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August 21, 2026Reviews in Cardiovascular MedicineOpen Access

Pathological Mechanisms and Therapeutic Potential of Mitochondrial Dysfunction in Heart Failure

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Why the study?

Key knowledge gaps remain regarding mitochondrial network regulation and the limited clinical translation of targeted therapies in heart failure.

Design

Review

Key result

Mitochondrial dysfunction drives heart failure progression through metabolic reprogramming, calcium dysregulation, and ferroptosis, making multi-targeted mitochondrial regulation a promising therapeutic strategy.

Authors

SSShige SanXYXi YangLSLiang Shen

Discussion

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Overview

Mitochondrial-targeted therapies remain investigational in HFrEF; leaves open whether they will improve outcomes in randomized trials.

PICO

P
Population
Heart failure

Mitochondrial dysfunction is a central event in heart failure pathogenesis, and targeting mitochondrial quality control and metabolic imbalances offers a promising approach for individualized treatment.

Limitations

  • Existing HF models fail to fully recapitulate the true pathological microenvironment present in humans.
  • The complexity and crosstalk of the mitochondrial regulatory network have not been fully elucidated.
  • Individual heterogeneity has been insufficiently studied, and research on precision therapy remains scarce.

Cite This Study

San et al. (2026) conducted a review in Heart failure. Mitochondrial dysfunction drives heart failure progression through metabolic reprogramming, calcium dysregulation, and ferroptosis, making multi-targeted mitochondrial regulation a promising therapeutic strategy.

synapsesocial.com/papers/6aa11b2ff68c3a7f111a1111https://doi.org/10.31083/rcm51920
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