Evidence map›Paper›PMID 40046916›Full record

ReviewFrontiers in medicine2025

Endothelial dysfunction in chronic obstructive pulmonary disease: an update on mechanisms, assessment tools and treatment strategies.

Giuseppina Marcuccio, Claudio Candia, Mauro Maniscalco, Pasquale Ambrosino

Abstract readReview
In one paragraph

Review in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Angiogenesis in Lung Regeneration and Aging.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Observational
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.

Giuseppina Marcuccio *Istituti Clinici Scientifici Maugeri IRCCS, Pulmonary Rehabilitation Unit of Telese Terme, Telese Terme, Italy.
Claudio Candia *Department of Biomedicine, Neuroscience and Advanced Diagnostics, University of Palermo, Palermo, Italy.
Mauro ManiscalcoIstituti Clinici Scientifici Maugeri IRCCS, Pulmonary Rehabilitation Unit of Telese Terme, Telese Terme, Italy.
Pasquale AmbrosinoIstituti Clinici Scientifici Maugeri IRCCS, Scientific Directorate of Telese Terme Institute, Telese Terme, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic obstructive pulmonary disease (COPD) is a complex condition marked by chronic respiratory symptoms, such as cough and dyspnoea, and persistent irreversible airway obstruction, punctuated by acute episodes of exacerbations. COPD is associated with a significant mortality risk and several comorbidities, including cardiovascular diseases. The link between COPD, acute exacerbations and cardiovascular diseases has been recently acknowledged under the unifying concept of cardiopulmonary risk. In this context, endothelial dysfunction (ED) has been identified as a key contributor to the systemic manifestations of COPD and an early event in atherogenesis, thus potentially linking respiratory diseases and cardiovascular risk. Assessing endothelial dysfunction could therefore provide valuable prognostic insights into COPD, while targeting it may emerge as a promising therapeutic approach. Nonetheless, several aspects such as clinical assessment options and potential treatment strategies are still under debate, despite an intense research activity in recent years and promising results coming from the field of pulmonary rehabilitation medicine, which seems to be highly beneficial for the improvement of ED in COPD patients. On these premises, this mini review aims to provide an updated overview of the pathophysiology of ED in the context of COPD, with a focus on its assessment and its potential as an attractive therapeutic target.

Indexed as

cardiovascular riskCOPDdisabilityendothelial functionexerciserehabilitation

Identifiers

PMID40046916
PMCPMC11880998

What OpenQuestion holds

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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.