Evidence map›Paper›PMID 40896250›Full record

ArticleJournal of molecular and cellular cardiology plus2025

Sex-specific human electromechanical multiscale in-silico models for virtual therapy evaluation.

Maxx Holmes, Zhinuo Jenny Wang, Ruben Doste, Julia Camps, Hector Martinez-Navarro, Hannah Smith, Jakub Tomek, Blanca Rodriguez

Erratum issuedAbstract read
In one paragraph

Article in Journal of molecular and cellular cardiology plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Sex-specific virtual population for the prediction and assessment of arrhythmia risk.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Maxx HolmesDepartment of Computer Science, University of Oxford, Oxford, United Kingdom.
Zhinuo Jenny WangDepartment of Computer Science, University of Oxford, Oxford, United Kingdom.
Ruben DosteDepartment of Computer Science, University of Oxford, Oxford, United Kingdom.
Julia CampsDepartment of Computer Science, University of Oxford, Oxford, United Kingdom.
Hector Martinez-NavarroDepartment of Computer Science, University of Oxford, Oxford, United Kingdom.
Hannah SmithDepartment of Computer Science, University of Oxford, Oxford, United Kingdom.
Jakub TomekDepartment of Computer Science, University of Oxford, Oxford, United Kingdom.
Blanca RodriguezDepartment of Computer Science, University of Oxford, Oxford, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Women are under-represented in cardiovascular research, leading to poorer outcomes. Investigating sex-differences in electromechanical function is essential for improving therapy evaluation. This study presents sex-specific human cellular and biventricular electromechanical models for mechanistic investigation of sex-differences in therapeutic response. Methods: Protein genomic expression data from healthy human myocytes calibrated sex-specific electrophysiological models, integrated into biventricular models with male and female anatomies. Multi-scale validation utilised sex-specific clinical and experimental datasets, including responses to drug action. Ionic mechanisms underlying sex-differences in drug response were explored. Results: Simulations showed agreement with clinical ECGs, including QTc intervals (Male: 312 ms; Female: 339 ms), and T-wave amplitude (6-9 % difference). Mechanical biomarkers (LVEF, Female: 68 %; Male: 50 %) matched sex-stratified UK Biobank data ( Conclusion: Sex differences in repolarisation reserve, calcium handling, and anatomy are key factors underpinning ECG and LVEF responses to drugs. Specifically, under calcium block, females showed more preserved LVEF, while under hERG block, females showed more QTc prolongation.

Indexed as

ContractilityElectrocardiogramElectromechanicsPharmaceuticalSexSimulation

Identifiers

PMID40896250
PMCPMC12391824

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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.