Evidence map›Paper›PMID 41751385›Full record

ReviewBiomedicines2026

Heart Failure in the Molecular Era: Redefining Our Understanding of Disease Mechanisms and Perspectives.

Manuel Mallol-Simmonds, Alfredo Parra-Lucares, Ivan Canete, Cristian Avila, Josseline Pena-Silva, Sergio Bustamante

Abstract readReview
In one paragraph

Review in Biomedicines, 2026. 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. 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

6 authors.

Manuel Mallol-SimmondsCardiovascular Investigation Department, University of Chile's Clinical Hospital, Santiago 8380456, Chile.
Alfredo Parra-LucaresCardiovascular Investigation Department, University of Chile's Clinical Hospital, Santiago 8380456, Chile.
Ivan CaneteCardiovascular Investigation Department, University of Chile's Clinical Hospital, Santiago 8380456, Chile.
Cristian AvilaCardiovascular Investigation Department, University of Chile's Clinical Hospital, Santiago 8380456, Chile.
Josseline Pena-SilvaCardiovascular Investigation Department, University of Chile's Clinical Hospital, Santiago 8380456, Chile.
Sergio BustamanteCardiovascular Investigation Department, University of Chile's Clinical Hospital, Santiago 8380456, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure (HF) is a global health challenge characterized by the heart's inability to satisfy metabolic demands, driven by renin-angiotensin-aldosterone system (RAAS) overactivation, a neurohormonal imbalance, and emerging mechanisms like the gut-heart axis and mitochondrial dysfunction. Affecting over 6 million adults in the US alone, HF incurs a 5-year mortality rate of 50% and escalating costs projected to double by 2030. This review examines HF's molecular paradigms, integrating established pathways with advances in omics, stem cell therapy, genetic modification, and personalized medicine. The RAAS blockade remains central, yet its efficacy is limited in HF with preserved ejection fraction (HFpEF). Stem cell therapies (mesenchymal and induced pluripotent stem cells) show regenerative potential but face poor retention (<10% survival at 30 days). CRISPR/Cas9 offers precision, though off-target effects persist. The gut microbiome, via trimethylamine N-oxide, exacerbates inflammation, while omics technologies promise biomarkers for tailored treatments. Challenges include translating these innovations into practice, particularly for HFpEF. Future directions involve novel HFpEF therapies, enhanced stem cell delivery, precise genetic tools, and microbiome interventions, supported with artificial intelligence. By 2030, these advances could shift HF management toward regeneration, contingent on overcoming translational barriers through global collaboration.

Indexed as

genetic therapygenomicsheart failuremicrobiotaoxidative stresspersonalized medicinerenin–angiotensin systemstem cell therapy

Identifiers

PMID41751385
PMCPMC12938655

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.