Evidence map›Paper›PMID 41977229›Full record

ReviewInternational journal of molecular sciences2026

From Exposure to Effect: Genetic and Epigenetic Biomarker-Guided Risk Assessment in Cardiac Imaging.

Andrea Borghini, Francesca Gorini, Mariangela Palazzo, Jalil Daher

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Andrea BorghiniNational Research Council, Institute of Clinical Physiology, 56124 Pisa, Italy.ORCID 0000-0003-1061-8309
Francesca GoriniNational Research Council, Institute of Clinical Physiology, 56124 Pisa, Italy.ORCID 0000-0002-4619-6227
Mariangela PalazzoNational Research Council, Institute of Clinical Physiology, 56124 Pisa, Italy.
Jalil DaherDepartment of Biology, Faculty of Arts and Sciences, University of Balamand, Balamand 100, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rapid expansion of cardiac imaging has substantially increased patient and occupational exposure to low-dose ionizing radiation. Evidence suggests that cumulative exposures below 100 mSv may contribute to long-term risks of cancer and non-cancer diseases, including cardiovascular disease. However, establishing causality at these dose levels is challenging, as epidemiological studies are limited by heterogeneous endpoints, uncertainties in dose reconstruction, and incomplete control of confounding factors. Molecular biomarkers offer a promising strategy to bridge the gap between radiation exposure and clinically manifest disease, enabling more precise individualized risk assessment and targeted preventive strategies. This review summarizes current evidence on genetic and epigenetic biomarkers for evaluating the biological effects of radiation in cardiac imaging and interventional cardiology and examines their potential role in risk stratification and occupational surveillance. Genetic markers-including γ-H2AX foci, micronucleus assays, and telomere length alterations-alongside epigenetic modifications such as DNA methylation changes and microRNA expression profiles provide sensitive indicators of radiation-induced cellular damage. Integrating biomarker profiling with individualized dosimetry and longitudinal follow-up may improve risk prediction, enhance occupational protection, and support safer, more sustainable imaging practices in contemporary cardiovascular care.

Indexed as

Cardiac Imaging TechniquesEpigenesis, GeneticRadiation ExposureAnimalsBiomarkersCardiovascular DiseasesDNA MethylationGenetic MarkersHistonesHumansMicroRNAsOccupational ExposureRadiation, IonizingRisk AssessmentBiomarkersGenetic MarkersHistonesMicroRNAscardiac imagingcirculating-cell free DNADNA methylationinterventional cardiologyionizing radiationmicronucleusmicroRNAmitochondrial dysfunctiontelomeresγ-H2AX

Identifiers

PMID41977229
PMCPMC13074039

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.