Evidence map›Paper›PMID 41779091›Full record

SynthesisCardiovascular drugs and therapy2026

Cardioprotection Through Mitochondrial Modulation: A Systematic Review of Pharmacological Interventions in Animal Models of I/R Injury.

Trissha Ybanez, Joshua Ingles, Eugene Du Toit, Jason Peart

Abstract readSystematic Review
In one paragraph

Synthesis in Cardiovascular drugs and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Trissha YbanezSchool of Pharmacy and Medical Science, Griffith University, Southport, QLD, 4217, Australia. trissha.ybanez@griffithuni.edu.au.ORCID http://orcid.org/0000-0002-4448-9026
Joshua InglesInstitute for Biomedicine and Glycomics, Griffith University, Southport, QLD, 4215, Australia.ORCID http://orcid.org/0000-0001-8375-7305
Eugene Du ToitSchool of Pharmacy and Medical Science, Griffith University, Southport, QLD, 4217, Australia.ORCID http://orcid.org/0000-0002-5588-2421
Jason PeartSchool of Pharmacy and Medical Science, Griffith University, Southport, QLD, 4217, Australia.ORCID http://orcid.org/0000-0002-1027-9995

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMyocardial reperfusion following ischaemia paradoxically exacerbates mitochondrial and thus cardiac dysfunction. Although various treatment strategies have been utilised to prevent irreversible myocardial injury, translation to positive clinical trial outcomes has been unsuccessful. This systematic review aimed to evaluate pharmacological interventions in animal models of ischaemia-reperfusion (I/R), with emphasis on cardiac and cell death outcomes and direct assessment of mitochondrial bioenergetics.

methodsSearch terms were entered into PubMed, Scopus, Embase and Web of Science. Screening, data extraction and quality assessment of papers were conducted according to the inclusion and exclusion criteria selected for this study. Eighteen papers from a total of 1571 studies were included. These studies investigated 15 drugs of interest in animals subjected to either in vivo or ex vivo I/R. Mitochondrial function parameters were assessed by measuring either mitochondrial respiration and/or enzyme activity, with 4 of these also assessing electron transport chain protein expression.

resultsPharmaceuticals preserved mitochondrial respiratory capacity by directly targeting the electron transport chain complexes or indirectly via proteins involved in canonical cardioprotective pathways. This led to improved post-ischaemic cardiac function and reductions in markers of cellular injury and myocardial infarction.

conclusionMulti-targeted manipulation of components of mitochondrial signalling and function evidently reduces I/R injury. Quality assessment of most papers revealed an unclear risk of bias due to inadequate reporting of study parameters. Clear and consistent reporting of study outcomes, specifically mitochondrial bioenergetics across all experimental stages, is essential to enhance the translational potential of mitoprotective compounds in the clinical treatment of I/R.

Indexed as

Cardiotonic AgentsMitochondria, HeartMyocardial InfarctionMyocardial Reperfusion InjuryAnimalsDisease Models, AnimalEnergy MetabolismHumansSignal TransductionCardiotonic AgentsCardiac ischaemiaCardioprotectionMitochondriaMitochondrial dysfunction

Identifiers

PMID41779091
PMCPMC13578120

What Socratic holds

Textmetadata
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.