Evidence map›Paper›PMID 41432810›Full record

ReviewBiogerontology2025

A conceptual model of oxygen-ozone therapy as a modulator of aging via the HMGB1 pathway.

Salvatore Chirumbolo, Luigi Valdenassi, Dario Bertossi, Fortunato Loprete, Umberto Tirelli, Marianno Franzini

Abstract readReview
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In one paragraph

Review in Biogerontology, 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

6 authors.

Salvatore ChirumboloDepartment of Engineering for Innovation Medicine, University of Verona, Strada Le Grazie 8, 37134, Verona, Italy. salvatore.chirumbolo@univr.it.
Luigi ValdenassiItalian Scientific Society of Oxygen-Ozone Therapy (SIOOT), Bergamo and High Master School of Oxygen-Ozone Therapy, University of Pavia, Pavia, Italy.
Dario BertossiDepartment of Surgery, Dentistry, Paediatrics and Gynaecology, Unit of Maxillo-Facial Surgery, University of Verona, Verona, Italy.
Fortunato LopreteItalian Scientific Society of Oxygen-Ozone Therapy (SIOOT), Bergamo and High Master School of Oxygen-Ozone Therapy, University of Pavia, Pavia, Italy.
Umberto TirelliTirelli Medical Group, Pordenone, Italy.
Marianno FranziniItalian Scientific Society of Oxygen-Ozone Therapy (SIOOT), Bergamo and High Master School of Oxygen-Ozone Therapy, University of Pavia, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate whether oxygen-ozone therapy (OOT) can modulate aging by inducing adaptive chaos in the HMGB1-Nrf2 redox-inflammatory pathway.

methodsA computational systems biology model simulated feedback loops among ROS, Nrf2, HMGB1, and NF-κB under varying ozone doses and cellular contexts (protective vs. autophagy-deficient).

resultsIntermediate ozone doses in the model triggered controlled chaos. The model suggests a potential 'chaotic window' (30-40 μg/mL ozone) that may promote redox resilience in autophagy-deficient cells.

conclusionOOT may potentially contribute to healthy aging by modulating redox adaptability. Its theoretical effectiveness is dose-dependent, with maximal benefit in aged or dysfunctional systems requiring reactivation of flexible stress responses. However, while the model offers insights into possible dynamic behaviours of the redox-inflammatory axis under ozone exposure, it is not yet calibrated to biological data and cannot predict real-world outcomes without further experimental support.

Indexed as

AgingHMGB1 ProteinModels, BiologicalOxygenOzoneComputer SimulationHumansNF-E2-Related Factor 2NF-kappa BOxidation-ReductionReactive Oxygen SpeciesSignal TransductionHMGB1 ProteinHMGB1 protein, humanNFE2L2 protein, humanNF-E2-Related Factor 2NF-kappa BOxygenOzoneReactive Oxygen SpeciesAgingBioinformaticsHMGB1Ozone therapy

Identifiers

PMID41432810

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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.