Evidence map›Paper›PMID 41678102›Full record

ArticleJournal of bioenergetics and biomembranes2026

Shionone attenuates endoplasmic reticulum stress-associated ferroptosis in cardiomyocytes by reducing LCN2 and regulating PI3K/Akt signaling.

Chunni Gao, Xingjuan Gao, Jinshuang Li

Erratum issuedAbstract read
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In one paragraph

Article in Journal of bioenergetics and biomembranes, 2026. 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 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

5 · Who and what money

Authors and funding

3 authors.

Chunni GaoCollege of Medical Nursing, Shaanxi Energy Institute, Xi'an, 710613, Shaanxi Province, China.
Xingjuan GaoDepartment of Cardiology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum Tower Hospital Group Suqian Hospital, NO.138, Huanghe'nan Road, Sucheng District, 223800, Suqian City, Jiangsu Province, China.
Jinshuang LiDepartment of Cardiology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum Tower Hospital Group Suqian Hospital, NO.138, Huanghe'nan Road, Sucheng District, 223800, Suqian City, Jiangsu Province, China. lijinshuang544@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemia/reperfusion-induced myocardial dysfunction remains a clinical problem and is associated to poor outcomes in patients with cardiovascular disorders, such as myocardial infarction. Shionone is a triterpenoid extracted from the herbal medicine Radix Asteris which has health benefits. This study aimed to explore the roles and functional mechanism of Shionone in regulating myocardial ischemia/reperfusion injury. The network pharmacology was performed to analyze the potential pathway interacted with Shionone in myocardial ischemia/reperfusion injury. The oxygen-glucose deprivation and reperfusion (OGD/R)-treated H9c2 cardiomyocytes and ischemia/reperfusion-induced murine models were regarded as in vitro and in vivo models. Lactate dehydrogenase (LDH), reactive oxygen species (ROS), glutathione (GSH) and iron levels were analyzed using specific kits. Related protein levels were detected by immunofluorescence staining and western blotting assays. Heart infarct in mice was investigated via TTC staining. Network pharmacology predicted LCN2 and PI3K/Akt signaling might be required by Shionone to involve in myocardial ischemia/reperfusion injury. Shionone mitigated OGD/R-induced ferroptosis through decreasing LDH release, ROS generation, iron and ACSL4 levels, and enhancing GSH, SLC7A11 an GPX4 levels in cardiomyocytes. Shionone attenuated OGD/R-induced endoplasmic reticulum stress through reducing CHOP, GRP-78, and phosphorylation levels of PERK and eIF2α. Endoplasmic reticulum stress inducer reversed the effects of Shionone on cardiomyocyte ferroptosis. Shionone decreased LCN2 expression and enhanced activation of PI3K/Akt signaling. Overexpressed LCN2 reversed the effects of Shionone on cardiomyocyte ferroptosis and endoplasmic reticulum stress in OGD/R-treated cardiomyocytes, and this function was mitigated via PI3K/Akt signaling activation. Shionone mitigated ischemia/reperfusion damage in murine heart by reducing heart infarct. Shionone attenuated endoplasmic reticulum stress-associated ferroptosis in cardiomyocytes through decreasing LCN2 and activating PI3K/Akt signaling, offering a basis for understanding the potentially cardioprotective potential of Shionone post ischemia/reperfusion injury.

Indexed as

Endoplasmic Reticulum StressFerroptosisLipocalin-2Myocytes, CardiacPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktAnimalsMaleMiceMyocardial Reperfusion InjurySignal TransductionLcn2 protein, mouseLipocalin-2Phosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktEndoplasmic reticulum stressFerroptosisLCN2Myocardial ischemia/Reperfusion injuryShionone

Identifiers

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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.