Evidence mapPaperPMID 41744815Full record

ReviewCells2026

Mitochondria at the Crossroads of Cardiovascular Disease: Mechanistic Drivers and Emerging Therapeutic Strategies.

Sonila Alia, Gaia Pedriali, Paolo Compagnucci, Yari Valeri, Valentina Membrino, Tiziana Di Crescenzo, Elena Tremoli, Laura Mazzanti, Arianna Vignini, Paolo Pinton and 1 more

Abstract readReview
In one paragraph

Review in Cells, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

11 authors.

Sonila AliaDepartment of Clinical Sciences, Marche Polytechnic University, 60126 Ancona, Italy.
Gaia PedrialiGVM Care & Research, Maria Cecilia Hospital, 48033 Cotignola, Italy.ORCID 0000-0002-4620-4063
Paolo CompagnucciDepartment of Cardiology and Arrhythmology Clinic, Marche University Hospital, 60126 Ancona, Italy.ORCID 0000-0003-1924-6548
Yari ValeriDepartment of Biomedical Sciences and Public Health, Marche Polytechnic University, 60126 Ancona, Italy.ORCID 0000-0002-0454-0739
Valentina MembrinoDepartment of Clinical Sciences, Marche Polytechnic University, 60126 Ancona, Italy.
Tiziana Di CrescenzoDepartment of Clinical Sciences, Marche Polytechnic University, 60126 Ancona, Italy.
Elena TremoliGVM Care & Research, Maria Cecilia Hospital, 48033 Cotignola, Italy.
Laura MazzantiFondazione Salesi, Ospedale G. Salesi, 60123 Ancona, Italy.
Arianna VigniniDepartment of Clinical Sciences, Marche Polytechnic University, 60126 Ancona, Italy.ORCID 0000-0002-2496-7932
Paolo PintonGVM Care & Research, Maria Cecilia Hospital, 48033 Cotignola, Italy.ORCID 0000-0001-7108-6508
Michela CasellaDepartment of Clinical Sciences, Marche Polytechnic University, 60126 Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mitochondria are central regulators of cardiac homeostasis, integrating energy production, redox balance, calcium handling, and innate immune signaling. In cardiovascular disease (CVD), mitochondrial dysfunction acts as a unifying mechanism connecting oxidative stress, metabolic inflexibility, inflammation, and structural remodeling. Disturbances in mitochondrial quality control-encompassing fusion-fission dynamics, PINK1/Parkin- and receptor-mediated mitophagy, biogenesis, and proteostasis-compromise mitochondrial integrity and amplify cardiomyocyte injury. Excess reactive oxygen species, mitochondrial DNA release, and calcium overload further activate cGAS-STING, NLRP3 inflammasomes, and mPTP-driven cell death pathways, perpetuating maladaptive remodeling. Therapeutic strategies targeting mitochondrial dysfunction have rapidly expanded, ranging from mitochondria-targeted antioxidants (such as MitoQ and SS-31), nutraceuticals, metabolic modulators (SGLT2 inhibitors, metformin), and mitophagy or biogenesis activators to innovative approaches including mtDNA editing, nanocarrier-based delivery, and mitochondrial transplantation. These interventions aim to restore organelle structure, improve bioenergetics, and reestablish balanced quality control networks. This review integrates recent mechanistic insights with emerging translational evidence, outlining how mitochondria function as bioenergetic and inflammatory hubs in CVD. By synthesizing established and next-generation therapeutic strategies, it highlights the potential of precision mitochondrial medicine to reshape the future management of cardiovascular disease.

Indexed as

cardiovascular diseaseinflammationmitochondrial dysfunctionmitochondrial quality controlmitochondrial signalingmitophagyoxidative stress

Identifiers

PMID41744815
PMCPMC12938911

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.