Evidence map›Paper›PMID 41367470›Full record

ReviewCureus2025

Redox Imbalance in Coronary Artery Bypass Grafting: The Clinical Significance of Aminothiols.

Abubakar I Sidik, Vladislav Dontsov, Maxim L Khavandeev, Dmitriy Sobolev, Malik K Al-Ariki, Debraj Ghosh, Oralee B Pereira, Emmanuel K Emmanuel, Lyudmila S Korjueva, Mohamed A Cherjaoui and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Abubakar I SidikCardiovascular Surgery, Peoples' Friendship University of Russia, Moscow, RUS.
Vladislav DontsovCardiothoracic Surgery, Moscow Regional Research and Clinical Institute, Moscow, RUS.
Maxim L KhavandeevCardiovascular Surgery, Gusak Institute of Emergency and Reconstructive Surgery, Donetsk, RUS.
Dmitriy SobolevCardiology, European Medical Center, Moscow, RUS.
Malik K Al-ArikiPediatric Surgery, Peoples' Friendship University of Russia, Moscow, RUS.
Debraj GhoshCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Oralee B PereiraCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Emmanuel K EmmanuelCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Lyudmila S KorjuevaCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Mohamed A CherjaouiCardiovascular Medicine, Peoples' Friendship University of Russia, Moscow, RUS.
Eissa Mohammed A GhalebCardiovascular Surgery, Peoples' Friendship University of Russia, Moscow, RUS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary artery bypass grafting (CABG) is a vital intervention for severe coronary artery disease, yet it induces significant oxidative stress, contributing to postoperative complications and long-term cardiovascular risks. Aminothiols, including glutathione, homocysteine, cysteine, and cysteinylglycine, are key regulators of redox homeostasis, making them promising biomarkers for assessing oxidative stress in CABG patients. This narrative review explores their biochemical roles, measurement techniques, and associations with clinical outcomes. Glutathione mitigates reactive oxygen species (ROS) through the glutathione redox cycle, while elevated homocysteine promotes oxidative damage and inflammation, linked to complications like atrial fibrillation and acute kidney injury. Cysteine and cysteinylglycine further support redox balance, with their dysregulation reflecting perioperative stress. Studies demonstrate that altered aminothiol levels pre- and post-CABG correlate with adverse outcomes, including myocardial injury, graft restenosis, and major adverse cardiovascular events. Advanced analytical methods like high-performance liquid chromatography and liquid chromatography-mass spectrometry enable precise aminothiol quantification, although variability and lack of standardization pose challenges. Therapeutic interventions, such as N-acetylcysteine and folate supplementation, show potential to modulate aminothiol levels and reduce oxidative stress. Despite these insights, gaps in longitudinal data and assay standardization limit clinical adoption. Future research should focus on standardized protocols, large-scale studies, and metabolomics to integrate aminothiols into personalized medicine, enhancing risk stratification and therapeutic strategies for improved CABG outcomes. Overall, this narrative review synthesizes available data on aminothiols and oxidative stress in CABG, with the objective of identifying knowledge gaps and potential pathways for translational and clinical application.

Indexed as

aminothiolsbiomarkerscoronary artery bypass graftcysteinecysteinylglycineglutathionehomocysteineischemia-reperfusion injuryoxidative stressreactive oxygen species

Identifiers

PMID41367470
PMCPMC12685385

What OpenQuestion holds

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LicenceCC BY
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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.