Evidence map›Paper›PMID 40544170›Full record

ReviewNature reviews. Cardiology2025

Mechano-energetic uncoupling in heart failure.

Dunja Aksentijevic, Simon Sedej, Jeremy Fauconnier, Melanie Paillard, Mahmoud Abdellatif, Katrin Streckfuss-Bömeke, Renée Ventura-Clapier, Jolanda van der Velden, Rudolf A de Boer, Edoardo Bertero and 3 more

Abstract readReview
PubMed Publisher
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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed.

  1. Evidence for a role of adverse sarcomere signaling in atrial fibrillation induction.Journal of molecular and cellular cardiology plus · 2026
    Review
  2. Article
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  10. RBM20 variants disrupt CaSignal transduction and targeted therapy · 2026
    Article
  11. Article
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  13. Review
  14. Coenzyme QInternational journal of molecular sciences · 2026
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Biomarkers of Cardiac Metabolic Flexibility in Health, HFrEF and HFpEF.International journal of molecular sciences · 2026
    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

13 authors.

Dunja AksentijevicWilliam Harvey Research Institute, Bart's Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK. d.aksentijevic@qmul.ac.uk.ORCID 0000-0002-8480-6727
Simon SedejDepartment of Cardiology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-4419-6821
Jeremy FauconnierPhyMedExp, University of Montpellier, INSERM U1046, CNRS UMR 9214, Montpellier, France.
Melanie PaillardUniversity Claude Bernard Lyon 1, CarMeN Laboratory-IRIS Team, INSERM INRAE, Bron, France.ORCID 0000-0002-4912-4915
Mahmoud AbdellatifDepartment of Cardiology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-5042-9054
Katrin Streckfuss-BömekeInstitute of Pharmacology and Toxicology, Julius Maximilians University, Würzburg, Germany.ORCID 0000-0001-5137-7228
Renée Ventura-ClapierFaculté de Pharmacie, Université Paris-Saclay, Bât Henri Moissan UMR-S 1180, Orsay, France.
Jolanda van der VeldenDepartment of Physiology, Amsterdam Cardiovascular Sciences, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands.ORCID 0000-0001-5224-5788
Rudolf A de BoerErasmus Medical Center, CardioVascular Research Institute, Thorax Center, Department of Cardiology, Rotterdam, The Netherlands.ORCID 0000-0002-4775-9140
Edoardo BerteroCardiovascular Unit, Department of Internal Medicine, University of Genova, Genova, Italy.
Jan DudekComprehensive Heart Failure Center Würzburg, Würzburg, Germany.
Vasco SequeiraComprehensive Heart Failure Center Würzburg, Würzburg, Germany.ORCID 0000-0002-9192-7674
Christoph MaackComprehensive Heart Failure Center Würzburg, Würzburg, Germany. maack_c@ukw.de.ORCID 0000-0003-3694-4559

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure (HF) is a major global and life-threatening disease. Despite advances in therapies, the prevalence of HF is increasing owing to an ageing population and the pervasive pandemic of obesity and metabolic disorders, which have transformed the pathophysiology of HF. Changes in cardiac energy metabolism and the related energy deficit crucially contribute to the severity and type of HF. Furthermore, perturbations in excitation-contraction coupling, mitochondrial function and oxidative stress are characteristic features of HF. In this Review, we focus on the close interaction between cardiac mechanics and mitochondrial energetics, and decipher how this mechano-energetic coupling is disturbed in various acquired and hereditary forms of HF. In HF with reduced ejection fraction, defects in excitation-contraction coupling are key drivers of mechano-energetic uncoupling, whereas in HF with preserved ejection fraction, increased preload and afterload imposed by obesity, hypertension and age-dependent vascular stiffness increase mechanical workload, which is insufficiently matched by mitochondrial tricarboxylic acid cycle activity and ATP supply. In both scenarios, oxidative stress results from depletion of the antioxidative capacity and contributes to maladaptive cardiac remodelling and dysfunction. Several established and emerging treatments for HF target this mechano-energetic uncoupling, and a greater understanding of the underlying mechanisms will open new therapeutic opportunities to alleviate the burden of HF.

Indexed as

Energy MetabolismExcitation Contraction CouplingHeart FailureMitochondria, HeartMyocytes, CardiacAnimalsBarth SyndromeBiomechanical PhenomenaCardiomyopathy, HypertrophicHumansMolecular Targeted TherapyNADSex FactorsNAD

Identifiers

What OpenQuestion holds

Textmetadata
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.