Evidence map›Paper›PMID 36687274›Full record

ReviewJACC. Basic to translational science2022

Inefficient Batteries in Heart Failure: Metabolic Bottlenecks Disrupting the Mitochondrial Ecosystem.

Brian Schwartz, Petro Gjini, Deepa M Gopal, Jessica L Fetterman

Open access · goldAbstract readReview
In one paragraph

Review in JACC. Basic to translational science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. A perspective on the future of heart failure research.Journal of molecular and cellular cardiology plus · 2026
    Article
  5. Article
  6. Biomarkers of Cardiac Metabolic Flexibility in Health, HFrEF and HFpEF.International journal of molecular sciences · 2026
    Review
  7. One Syndrome, Many Faces: A Unified Perspective on Heart Failure Phenotypes.International journal of molecular sciences · 2025
    Review
  8. SARM1 Exacerbates Pressure Overload-Induced Cardiac Hypertrophy and Heart Failure by Enhancing NADFASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  9. The Cardiohepatic Axis in Metabolic Disease: Liver to Heart.JACC. Basic to translational science · 2025
    Review
  10. Mitochondrial Dysfunction in HFpEF: Potential Interventions Through Exercise.Journal of cardiovascular translational research · 2025
    Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Complex II ambiguities-FADHThe Journal of biological chemistry · 2024
    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

4 authors at 1 institution in 1 country.

Brian SchwartzEvans Department of Medicine, Section of Internal Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Petro GjiniEvans Department of Medicine, Section of Internal Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Deepa M GopalEvans Department of Medicine and Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Massachusetts, USA.
Jessica L FettermanEvans Department of Medicine and Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Massachusetts, USA.
Boston University · US

Funding

PRIMER: Promoting Research In MEdical ResidencyR38HL143584 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Darrell N. Kotton, Matthew G. Nayor · 2020 to 2026
$2.1M
Relations of Mitochondrial Genetic Variation and Function with Atrial FibrillationK01HL143142 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FETTERMAN, JESSICA L · 2019 to 2023
$757k
NHLBI NIH HHS K01 HL143142NHLBI NIH HHS R38 HL143584
6 · The paper itself

Abstract

Mitochondrial abnormalities have long been described in the setting of cardiomyopathies and heart failure (HF), yet the mechanisms of mitochondrial dysfunction in cardiac pathophysiology remain poorly understood. Many studies have described HF as an energy-deprived state characterized by a decline in adenosine triphosphate production, largely driven by impaired oxidative phosphorylation. However, impairments in oxidative phosphorylation extend beyond a simple decline in adenosine triphosphate production and, in fact, reflect pervasive metabolic aberrations that cannot be fully appreciated from the isolated, often siloed, interrogation of individual aspects of mitochondrial function. With the application of broader and deeper examinations into mitochondrial and metabolic systems, recent data suggest that HF with preserved ejection fraction is likely metabolically disparate from HF with reduced ejection fraction. In our review, we introduce the concept of the mitochondrial ecosystem, comprising intricate systems of metabolic pathways and dynamic changes in mitochondrial networks and subcellular locations. The mitochondrial ecosystem exists in a delicate balance, and perturbations in one component often have a ripple effect, influencing both upstream and downstream cellular pathways with effects enhanced by mitochondrial genetic variation. Expanding and deepening our vantage of the mitochondrial ecosystem in HF is critical to identifying consistent metabolic perturbations to develop therapeutics aimed at preventing and improving outcomes in HF.

Indexed as

ADP, adenosine diphosphateANT1, adenine translocator 1ATP, adenosine triphosphatecardiomyopathyCVD, cardiovascular diseaseDCM, dilated cardiomyopathyDRP-1, dynamin-related protein 1EET, epoxyeicosatrienoic acidFADH2/FAD, flavin adenine dinucleotideheart failureHETE, hydroxyeicosatetraenoic acidHF, heart failureHFpEF, heart failure with preserved ejection fractionHFrEF, heart failure with reduced ejection fractionHIF1α, hypoxia-inducible factor 1αiPLA2γ, Ca2+-independent mitochondrial phospholipaseLVAD, left ventricular assist deviceLVEF, left ventricular ejection fractionLV, left ventriclemetabolismmitochondriamitochondrial ecosystemmPTP, mitochondrial permeability transition poremtDNA, mitochondrial DNANADH/NAD+, nicotinamide adenine dinucleotideOPA1, optic atrophy protein 1OXPHOS, oxidative phosphorylationPGC1-α, peroxisome proliferator-activated receptor gamma coactivator 1 alphaSIRT1-7, sirtuins 1-7

Identifiers

PMID36687274
PMCPMC9849281
OpenAlexW4286264509

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.