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Pathophysiology, Volume 33, Issue 3

2026 September - 30 articles

Cover Story: Hypoxic–ischaemic injury (HI) initiates a dynamic sequence of neuronal responses that evolve during reoxygenation. Resolving these responses at defined temporal stages in a controlled human neuronal model may help distinguish transient injury-associated signals from later responses linked to cellular stress, survival and repair. We developed and validated a differentiated SH-SY5Y neuron-like cell model of HI and characterised its transcriptional response across 24 h of reoxygenation. Transcriptomic analysis revealed distinct temporal phases—early hypoxia-responsive and inflammatory signalling progressed to pronounced cellular stress and injury, followed by suppressed neuronal survival pathways and emerging compensatory repair programmes. These findings provide a temporally resolved framework for interpreting neuronal responses to HI and identify pathways for therapeutic targeting. View this paper
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Articles (30)

  • Article
  • Open Access
540 Views
12 Pages

Exploratory Analysis of Bone Marrow IL-10 and Plasma IL-1RA in Acute Traumatic Versus Chronic Non-Traumatic Orthopedic Patients: A Prospective Observational Study

  • Muriel Tahtouh Zaatar,
  • Alex Kattoura,
  • Bayan Aasar,
  • Rima Othman and ,
  • Souheil Hallit,
  • Marc Karam,
  • Ziad Fajloun,
  • Rabih Roufayel,
  • Ramy Haroun and
  • Fadi Hoyek
  • + 11 authors+ 6 authors

Introduction: Inflammation is a central component of the biological processes involved in orthopedic interventions, whether performed for acute traumatic injuries or chronic non-traumatic conditions. Cytokines play major roles in modulating these res...

  • Systematic Review
  • Open Access
602 Views
34 Pages

Background: Chimeric antigen receptor (CAR) T cell therapy has revolutionized the treatment of select hematologic malignancies and is increasingly being explored for non-oncological indications, including autoimmune diseases and persistent infectious...

  • Review
  • Open Access
363 Views
17 Pages

Basal Tone, Muscle Memory and Denervation: Pathophysiological Foundations of Abdominal Wall Hernia Development and Recovery

  • Zelimkhan G. M. Berikkhanov,
  • Zakhar A. Akulov,
  • Maria A. Sukhanova,
  • Alexey L. Shestakov and ,
  • Aleksey G. Kotelnikov,
  • Andrey M. Nikolaev,
  • Vadim S. Razumovsky,
  • Evgeniy A. Tarabrin,
  • Milena Yu. Ivanova and
  • Sergey Yu. Muraviev
  • + 5 authors+ 0 author

Modern abdominal wall hernia surgery is centered on the biomechanics of the fascial-aponeurotic framework and on intra-abdominal pressure (IAP) control; neuromuscular regulation of the wall remains outside perioperative planning. This review reframes...

  • Review
  • Open Access
971 Views
24 Pages

Sodium glucose cotransporter-2 inhibitors (SGLT2is) have rapidly evolved from glucose-lowering agents to multifaceted therapies with significant renoprotective and cardioprotective potential. Although originally developed to inhibit glucose reabsorpt...

  • Review
  • Open Access
824 Views
28 Pages

Placental Pathophysiology and Developmental Programming of Adult Cardiometabolic Risk: A Narrative Review of Pregnancy Exposures

  • Eleftherios Panteris,
  • Ioanna Kakatsaki,
  • Zoi Koukou,
  • Charalambos Kolvatzis and ,
  • Styliani Papanikolaou and
  • Eleftheria Hatzidaki
  • + 1 author+ 0 author

Non-communicable diseases remain the dominant cause of adult morbidity and mortality, yet cardiometabolic, vascular and renal risk may originate before birth. This structured narrative review critically evaluates human evidence linking pregnancy-rela...

  • Review
  • Open Access
1,168 Views
27 Pages

Microplastics in the Female Genital Tract and Fetoplacental Continuum: A Lesion-Based Framework for Pathophysiological Interpretation

  • Sayandeep K. Das,
  • Prithviraj Karak,
  • Afsona Parveen,
  • Swastika N. Das and
  • Savitri M. Nerune

Background/Objectives: Microplastics (MPs) are increasingly reported in human reproductive tissues and fluids, but detection alone does not establish tissue injury or disease. Recent reviews have synthesised occurrence, reproductive toxicity, placent...

(This article belongs to the Section Cellular and Molecular Mechanisms)
  • Article
  • Open Access
469 Views
12 Pages

Subchronic Exposure to Low-Dose Cannabidiol (CBD) and Δ9-Tetrahydrocannabinol (Δ9-THC) Nanoemulsions Suggests Low Renal Toxicity: A Preliminary Study

  • Thiago Guedes Pinto,
  • Barbara dos Anjos Rosario,
  • Pedro Everson Alexandre de Aquino,
  • Glauce Socorro de Barros Viana and ,
  • Nágila Maria Pontes Silva Ricardo,
  • Edilberto Rocha Silveira,
  • Débora Hellen Almeida de Brito,
  • Dávila Zampieri,
  • Milena de Barros Viana and
  • Daniel Araki Ribeiro
  • + 5 authors+ 0 author

Background/Objectives: The increasing therapeutic use of cannabinoid-based formulations highlights the need to better characterize their safety profile, particularly in organs involved in xenobiotic elimination, such as the kidneys. This study evalua...

  • Review
  • Open Access
602 Views
25 Pages

Role of miR-155 and miR-103 in Oxidative Stress in Cardiovascular Disease: A Narrative Review

  • Martina Cacciapuoti,
  • Lucia Federica Stefanelli,
  • Ilaria Caputo,
  • Giulia Driussi and ,
  • Monica Ceol,
  • Giovanna Priante,
  • Lorenzo A. Calò and
  • Federico Nalesso
  • + 3 authors+ 0 author

Background/Objectives: Oxidative stress is a major contributor to the pathogenesis of cardiovascular diseases, including hypertension, ischemic cardiomyopathy, and heart failure. MicroRNAs (miRNAs) have been extensively investigated in various contex...

(This article belongs to the Special Issue Cardiovascular Convergence: Bridging Basic, Translational and Clinical Research)
  • Review
  • Open Access
994 Views
18 Pages

Assessment of Exercise Intolerance and Evaluation for HFpEF: A Literature Review of Pathophysiology, Diagnosis, and Management

  • Ali Moradi,
  • Kurt Ramey,
  • Kutiba Tabbaa,
  • Abdullah Sahyouni and ,
  • Kevin Sanchez Garcez,
  • Shivanshu Kumar,
  • Elaine Pan,
  • Grant Barton,
  • Olugbenga Oyesanmi and
  • Robert Subbiondo
  • + 5 authors+ 0 author

Heart failure with preserved ejection fraction (HFpEF) is a type of heart failure in which the ejection fraction remains within the normal range (≥50%); however, patients still experience typical symptoms of heart failure. One of the most common m...

(This article belongs to the Collection Feature Papers in Pathophysiology)
  • Review
  • Open Access
994 Views
23 Pages

Erythropoiesis-Targeted Doping in Sports: From Improved Oxygen Transport to Cardiovascular Risk

  • Gabriela Chlebowska,
  • Krzysztof Michalak,
  • Łukasz Mazur and
  • Wioletta Szczurek-Wasilewicz

Erythropoiesis-targeted doping remains a major challenge for sports medicine because pharmacological and genetic manipulation of erythropoiesis can improve oxygen transport and endurance performance while increasing the risk of serious cardiovascular...

  • Article
  • Open Access
1,458 Views
21 Pages

Reproductive and Cardiometabolic Characterization of a Letrozole- and High-Fat Diet-Induced PMOS-like Rat Model: An Experimental Study

  • Milica Milinkovic Sorgic,
  • Aleksandar Matic,
  • Vladimir Jakovljevic,
  • Nikola Jovic and ,
  • Sladjana Novakovic,
  • Teodora Todorovic,
  • Jovan Milosavljevic,
  • Bozidar Pindovic,
  • Jasmina Sretenovic and
  • Jovana Joksimovic Jovic
  • + 7 authors+ 2 authors

Background/Objectives: Polyendocrine metabolic ovarian syndrome (PMOS) is a complex endocrine–metabolic disorder of multifactorial etiology, driven by interactions among hyperandrogenism, metabolic dysfunction, oxidative stress, and chronic low...

(This article belongs to the Section Metabolic Disorders)
  • Systematic Review
  • Open Access
1,032 Views
19 Pages

A Comprehensive Meta-Analysis of the Cardiovascular Adverse Effects of Bispecific Antibody Therapy in Hematologic Malignancies

  • Derek Tai,
  • Navneet Sandhu,
  • Aren Dermarderosian,
  • Norayr Mkrtchyan and ,
  • Daniel Park,
  • Vinisha Garg,
  • Angel Nguyen and
  • Mojtaba Akhtari
  • + 3 authors+ 0 author

Introduction: Bispecific antibodies (BsAbs) are a promising and potent therapeutic intervention for relapsed or refractory (R/R) hematologic malignancies, including acute lymphoblastic leukemia (ALL), multiple myeloma (MM), and B-cell lymphomas. Thes...

  • Review
  • Open Access
1,349 Views
26 Pages

Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disorder in which systemic pathophysiological alterations significantly contribute to disease progression and non-motor manifestations, such as depression and anxiety. The microbi...

  • Review
  • Open Access
2,517 Views
40 Pages

Heart Meets Brain: Insights into Neurocardiac Pathophysiology

  • Berk Rasheed,
  • Jacob Freed,
  • Ruhi Parikh,
  • Aman Singh and
  • Krishna K. Singh

The intricate relationship between the heart and the brain has transitioned from historical, cardio-centric theories to a modern, circuit-based, bi-directional framework known as neurocardiology. This review provides a comprehensive anatomical, physi...

(This article belongs to the Special Issue Cardiovascular Convergence: Bridging Basic, Translational and Clinical Research)
  • Review
  • Open Access
606 Views
15 Pages

Background/Objectives: Time-varying low-frequency electromagnetic fields (LF-EMFs), including pulsed electromagnetic fields (PEMFs) and sinusoidal low-frequency electromagnetic fields, have been investigated as modulators of tissue repair and vascula...

(This article belongs to the Section Cellular and Molecular Mechanisms)
  • Review
  • Open Access
687 Views
38 Pages

Oxidative Phosphorylation and Fatty Acid Oxidation Are Central to Mitochondrial Metabolism Rewiring in CML Stem/Progenitor Cell Survival

  • Jelena Milenkovic,
  • Dijana Stojanovic,
  • Branka Djordjevic,
  • Sanja Velickovic and ,
  • Vladana Stojiljkovic,
  • Milica Veljkovic and
  • Maja Milojkovic
  • + 2 authors+ 0 author

Background/Objectives: Quiescent leukemia stem cells (LSCs) are self-renewing, pluripotent cells that present a major obstacle to the successful curative treatment of chronic myeloid leukemia (CML). LSCs function independently of BCR::ABL1 signaling...

(This article belongs to the Section Cellular and Molecular Mechanisms)
  • Article
  • Open Access
881 Views
12 Pages

Effects of Maternal Heartbeat Exposure on Neonatal Autonomic Regulation

  • Sara Puddu,
  • Stefano Vicentin,
  • Filippo Zemin,
  • Paola Veronese and
  • Elisa Cainelli

Background: During intrauterine life, the fetus is continuously exposed to rhythmic sensory stimuli; among these, the maternal heartbeat is one of the earliest and most biologically salient, contributing to the early organization of physiological reg...

  • Communication
  • Open Access
485 Views
10 Pages

Are Sputum High Mobility Group Box 1 and D-Dimer Changes Relevant Markers of Tissue Damage and Fibrinolysis in Cystic Fibrosis?

  • Sante Di Gioia,
  • Annalucia Carbone,
  • Pamela Vitullo,
  • Domenico Tierno and ,
  • Domenico Larobina,
  • Gabriele Grassi,
  • Mario Grassi and
  • Massimo Conese
  • + 3 authors+ 0 author

Background/Objectives: Cystic fibrosis (CF) is a genetic disease whose hallmarks include chronic inflammation of the airways causing tissue damage with increased levels of alarmins in the respiratory secretions, as well as activation of the coagulati...

  • Systematic Review
  • Open Access
1,176 Views
22 Pages

Background/Objectives: Chronic orofacial pain represents a heterogeneous group of disorders affecting the trigeminal system and remains difficult to treat due to its complex pathophysiology, which involves glial cells in the development and maintenan...

  • Feature Paper
  • Article
  • Open Access
492 Views
14 Pages

SHP-2 Expression Is a Positive Prognostic Biomarker in Non-Small-Cell Lung Carcinoma: Association with KRAS Mutation and Prolonged Survival

  • Konstantinos Stamopoulos,
  • Georgios Pilichos,
  • Eleni Karatrasoglou,
  • Penelope Korkolopoulou and
  • Stratigoula Sakellariou

Background/Objectives: Lung cancer tumors are the most frequent malignant tumors and the primary cause of cancer-related deaths. Despite the improvement in survival related to the implementation of immunotherapy, a significant proportion of patients...

(This article belongs to the Section Cellular and Molecular Mechanisms)
  • Brief Report
  • Open Access
780 Views
12 Pages

Maternal Obesity Doubles the Risk of Preeclampsia and Eclampsia: Post-COVID Changes in a Brazilian Cohort of 2.3 Million Hospitalizations

  • Priscilla Vogt Fernandes de Souza,
  • Maria Clara Salgado-Ramos,
  • Jhenifer de Paiva Quadros,
  • Juliana Cardoso Moraes and ,
  • Daniel Luiz Santos da Silva,
  • Alex Oliveira da Camara,
  • Rafaella de Carvalho Cardoso and
  • Hércules Rezende Freitas
  • + 3 authors+ 0 author

Background/Objectives: Hypertensive disorders of pregnancy, particularly preeclampsia and eclampsia, are associated with high maternal and fetal morbidity and mortality, with maternal obesity representing a major, modifiable risk factor. This study a...

(This article belongs to the Section Cardiovascular Pathophysiology)
  • Article
  • Open Access
429 Views
14 Pages

Prevalence of Overweight and Obesity and Their Impact on Lung Function in Healthy Bulgarian Children and Adolescents: A Cross-Sectional Study

  • Meri Hristamyan,
  • Stoilka Mandadzhieva,
  • Plamena Stoimenova,
  • Nikolay Mandadzhiev and
  • Blagoi Marinov

Background/Objectives: There is increasing evidence on the effect of obesity on lung function in children with and without respiratory diseases. The aim of was to evaluate the prevalence of overweight and obesity and their impact on lung function par...

  • Article
  • Open Access
1,479 Views
23 Pages

Background: The microenvironment of spermatogonial stem cells plays a crucial role in determining their developmental trajectory. Mast cells (MCs) are an important component of this microenvironment and are present along the pathway of sperm producti...

  • Review
  • Open Access
1 Citations
3,030 Views
19 Pages

Type 1 diabetes mellitus (T1DM) is regarded as an autoimmune disorder characterized by a progressive loss of β-cells, culminating in insulin deficiency and hyperglycemia. Currently, T1DM is managed through exogenous insulin administration. Conti...

  • Reply
  • Open Access
331 Views
3 Pages

Reply to Amaç, B. Comment on “Sklifasovskaya et al. Hypertension and Diabetes Cooperatively Drive HSP90 Activation, HSP70 Suppression, and Left Ventricular Interstitial Expansion: Relevance to Maladaptive Myocardial Remodeling. Pathophysiology 2026, 33, 19”

  • Anastasia P. Sklifasovskaya,
  • Mikhail L. Blagonravov,
  • Madina M. Azova,
  • Sergey V. Kurevlev and ,
  • Vyacheslav A. Goryachev,
  • Sergey P. Syatkin,
  • Tatyana Yu. Zotova and
  • Daniil Yu. Prokofiev
  • + 3 authors+ 0 author

We thank the commentators for their thoughtful and constructive review of our work [...]

  • Review
  • Open Access
1 Citations
1,413 Views
27 Pages

Pancreatic β-cells maintain glucose homeostasis through tightly regulated insulin biosynthesis, storage, and secretion. To prevent pathological accumulation of excess or aging secretory granules (SGs), β-cells use crinophagy, a selective ly...

(This article belongs to the Section Cellular and Molecular Mechanisms)
  • Article
  • Open Access
927 Views
11 Pages

Pancreatic Hyperenzymemia in Inflammatory Bowel Disease: Clinical Characterization and Outcomes from the European PANDORA Registry

  • Salvatore Crucillà,
  • Asia Berlato,
  • Antonietta Gerarda Gravina,
  • Anneline Cremer and ,
  • Piotr Eder,
  • Massimo Claudio Fantini,
  • Stefano Festa,
  • Daniela Pugliese,
  • Andreas Blesl and
  • Maria Cristina Conti Bellocchi
  • + 17 authors+ 12 authors

Background and Aims: Pancreatic hyperenzymemia in inflammatory bowel disease (IBD) is an under-recognized and challenging condition, as elevated pancreatic enzymes may arise from heterogeneous mechanisms and do not necessarily reflect true pancreatic...

  • Article
  • Open Access
1 Citations
1,247 Views
22 Pages

Background: Hypoxic–ischaemic brain injury (HI) is a major contributor to neurological deficits following stroke. Understanding what happens to the smallest functional and structural unit of the central nervous system in the face of oxygen and...

(This article belongs to the Section Systemic Pathophysiology)
  • Article
  • Open Access
1,045 Views
16 Pages

Neuroprotective Potential of Synaptamide in MPTP-Induced Parkinson’s Disease

  • Igor Manzhulo,
  • Yuliya Kipryushina,
  • Ekaterina Gromova,
  • Olga Manzhulo and ,
  • Elena Milkina and
  • Darya Ivashkevich
  • + 1 author+ 0 author

Background/Objectives. Parkinson’s disease (PD) is a multifactorial neurodegenerative disorder characterized by dopaminergic neuron loss, α-synuclein pathology, neuroinflammation, and cognitive decline. Synaptamide (N-Docosahexaenoylethan...

(This article belongs to the Section Neurodegenerative Disorders)
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Pathophysiology - ISSN 1873-149X