Review · PMID 41923743

Mitochondrial Calcium Dysregulation and Targeted Therapies in Heart Failure — VialBase Research

Heart failure characterized by mitochondrial calcium dysregulation

Last updated · 2026 · Liu M, Jin Y · Reviews in Cardiovascular Medicine
Key findings
  • Heart failure characterized by mitochondrial calcium dysregulation
  • SS-31/elamipretide discussed as targeted mitochondrial therapy
  • Cardiolipin stabilization restores mitochondrial calcium handling
  • Potential to improve cardiac energetics in HFrEF
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PMID 41923743 — Mitochondrial Calcium in Heart Failure

Compound: SS-31 Citation: Liu M, Jin Y. Rev Cardiovasc Med. 2026;27(3):46211. doi:10.31083/RCM46211

Summary

Review of mitochondrial calcium dysregulation as a driver of heart failure pathology, with discussion of targeted therapies including elamipretide (SS-31).

Relevance to SS-31

SS-31’s cardiolipin stabilization has downstream effects on mitochondrial calcium handling. Dysregulated calcium -> mPTP opening -> cytochrome c release -> cardiomyocyte apoptosis. By preserving inner membrane integrity, SS-31 maintains calcium homeostasis and prevents cell death. This mechanism underpins the ongoing Phase 3 heart failure trials.

PubMed

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