Evidence map›Paper›PMID 40321100›Full record

ArticleExperimental physiology2025

Cocoa shell extract supplementation in hypertensive rats induces outward hypertrophic remodelling in mesenteric resistance arteries, reducing fibrosis.

Pilar Rodríguez-Rodríguez, Santiago Ruvira, Fatima Abderrahim, Dolores Morales, Metee Iampanichakul, Lucía Juárez, David Ramiro-Cortijo, Silvia M Arribas

Abstract read
In one paragraph

Article in Experimental physiology, 2025. 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. Article
  2. 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

8 authors.

Pilar Rodríguez-RodríguezDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.
Santiago RuviraDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.
Fatima AbderrahimDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.
Dolores MoralesConfocal Microscopy Service (SiDI), Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.
Metee IampanichakulDepartment of Physiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Lucía JuárezDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.
David Ramiro-CortijoDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0001-7442-1586
Silvia M ArribasDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0001-7103-6105

Funding

Ministerio de Ciencia, Innovación y Universidades (MCIU) RTI2018-097504-B-I00
6 · The paper itself

Abstract

Hypertension is the leading risk factor for cardiovascular diseases and is difficult to control, putting the focus on foods and nutraceuticals. Cocoa has beneficial cardiovascular effects but generates large amounts of residues, such as cocoa shells, which contain bioactive molecules. In a rat model of hypertension (in males) induced by fetal-maternal undernutrition (MUN), supplementation with cocoa shell extract (CSE) at 250 mg/kg for 3 weeks reduced blood pressure, improving mesenteric resistance artery (MRA) vasodilatation. We aimed to investigate, in the same rats, the effect of supplementation on MRA remodelling and stiffening, assessing modifications in cellular and extracellular matrix and contractility. Structural and mechanical parameters were studied with pressure myography, vasoconstriction with wire myography, and cells, collagen and internal elastic lamina fenestrae with confocal microscopy. In comparison to sex-matched control animals, MUN males and females showed a reduction in MRA diameter. However, only MUN males exhibited stiffening, reduced media and increased adventitial layer thickness, and augmented collagen content and noradrenaline-induced contractions. CSE induced outward hypertrophic remodelling, with a normal wall-to-lumen ratio in all groups, and a hypertrophic effect on smooth muscle cells. In addition, in MUN males CSE reduced MRA adventitial collagen and improved elasticity. In conclusion, CSE supplementation induces MRA outward hypertrophic remodelling, possibly related to improved flood flow. In MUN hypertensive rats, the increased diameter and elasticity, associated with modification to the ratio of cells to extracellular matrix, might contribute to the blood pressure-lowering effects of CSE.

Indexed as

CacaoHypertensionMesenteric ArteriesPlant ExtractsVascular RemodelingVascular ResistanceAnimalsBlood PressureCollagenDietary SupplementsFemaleFibrosisHypertrophyMalePregnancyRatsCollagenPlant Extractscocoa shell extractcollagenfetal programminghypertensionremodellingresistance arteriesstiffness

Identifiers

PMID40321100
PMCPMC12665943

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.