Evidence map›Paper›PMID 39972009›Full record

ReviewNature reviews. Cardiology2025

Roadmap for alleviating the manifestations of ageing in the cardiovascular system.

Luca Liberale, Simon Tual-Chalot, Simon Sedej, Stefano Ministrini, Georgios Georgiopoulos, Myriam Grunewald, Magnus Bäck, Marie-Luce Bochaton-Piallat, Reinier A Boon, Gustavo Campos Ramos and 51 more

Abstract readReview
In one paragraph

Review in Nature reviews. Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Neurovascular interactions in the ageing heart.Nature reviews. Cardiology · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. The role of NO, HBasic research in cardiology · 2025
    Article
  13. Bioactives in Food-As-Medicine for Special Medical Purposes.Advances in nutrition (Bethesda, Md.) · 2025
    Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Targeting RNA adenosine editing and modification enzymes for RNA therapeutics.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  19. Review
  20. How to measure and model cardiovascular aging.Cardiovascular research · 2025
    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

61 authors.

Luca Liberale *First Clinic of Internal Medicine, Department of Internal Medicine, University of Genoa, Genoa, Italy.
Simon Tual-Chalot *Biosciences Institute, Vascular Biology and Medicine Theme, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK. simon.tual-chalot@newcastle.ac.uk.
Simon SedejDepartment of Cardiology, Medical University of Graz, Graz, Austria.
Stefano MinistriniCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
Georgios GeorgiopoulosDepartment of Physiology, School of Medicine, University of Patras, Patras, Greece.
Myriam GrunewaldFaculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Magnus BäckTranslational Cardiology, Centre for Molecular Medicine, Department of Medicine Solna, and Department of Cardiology, Heart and Vascular Centre, Karolinska Institutet, Stockholm, Sweden.
Marie-Luce Bochaton-PiallatDepartment of Pathology and Immunology, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Reinier A BoonDepartment of Physiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC location VUmc, Amsterdam, Netherlands.
Gustavo Campos RamosDepartment of Internal Medicine I/Comprehensive Heart Failure Centre, University Hospital Würzburg, Würzburg, Germany.
Menno P J de WintherDepartment of Medical Biochemistry, Amsterdam Cardiovascular Sciences: Atherosclerosis and Ischaemic Syndromes; Amsterdam Infection and Immunity: Inflammatory Diseases, Amsterdam UMC location AMC, Amsterdam, Netherlands.
Konstantinos DrosatosMetabolic Biology Laboratory, Cardiovascular Center, Department of Pharmacology, Physiology, and Neurobiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Paul C EvansWilliam Harvey Research Institute, Barts and The London Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Jane F FergusonDivision of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Sofia K Forslund-StartcevaExperimental and Clinical Research Center, Max Delbrück Center for Molecular Medicine and Charité-Universitätsmedizin Berlin, Berlin, Germany.
Claudia GoettschDepartment of Internal Medicine I, Division of Cardiology, Medical Faculty, RWTH Aachen University, Aachen, Germany.
Mauro GiaccaBritish Heart foundation Centre of Reseach Excellence, King's College London, London, UK.
Judith HaendelerCardiovascular Degeneration, Medical Faculty, University Hospital and Heinrich-Heine University, Düsseldorf, Germany.
Marinos KallikourdisAdaptive Immunity Lab, IRCCS Humanitas Research Hospital, Rozzano (Milan), Italy.
Daniel F J KetelhuthCardiovascular and Renal Research Unit, Department of Molecular Medicine, University of Southern Denmark, Odense, Denmark.
Rory R KoenenCARIM-School for Cardiovascular Diseases, Department of Biochemistry, Maastricht University, Maastricht, Netherlands.
Patrick LacolleyInserm, DCAC, Université de Lorraine, Nancy, France.
Esther LutgensDepartment of Cardiovascular Medicine & Immunology, Mayo Clinic, Rochester, MN, USA.
Pasquale MaffiaSchool of Infection & Immunity, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
Satomi MiwaBiosciences Institute, Vascular Biology and Medicine Theme, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK.
Claudia MonacoKennedy Institute, NDORMS, University of Oxford, Oxford, UK.
Fabrizio MontecuccoFirst Clinic of Internal Medicine, Department of Internal Medicine, University of Genoa, Genoa, Italy.
Giuseppe Danilo NorataDepartment of Pharmacological and Biomolecular Sciences, Università degli Studi di Milano, Milan, Italy.
Elena OstoDivision of Physiology and Pathophysiology, Otto Loewi Research Center for Vascular Biology, Immunology and Inflammation, Medical University of Graz, Graz, Austria.
Gavin D RichardsonBiosciences Institute, Vascular Biology and Medicine Theme, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK.
Niels P RiksenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, Netherlands.
Oliver SoehnleinInstitute of Experimental Pathology, University of Münster, Münster, Germany.
Ioakim SpyridopoulosTranslational and Clinical Research Institute, Vascular Biology and Medicine Theme, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK.
Sophie Van LinthoutBIH Center for Regenerative Therapies (BCRT), Berlin Institute of Health at Charité - Universitätmedizin Berlin, Berlin, Germany.
Gemma VilahurResearch Institute, Hospital de la Santa Creu y Sant Pau l, IIB-Sant Pau, Barcelona, Spain.
Jolanda J WentzelCardiology, Biomedical Engineering, Erasmus MC, Rotterdam, Netherlands.
Vicente AndrésCentro Nacional de Investigaciones Cardiovasculares (CNIC), CIBERCV, Madrid, Spain.
Lina BadimonCardiovascular Health and Innovation Research Foundation (FICSI) and Cardiovascular Health and Network Medicine Department, University of Vic (UVIC-UCC), Barcelona, Spain.
Athanase BenetosDepartment of Geriatrics, University Hospital of Nancy and Inserm DCAC, Université de Lorraine, Nancy, France.
Christoph J BinderDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Ralf P BrandesInstitute for Cardiovascular Physiology, Goethe University, Frankfurt am Main, Germany.
Filippo CreaCentre of Excellence of Cardiovascular Sciences, Ospedale Isola Tiberina - Gemelli Isola, Roma, Italy.
David FurmanBuck Institute for Research on Aging, Novato, CA, USA.
Vera GorbunovaDepartments of Biology and Medicine, University of Rochester, Rochester, NY, USA.
Tomasz J GuzikCentre for Cardiovascular Sciences, University of Edinburgh, Edinburgh, UK.
Joseph A HillUniversity of Texas Southwestern Medical Center, Dallas, TX, USA.
Thomas F LüscherHeart Division, Royal Brompton and Harefield Hospital and National Heart and Lung Institute, Imperial College, London, UK.
María MittelbrunnConsejo Superior de Investigaciones Científicas (CSIC), Centro de Biología Molecular Severo Ochoa (CSIC-UAM), Universidad Autónoma de Madrid (UAM), Madrid, Spain.
Alessio NencioniIRCCS Ospedale Policlinico San Martino Genoa - Italian Cardiovascular Network, Genoa, Italy.
Mihai G NeteaDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, Netherlands.
João F PassosDepartment of Physiology and Biomedical Engineering, Robert and Arlene Kogod Center on Aging, Mayo Clinic, Rochester, MN, USA.
Kimon S StamatelopoulosDepartment of Clinical Therapeutics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Nektarios TavernarakisMedical School, University of Crete, and Institute of Molecular Biology and Biotechnology, Foundation for Research and Technology-Hellas, Heraklion, Greece.
Zoltan UngvariDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Joseph C WuStanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.
James L KirklandCenter for Advanced Gerotherapeutics, Division of Endocrinology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Giovanni G CamiciCenter for Molecular Cardiology, University of Zurich, Schlieren, Switzerland.
Stefanie DimmelerInstitute for Cardiovascular Regeneration, Goethe University, Frankfurt am Main, Germany.
Guido KroemerCentre de Recherche des Cordeliers, Equipe labellisée par la Ligue contre le cancer, Université Paris Cité, Sorbonne Université, Inserm, Institut Universitaire de France, Paris, France.
Mahmoud AbdellatifDepartment of Cardiology, Medical University of Graz, Graz, Austria.
Konstantinos StellosDepartment of Cardiovascular Research, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. konstantinos.stellos@medma.uni-heidelberg.de.

Funding

The role of SIRT6 posttranslational modifications in aging and genome stability. Supplement: Testing SIRT6 activators as potential Alzheimer's disease therapy.R01AG027237 · NIA · UNIVERSITY OF ROCHESTER · PI Vera Gorbunova · 2006 to 2026
$6.2M
The role of sub-lethal mitochondrial apoptotic stress in cellular senescenceR01AG068048 · NIA · MAYO CLINIC ROCHESTER · PI PASSOS, JOAO · 2020 to 2024
$2.2M
Role of cardiomyocyte KLF5 in heart failure.R01HL151924 · NHLBI · UNIVERSITY OF CINCINNATI · PI DROSATOS, KONSTANTINOS · 2020 to 2023
$1.9M
Development of machine learning software to quantitatively map telomere induced senescence in tissue sections during agingUH3CA268103 · NCI · MAYO CLINIC ROCHESTER · PI PASSOS, JOAO · 2023 to 2025
$1.6M
Development of machine learning software to quantitatively map telomere induced senescence in tissue sections during agingUG3CA268103 · NCI · MAYO CLINIC ROCHESTER · PI PASSOS, JOAO · 2021 to 2022
$1.1M
NCI NIH HHS UG3 CA268103NCI NIH HHS UH3 CA268103NHLBI NIH HHS R01 HL151924NIA NIH HHS R01 AG027237NIA NIH HHS R01 AG068048
6 · The paper itself

Abstract

Ageing of the cardiovascular system is associated with frailty and various life-threatening diseases. As global populations grow older, age-related conditions increasingly determine healthspan and lifespan. The circulatory system not only supplies nutrients and oxygen to all tissues of the human body and removes by-products but also builds the largest interorgan communication network, thereby serving as a gatekeeper for healthy ageing. Therefore, elucidating organ-specific and cell-specific ageing mechanisms that compromise circulatory system functions could have the potential to prevent or ameliorate age-related cardiovascular diseases. In support of this concept, emerging evidence suggests that targeting the circulatory system might restore organ function. In this Roadmap, we delve into the organ-specific and cell-specific mechanisms that underlie ageing-related changes in the cardiovascular system. We raise unanswered questions regarding the optimal design of clinical trials, in which markers of biological ageing in humans could be assessed. We provide guidance for the development of gerotherapeutics, which will rely on the technological progress of the diagnostic toolbox to measure residual risk in elderly individuals. A major challenge in the quest to discover interventions that delay age-related conditions in humans is to identify molecular switches that can delay the onset of ageing changes. To overcome this roadblock, future clinical trials need to provide evidence that gerotherapeutics directly affect one or several hallmarks of ageing in such a manner as to delay, prevent, alleviate or treat age-associated dysfunction and diseases.

Indexed as

AgingCardiovascular DiseasesCardiovascular SystemAge FactorsHumans

Identifiers

PMID39972009
PMCPMC13383118

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Registered trials

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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.