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Record W4408460487 · doi:10.3390/antiox14030340

Involvement of Oxidative Stress and Antioxidants in Modification of Cardiac Dysfunction Due to Ischemia–Reperfusion Injury

2025· review· en· W4408460487 on OpenAlexaff
Naranjan S. Dhalla, Petr Ošťádal, Paramjit S. Tappia

Bibliographic record

VenueAntioxidants · 2025
Typereview
Languageen
FieldMedicine
TopicCardiac Ischemia and Reperfusion
Canadian institutionsUniversity of ManitobaSt. Boniface Hospital
Fundersnot available
KeywordsXanthine oxidaseOxidative stressReactive oxygen speciesSuperoxideSuperoxide dismutaseChemistryPeroxynitriteNADPH oxidaseBiochemistryReperfusion injuryNitric oxideMitochondrionPharmacologyIschemiaInternal medicineBiologyMedicineEnzyme

Abstract

fetched live from OpenAlex

Delayed reperfusion of the ischemic heart (I/R) is known to impair recovery of cardiac function and produce a wide variety of myocardial defects including ultrastructural damage, metabolic alterations, subcellular Ca2+-handling abnormalities, activation of proteases and changes in cardiac gene expression. Although I/R-injury has been reported to induce the formation of reactive oxygen species (ROS), inflammation and intracellular Ca2+-overload, generation of oxidative stress is considered to play a critical role in the development of cardiac dysfunction. There occurs an increase in the production of superoxide and hydroxyl radicals as well as oxidants such as hydrogen peroxide and hypochlorous acid in hearts subjected to I/R-injury. In fact, mitochondria are a major source of excessive production of ROS in I/R hearts due to impairment in the electron transport system as well as activation of xanthine oxidase, monoamine oxidase and NADPH oxidase. Nitric oxide synthase, mainly present in the endothelium, is also activated due to I/R injury to produce nitric oxide, which upon combination with superoxide radicals, generates nitrosative stress. Alterations in cardiac function, sarcolemma and sarcoplasmic reticulum Ca2+-handling activities, and mitochondrial oxidative phosphorylation as well as protease activation due to I/R-injury are simulated upon exposing the heart to oxyradical generating system (xanthine plus xanthine oxidase) or H2O2. On the other hand, the activation of endogenous antioxidants such as superoxide dismutase, catalase and glutathione peroxidase as well as the concentration of a transcription factor (Nrf2), which modulates the expression of various endogenous antioxidants, are depressed due to I/R injury in hearts. Furthermore, pretreatment of hearts with antioxidants such as catalase plus superoxide dismutase, N-acetylcysteine and mercaptopropionylglycerine was observed to attenuate the I/R-induced subcellular Ca2+-handling and changes in Ca2+-regulatory activities as well as depress protease activation and improve the recovery of cardiac function. These observations indicate that oxidative stress is intimately involved in the pathological effects of I/R-injury and different antioxidants attenuate I/R-induced subcellular alterations and improve the recovery of cardiac function. Thus, there is a challenge to develop safe and effective antioxidants as well as agents for upregulating the expression of endogenous antioxidants for the therapy of I/R-injury.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: none
Teacher disagreement score0.001
Threshold uncertainty score0.003

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.023
GPT teacher head0.322
Teacher spread0.299 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations15
Published2025
Admission routes1
Has abstractyes

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