Evidence map›Paper›PMID 41632188›Full record

Trial reportEuropean journal of nutrition2026

Modulation of inflammasome components in patients with heart failure using oral nutritional supplements: investigating the molecular mechanisms beyond the clinical benefit.

Aura D Herrera-Martínez, Natalia Hermán-Sánchez, Miguel E G-García, Concepción Muñoz-Jiménez, Jesús M Pérez-Gómez, Antonio J Montero-Hidalgo, José López-Aguilera, Rafael González-Manzanares, María Ángeles Gálvez-Moreno, María José Molina-Puerta and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Aura D Herrera-MartínezMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain. aurita.dhm@gmail.com.ORCID http://orcid.org/0000-0003-1437-9878
Natalia Hermán-SánchezMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain.
Miguel E G-GarcíaMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain.
Concepción Muñoz-JiménezMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain.
Jesús M Pérez-GómezMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain.
Antonio J Montero-HidalgoMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain.
José López-AguileraMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain.
Rafael González-ManzanaresMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain.
María Ángeles Gálvez-MorenoMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain.
María José Molina-PuertaMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain.
Raúl M LuqueMaimonides Institute for Biomedical Research of Cordoba (IMIBIC), Edificio IMIBIC. Av. Menéndez Pidal s/n, 14004, Córdoba, Spain. raul.luque@uco.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInflammation is a key contributor to the pathogenesis and progression of heart failure (HF), correlating with increased morbidity and mortality. This study aimed to evaluate the molecular impact of a 24-week nutritional intervention on inflammasome-related components in HF patients, comparing a Mediterranean diet alone versus the same diet supplemented with hypercaloric, high-protein oral nutritional supplements (ONS) enriched with eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). In a cohort of 38 patients, expression levels of inflammasome markers were assessed via microfluidic quantitative polymerase chain reaction (PCR) in peripheral blood mononuclear cells at baseline and post-intervention.

resultsSome components, especially cytokines and apoptosis regulation components are overexpressed in patients with sarcopenia (NLRP1, NLRC4, CASP1, CASP5, CTSL, IFI16, TLR8, PSXR7, CCR1, CHUCK, MAPK14, CDKN1B). We observed a significant downregulation of Nod-like receptors NLRP12 and NLRP6, along with decreased expression of inflammasome activation components CASP5, TLR2, and TLR9 in the intervention group (p < 0.05). Additionally, cytokines and inflammation-related molecules such as CXCR1, CXCR2, TGFB, CCL2, and NF-κB showed reduced expression, while the inhibitor CHUCK increased (p < 0.05). Cell cycle regulators also shifted, with decreased CDKN2D expression (p < 0.05), suggesting potential effects on cellular senescence and DNA repair pathways. Notably, these molecular changes were absent in patients adhering solely to the Mediterranean diet.

conclusionsthese findings suggest that supplementing a Mediterranean diet with hypercaloric, high-protein, EPA and DHA-enriched ONS induces molecular modifications in inflammasome pathways associated with cardiac remodeling. Therefore, targeted nutritional strategies may offer a promising adjunct to improve cardiac function and disease progression in HF patients.

Indexed as

Dietary SupplementsHeart FailureInflammasomesAdministration, OralAgedCytokinesDiet, MediterraneanDocosahexaenoic AcidsEicosapentaenoic AcidFemaleHumansInflammationLeukocytes, MononuclearMaleMiddle AgedSarcopeniaCytokinesDocosahexaenoic AcidsEicosapentaenoic AcidInflammasomesHeart failureHeart remodelingInflammasomeOral supplementsOutcomes

Identifiers

PMID41632188
PMCPMC12868064

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.