Evidence mapPaperPMID 41463309Full record

ReviewBiomolecules2025

Chronic β-Blockade and Systemic Homeostasis: Molecular Integration of Cardiorenal and Immune Pathways, a Narrative Review.

Jason Park, Amethyst Hamanaka, Issac Park, Hosam Gharib Abdelhady

Abstract readReview
In one paragraph

Review in Biomolecules, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Jason ParkCollege of Osteopathic Medicine, Sam Houston State University, Conroe, TX 77304, USA.ORCID 0009-0000-1291-1838
Amethyst HamanakaCollege of Osteopathic Medicine, Sam Houston State University, Conroe, TX 77304, USA.
Issac ParkDepartment of Intensive Care Unit, National Medical Center, Jung-gu, Seoul 04564, Republic of Korea.
Hosam Gharib AbdelhadyCollege of Osteopathic Medicine, Sam Houston State University, Conroe, TX 77304, USA.ORCID 0000-0001-6653-3705

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

β-blockers (BBs) remain a cornerstone therapy for cardiovascular disorders, reducing heart rate, blood pressure, and arrhythmia risk. Yet, their influence extends well beyond the heart, impacting renal function, inflammatory responses, metabolism, and endocrine balance. Although cardio-selective BBs are designed to minimize off-target effects, they still modulate immune signaling and hormonal pathways, producing paradoxical outcomes. Suppression of sympathetic tone and RAAS activity underpins therapeutic benefit but may also contribute to renal hypoperfusion, electrolyte imbalance, and pro-inflammatory changes, especially in patients receiving combination therapy with RAAS inhibitors or diuretics. Genetic polymorphisms (e.g., ADRB1, GRK5, eNOS, CYP2D6) and comorbidities further shape individual responses. This review integrates cardiovascular, renal, and immune perspectives to map the pathways by which BBs influence systemic homeostasis, highlighting cytokine interactions and disease-specific remodeling. We emphasize the need for personalized, biomarker-guided strategies, leveraging pharmacogenomics, multi-omics, and machine learning tools to optimize BB selection and dosing. By reframing BBs as dynamic modulators of the cardio-renal-immune axis, this review advances their role in precision cardiovascular medicine.

Indexed as

Adrenergic beta-AntagonistsCardiovascular DiseasesHomeostasisKidneyAnimalsHumansRenin-Angiotensin SystemAdrenergic beta-Antagonistsatherosclerosis and vascular remodelingcardiovascular-renal homeostasisgenetic polymorphismshemodynamicshormonal-immune modulationprecision medicineβ-blockers

Identifiers

PMID41463309
PMCPMC12731010

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.