiovascular tissues. We summarize current evidence on the molecular, hormonal, and cellular mechanisms contributing to sex-based disparities in cardiovascular outcomes. Preclinical studies suggest that female cardiac mitochondria may exhibit greater antioxidant capacity and produce fewer reactive oxygen species than male mitochondria, contributing to enhanced cardioprotection. Estrogen has been shown to influence mitochondrial bioenergetics and gene expression, affecting vascular tone, inflammation, and cardiac remodelling, whereas the role of testosterone remains less well defined. Additionally, sex-specific mitochondrial signalling responses have been reported under cardiac stress conditions, which may underlie differences in disease presentation and progression. A better understanding of how sex modulates mitochondrial function could improve risk stratification and support the development of personalized prevention and treatment strategies. Further research is needed to translate these mechanistic insights into clinical practice.

Indexed as

Cardiovascular DiseasesMitochondriaMitochondria, HeartSex CharacteristicsAnimalsFemaleGonadal Steroid HormonesHumansMaleOxidative StressReactive Oxygen SpeciesSex FactorsGonadal Steroid HormonesReactive Oxygen Speciescardiovascular diseasesmitochondriamitochondrial dysfunctionsexsex dimorphism

Identifiers

PMID41009539
PMCPMC12469528

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.