Evidence mapPaperPMID 41901130Full record

ReviewNutrients2026

Nature's Bioactives in Cardiorenal Syndrome: Polyphenols at the Crossroads-Preclinical Insights into Redox, Inflammation, and Mitochondrial Protection.

Caterina Carollo, Maria Elena Ciuppa, Alessandra Sorce, Salvatore Evola, Emanuele Cirafici, Maria Giovanna Vario, Roberta Scimeca, Rosalia Lo Presti, Giuseppe Mulè, Gregorio Caimi

Abstract readReview
In one paragraph

Review in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Effects ofMolecules (Basel, Switzerland) · 2026
    Article
  2. Polyphenols and ADPKD: A Further Aid from Nature?Life (Basel, Switzerland) · 2026
    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

10 authors.

Caterina CarolloDepartment of Health Promotion, Mother and Child Health, Internal and Specialistic Medicine, Unit of Nephrology and Dialysis, Policlinico "P. Giaccone", University of Palermo, 90100 Palermo, Italy.ORCID 0000-0002-6767-8823
Maria Elena CiuppaDepartment of Health Promotion, Mother and Child Health, Internal and Specialistic Medicine, Unit of Nephrology and Dialysis, Policlinico "P. Giaccone", University of Palermo, 90100 Palermo, Italy.ORCID 0009-0007-8245-9219
Alessandra SorceDepartment of Health Promotion, Mother and Child Health, Internal and Specialistic Medicine, Unit of Nephrology and Dialysis, Policlinico "P. Giaccone", University of Palermo, 90100 Palermo, Italy.
Salvatore EvolaCatheterization Laboratory, Department of Medicine and Cardiology, Azienda Ospedaliera Universitaria Policlinico "P. Giaccone", 90127 Palermo, Italy.
Emanuele CiraficiDepartment of Health Promotion, Mother and Child Health, Internal and Specialistic Medicine, Unit of Nephrology and Dialysis, Policlinico "P. Giaccone", University of Palermo, 90100 Palermo, Italy.ORCID 0009-0002-4934-0818
Maria Giovanna VarioDepartment of Health Promotion, Mother and Child Health, Internal and Specialistic Medicine, Unit of Nephrology and Dialysis, Policlinico "P. Giaccone", University of Palermo, 90100 Palermo, Italy.
Roberta ScimecaDepartment of Health Promotion, Mother and Child Health, Internal and Specialistic Medicine, Unit of Nephrology and Dialysis, Policlinico "P. Giaccone", University of Palermo, 90100 Palermo, Italy.ORCID 0009-0007-4893-8128
Rosalia Lo PrestiDepartment of Psychology, Educational Science and Human Movement, University of Palermo, 90100 Palermo, Italy.ORCID 0000-0002-7491-568X
Giuseppe MulèDepartment of Health Promotion, Mother and Child Health, Internal and Specialistic Medicine, Unit of Nephrology and Dialysis, Policlinico "P. Giaccone", University of Palermo, 90100 Palermo, Italy.ORCID 0000-0002-8500-8671
Gregorio CaimiDepartment of Health Promotion, Mother and Child Health, Internal and Specialistic Medicine, Unit of Nephrology and Dialysis, Policlinico "P. Giaccone", University of Palermo, 90100 Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiorenal syndrome (CRS) represents a complex clinical entity characterized by the bidirectional dysfunction of the heart and kidneys. Despite advances in pharmacological therapy, CRS remains associated with high morbidity and mortality. Pathophysiological drivers, including oxidative stress, chronic inflammation, and mitochondrial derangements, create a self-perpetuating cycle of organ damage that necessitates multitarget therapeutic approaches.

objectiveThis review synthesizes current preclinical evidence regarding the protective roles of plant-derived polyphenols-specifically bergamot, curcumin, quercetin, catechins, and resveratrol-in mitigating the cardiorenal continuum.

methodsAn analysis of recent literature was conducted, focusing on the molecular mechanisms by which these bioactives modulate redox balance, inflammatory signaling, and mitochondrial homeostasis in experimental models of CRS.

resultsPolyphenols act at the crossroads of several stress-response pathways. Key mechanisms include the activation of the Nrf2/HO-1 axis to enhance endogenous antioxidant defenses, the suppression of the NLRP3 inflammasome to attenuate systemic "inflammaging", and the preservation of mitochondrial quality through SIRT1/PINK1/Parkin-mediated mitophagy. Furthermore, emerging evidence highlights the role of polyphenols in modulating the gut-kidney-heart axis by reducing microbiota-derived uremic toxins.

conclusionsPreclinical data suggest that polyphenols are potent multifunctional agents capable of breaking the feedback loops of cardiorenal injury. While bioavailability remains a significant translational challenge, novel nano-delivery systems and synthetic analogs offer promising strategies for clinical application. Integrating these bioactives into CRS management could provide a decisive adjunctive strategy to improve metabolic homeostasis and prevent end-stage organ failure.

Indexed as

Cardio-Renal SyndromeInflammationMitochondriaPhytochemicalsPolyphenolsAnimalsAntioxidantsHumansOxidation-ReductionOxidative StressSignal TransductionAntioxidantsPhytochemicalsPolyphenolscardiorenal syndromemitophagyNLRP3 inflammasomeNrf2oxidative stresspolyphenols

Identifiers

PMID41901130
PMCPMC13028789

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.