Evidence map›Paper›PMID 35204217›Full record

ReviewAntioxidants (Basel, Switzerland)2022

The Role of Oxidative Stress in the Aging Heart.

Luana U Pagan, Mariana J Gomes, Mariana Gatto, Gustavo A F Mota, Katashi Okoshi, Marina P Okoshi

Open access · goldAbstract readReview
In one paragraph

Review in Antioxidants (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
14.0field-weighted citation impact, top 1% of its field
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

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Postbiotic metabolites fromExperimental and therapeutic medicine · 2026
    Article
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. The pathophysiological role of MiRNAs in heart failure.Frontiers in cardiovascular medicine · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Sex Differences in Response to Diet Enriched With Glutathione Precursors in the Aging Heart.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  19. Article
  20. Article
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 at 2 institutions in 2 countries.

Luana U PaganInternal Medicine Department, Botucatu Medical School, Sao Paulo State University (UNESP), Botucatu 18618 687, Brazil.
Mariana J GomesBrigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Mariana GattoInternal Medicine Department, Botucatu Medical School, Sao Paulo State University (UNESP), Botucatu 18618 687, Brazil.
Gustavo A F MotaInternal Medicine Department, Botucatu Medical School, Sao Paulo State University (UNESP), Botucatu 18618 687, Brazil.ORCID 0000-0001-8103-3338
Katashi OkoshiInternal Medicine Department, Botucatu Medical School, Sao Paulo State University (UNESP), Botucatu 18618 687, Brazil.
Marina P OkoshiInternal Medicine Department, Botucatu Medical School, Sao Paulo State University (UNESP), Botucatu 18618 687, Brazil.
Universidade Estadual Paulista (Unesp) · BRBrigham and Women's Hospital · US

Funding

National Council for Scientific and Technological Development 308557/2018-2, 310876/2018-4, 425214/2018-4São Paulo Research Foundation 2018/07048-2
6 · The paper itself

Abstract

Medical advances and the availability of diagnostic tools have considerably increased life expectancy and, consequently, the elderly segment of the world population. As age is a major risk factor in cardiovascular disease (CVD), it is critical to understand the changes in cardiac structure and function during the aging process. The phenotypes and molecular mechanisms of cardiac aging include several factors. An increase in oxidative stress is a major player in cardiac aging. Reactive oxygen species (ROS) production is an important mechanism for maintaining physiological processes; its generation is regulated by a system of antioxidant enzymes. Oxidative stress occurs from an imbalance between ROS production and antioxidant defenses resulting in the accumulation of free radicals. In the heart, ROS activate signaling pathways involved in myocyte hypertrophy, interstitial fibrosis, contractile dysfunction, and inflammation thereby affecting cell structure and function, and contributing to cardiac damage and remodeling. In this manuscript, we review recent published research on cardiac aging. We summarize the aging heart biology, highlighting key molecular pathways and cellular processes that underlie the redox signaling changes during aging. Main ROS sources, antioxidant defenses, and the role of dysfunctional mitochondria in the aging heart are addressed. As metabolism changes contribute to cardiac aging, we also comment on the most prevalent metabolic alterations. This review will help us to understand the mechanisms involved in the heart aging process and will provide a background for attractive molecular targets to prevent age-driven pathology of the heart. A greater understanding of the processes involved in cardiac aging may facilitate our ability to mitigate the escalating burden of CVD in older individuals and promote healthy cardiac aging.

Indexed as

aged heartcardiac metabolismcardiac remodelingreactive oxygen speciessenescence

Identifiers

PMID35204217
PMCPMC8868312
OpenAlexW4211192813

What OpenQuestion 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 OpenQuestion graph.