Evidence map›Paper›PMID 40699821›Full record

ReviewCurrent issues in molecular biology2025

Epigenetic Biomarkers of Cardiovascular Risk in Frail Patients-A Scope Review.

Stanisław Wawrzyniak, Julia Cieśla, Magdalena Woś, Ewa Wołoszyn-Horák, Michał M Masternak, Tomasz Kukulski, Ewa Stępień, Andrzej Tomasik

Abstract readReview
In one paragraph

Review in Current issues in molecular biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Stanisław WawrzyniakDoctoral School, Medical University of Silesia, Poniatowskiego 15, 40-055 Katowice, Poland.
Julia CieślaDoctoral School, Medical University of Silesia, Poniatowskiego 15, 40-055 Katowice, Poland.ORCID 0000-0002-2907-7322
Magdalena WośDepartment of Internal Medicine and Clinical Pharmacology, Medical University of Silesia, Medyków 18, 40-752 Katowice, Poland.
Ewa Wołoszyn-HorákII Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Marii Skłodowskiej-Curie 10, 41-800 Zabrze, Poland.
Michał M MasternakDepartment of Biomedical Sciences, Burnett School of Biomedical Sciences, College of Medicine, University of Central Florida, 6900 Lake Nona Blvd, Orlando, FL 32827, USA.
Tomasz KukulskiII Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Marii Skłodowskiej-Curie 10, 41-800 Zabrze, Poland.ORCID 0000-0003-1911-8159
Ewa StępieńDepartment of Medical Physics, Marian Smoluchowski Institute of Physics, Jagiellonian University, 30-348 Kraków, Poland.ORCID 0000-0003-3589-1715
Andrzej TomasikII Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Marii Skłodowskiej-Curie 10, 41-800 Zabrze, Poland.ORCID 0000-0002-9312-762X

Funding

Empiria i Wiedza Foundation 58/TALENTYJUTRA_E1/2022Medical University of Silesia PCN-1-211/K/1/K, PCN-1-235/K/2/K
6 · The paper itself

Abstract

Epigenetic biomarkers offer promising potential for early identification and risk stratification of frail individuals susceptible to adverse cardiovascular outcomes. This scope review aimed to identify and evaluate epigenetic biomarkers concurrently associated with frailty and increased cardiovascular risk, potentially facilitating more precise patient stratification and treatment decisions. A two-stage literature search was performed using PubMed, Scopus, Web of Science, and Embase databases from the year 2000 through 27 December 2024. Stage 1 identified studies reporting epigenetic biomarkers associated with frailty in blood-derived human samples. Stage 2 assessed cardiovascular relevance by screening the frailty biomarkers identified in Stage 1 for their documented association with cardiovascular diseases. Two independent reviewers conducted screening, data extraction, and risk-of-bias assessments, resolving disagreements via a third reviewer. The primary outcomes were the association of biomarkers with frailty severity and cardiovascular risk. Key epigenetic biomarkers identified included microRNAs (particularly miR-21, miR-146a, miR-451, and miR-92a) and DNA methylation markers (LINE-1 methylation, epigenetic clocks like GrimAge and DunedinPACE, and possibly novel, emerging clocks like DNAmCVDscore and the Smoking Index). Due to specificity limitations, these biomarkers are most promising when used collectively as part of multimarker panels rather than individually. Future research should validate multimarker panels, explore novel biomarkers, and assess clinical integration to optimize precision medicine in frail cardiovascular populations.

Indexed as

cardiovascular diseasecardiovascular riskepigenetic biomarkersepigenetic clockfrailtymethylationmicroRNA

Identifiers

PMID40699821
PMCPMC12192519

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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.