Evidence map›Paper›PMID 41828345›Full record

SynthesisInternational journal of molecular sciences2026

Reading the Signature of Autophagy in the Ischemic and Infarcted Heart: A Systematic Review of Circulating Biomarkers.

Davide Radaelli, Asma Alshaeb, Ibrahim Al-Habash, Viktorija Belakaposka Srpanova, Zlatko Jakovski, Gianfranco Sinagra, Anita Galic Mihic, Stefano D'Errico

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of molecular sciences, 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

8 authors.

Davide RadaelliDepartment of Medical Surgical and Health Sciences, Cattinara University Hospital, University of Trieste, Strada di Fiume, 34149 Trieste, Italy.
Asma AlshaebDepartment of Microbiology, Pathology and Forensic Medicine, Faculty of Medicine, The Hashemite University, Zarqa 13133, Jordan.ORCID 0000-0003-1524-4385
Ibrahim Al-HabashForensic Medicine Department, Mutah University, Karak 61710, Jordan.ORCID 0000-0002-3548-4100
Viktorija Belakaposka SrpanovaInstitute for Forensic Medicine, Criminalistic and Medical Deontology, Medical Faculty, 1000 Skopje, North Macedonia.
Zlatko JakovskiInstitute for Forensic Medicine, Criminalistic and Medical Deontology, Medical Faculty, 1000 Skopje, North Macedonia.ORCID 0000-0002-2669-8828
Gianfranco SinagraDepartment of Medical Surgical and Health Sciences, Cattinara University Hospital, University of Trieste, Strada di Fiume, 34149 Trieste, Italy.ORCID 0000-0003-2700-8478
Anita Galic MihicSchool of Medicine, University of Zagreb, Šalata 11, 10000 Zagreb, Croatia.ORCID 0000-0002-3988-075X
Stefano D'ErricoDepartment of Medical Surgical and Health Sciences, Cattinara University Hospital, University of Trieste, Strada di Fiume, 34149 Trieste, Italy.

Funding

Regione Friuli Venezia Giulia LR n. 26/2020
6 · The paper itself

Abstract

Ischemic heart disease is the main cause of death worldwide. Classic cardiac biomarkers, such as troponin, which are released due to myocyte necrosis, are widely used for diagnosis, but they provide limited information about the initial underlying cellular processes involved in myocardial infarction. Autophagy is now considered fundamental in the pathophysiology of cardiac ischemia and related reperfusion injury. This systematic review aims to identify and highlight candidate autophagy-related biomarkers in cardiac ischemia and infarction with potential benefits for early diagnosis, prognosis, and therapy. A comprehensive literature search was conducted up to 1 June 2025. We included studies that examined biomarkers involved in the autophagy process in cardiac ischemia/infarction, which involved humans and animal models. A total of 14 eligible articles were reviewed. Thirteen autophagy-related biomarkers were identified, including LC3-II/I, Beclin-1, ATG5, ATG7, p62, WIPI1, FGF21, CHRF, Rubicon, IL-1β, IL-18, and adiponectin. These biomarkers have a dynamic pattern, and they exhibited time-dependent changes during the different stages of myocardial infarction. Autophagy biomarkers present a promising understanding of the molecular mechanism of early myocardial ischemia and infarction. Integration of autophagy biomarkers with the classic markers should improve risk stratification, therapeutic decision-making, and prognosis in patients with ischemic heart disease.

Indexed as

AutophagyBiomarkersMyocardial InfarctionMyocardial IschemiaAnimalsHumansBiomarkersacute coronary syndromeautophagybiomarkersischemic heart diseasemyocardial infarction

Identifiers

PMID41828345
PMCPMC12984935

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.