New Advances in Cardiovascular Drugs: In Memory of Professor Akira Endo (2nd Edition)

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Drug Discovery, Development and Delivery".

Deadline for manuscript submissions: 31 December 2026 | Viewed by 2135

Editor


E-Mail
Guest Editor
Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, 00166 Rome, Italy
Interests: diabetes; diabetes complications; cardiovascular disease; MASLD; Brugada syndrome; arrhythmias
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We dedicate this Special Issue in memory of Prof. Akira Endo, an internationally renowned Japanese biochemist whose research into the relationship between fungi and cholesterol biosynthesis led to the development of the first statin (ML-236B; compactin) 50 years ago, providing a relevant contribution to the advance of cardiovascular pharmacology.

Prof. Akira Endo (born 14 November 1933, in Higashiyuri, Northern Japan) developed an interest in fungi since young age, being an admirer of Alexander Fleming. He degreed from the Faculty of Agriculture at Tokohu University in 1957 and started working as a research fellow in the pharmaceutical company Sankyo, in Tokyo. His research focused on fungal enzymes for processing fruit juice, and, due to successful discoveries in the field, moved to New York after receiving his PhD from the Tokohu University in 1966. In New York, he spent 2 years as a research associate at the Albert Einstein College of Medicine and worked on cholesterol, before returning to Sankyo’s research laboratories in 1968. It was here that Prof. Endo speculated that some fungi might produce antibiotics to inhibit the enzyme responsible for the rate-limiting step in cholesterol synthesis, 3-hydroxy-3-methyl-glutaryl (HMG)-CoA reductase, possibly as a defence mechanism against other microbes. Prof. Endo started his exploratory research in April 1971, analysing about 6000 compounds, and discovered the first statin mevastatin (ML-236B; compactin) in 1973. The wind of change that would have brought such a discovery was not yet known. In fact, at that time, little was known about low-density lipoprotein (LDL) regulation mechanisms since Brown and Goldstein only began their studies that would have led to the discovery of LDL receptor in 1972. As statin research gained attention, other pharmaceutical companies joined in and, in 1978, Merck isolated a compactin-like substance from Aspergillus terreus, whilst, simultaneously, the same compound was discovered by Prof. Endo from Monascus ruber, and lovastatin was born. It took over 10 years preclinical and clinical trials before the approval and commercialization of lovastatin that occurred in 1987 in USA, also paving the way for further statin drugs development.

Prof. Endo became an associate professor in the late 1970s and in 1986 a full professor at Tokyo University of Agriculture and Technology, where he enlightened the minds of young researchers until his retirement. After his official retirement, he became the president of Biopharm Research Laboratories. Thanks to Prof. Endo’s perseverance and enthusiasm in deepening his research, statins are now used to prevent cardiovascular events globally, as well as improving the quality of life of patients.

In this commemorative Special Issue, the scope of which is to detail the advances in cardiovascular drugs in the last few decades, we welcome scientific contributions with the aim of gathering accurate and up-to-date scientific information on laboratory studies of new and upcoming treatment opportunities for cardiovascular diseases. It is my privilege to invite you and your co-workers to share their experience and expertise by submitting original research articles, systematic reviews, and review articles reporting new ideas and recent advances related to this topic.

Dr. Alfredo Caturano
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-anonymized peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Biomedicines is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cardiovascular drugs
  • statins
  • metformin
  • SGLT2i
  • laboratory
  • drug targets
  • translational research
  • targeted therapy

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Jump to: Review

14 pages, 414 KB  
Article
Real-World Association of SGLT2 Inhibitors with Mortality in Very Elderly Patients with HFrEF and CKD
by Antonio José Bollas Becerra, Marcelino Cortés García, Jorge Balaguer Germán, Carlos Rodríguez-López, José María Romero Otero, José Antonio Esteban Chapel, Luis Nieto Roca, Mikel Taibo Urquía, Ana María Pello Lázaro and José Tuñón
Biomedicines 2026, 14(5), 980; https://doi.org/10.3390/biomedicines14050980 - 24 Apr 2026
Viewed by 1128
Abstract
Background: Heart failure with reduced ejection fraction (HFrEF) and chronic kidney disease (CKD) are common in the growing population of elderly patients, yet little evidence specifically targeting this population exists. The purpose of this study is to analyze the effect of SGLT2 [...] Read more.
Background: Heart failure with reduced ejection fraction (HFrEF) and chronic kidney disease (CKD) are common in the growing population of elderly patients, yet little evidence specifically targeting this population exists. The purpose of this study is to analyze the effect of SGLT2 inhibition in this cohort. Methods: A single-center, real-world observational study was performed. Patients aged >75 with HFrEF and CKD and theoretical indication for sodium–glucose cotransporter 2 (SGLT2) inhibitors were enrolled. Results: A total of 173 patients were included, with a mean age of 84.7 years, mean left ventricle ejection fraction of 29.5% and estimated glomerular filtration rate of 45.9 mL/min/1.73 m2. During a median follow-up of 39 months, 73 (42.2%) deaths from any cause and 95 (53.3%) major clinical events (composite of mortality and heart failure admission) were recorded. Multivariate Cox proportional hazards regression analyses were performed to identify associated variables, and SGLT2 inhibition showed to be a protective factor for the mortality endpoint (hazard ratio 0.324 [0.117–0.894]). Male sex was shown to be a risk factor for both endpoints, diabetes mellitus for the mortality endpoint and diuretic use for the major clinical event endpoints. Conclusions: In a real-world study, treatment with SGLT2 inhibitors in elderly patients with HFrEF and CKD was associated with a lower rate of all-cause mortality. Full article
Show Figures

Figure 1

Review

Jump to: Research

30 pages, 1651 KB  
Review
The Influence of Basic Therapy and New Drugs on NO-Dependent Mechanisms of Cardiac Destruction in Chronic Heart Failure
by Igor Belenichev, Olena Popazova, Olexiy Goncharov, Nina Bukhtiyarova, Victor Ryzhenko, Denys Semenov, Sergiy Oliynyk, Pavlo Petakh and Oleksandr Kamyshnyi
Biomedicines 2026, 14(5), 1018; https://doi.org/10.3390/biomedicines14051018 - 30 Apr 2026
Viewed by 542
Abstract
Chronic heart failure (CHF) remains a leading cause of global mortality, characterized by profound molecular and biochemical disturbances, including nitric oxide (NO) system dysfunction, mitochondrial impairment, and oxidative stress. While standard therapies such as ACE inhibitors, SGLT2 inhibitors, and beta-blockers address clinical symptoms, [...] Read more.
Chronic heart failure (CHF) remains a leading cause of global mortality, characterized by profound molecular and biochemical disturbances, including nitric oxide (NO) system dysfunction, mitochondrial impairment, and oxidative stress. While standard therapies such as ACE inhibitors, SGLT2 inhibitors, and beta-blockers address clinical symptoms, their capacity to interrupt the underlying biochemical mechanisms of cardiomyopathy is often limited. This review examines the pathophysiological role of impaired NO production and reactive oxygen species (ROS) accumulation in exacerbating myocardial contractile dysfunction and disease progression. Special focus is directed toward the development of next-generation β1-blockers with multifunctional properties, including antioxidant, NO-mimetic, and antiapoptotic effects. Evidence suggests that the novel compound Hypertril (1-(β-phenylethyl)-4-amino-1,2,4-triazolium bromide) exhibits significant cardioprotective potential. Experimental data indicate that Hypertril improves eNOS/iNOS expression and enhances NO bioavailability more effectively than conventional β-blockers, leading to stabilized ECG parameters and restored energy metabolism. These findings underscore the clinical relevance of developing NO-mimetic agents to optimize the pharmacological management of CHF. Full article
Show Figures

Figure 1

Back to TopTop