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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Exp Med. Mar 20, 2026; 16(1): 117186
Published online Mar 20, 2026. doi: 10.5493/wjem.v16.i1.117186
Myocardiocyte senescence in ischemic heart disease and breathome changes
Basheer Abdullah Marzoog, Philipp Kopylov
Basheer Abdullah Marzoog, Philipp Kopylov, Institute of Personalized Cardiology of The Center “Digital Biodesign and Personalized Healthcare” of Biomedical Science and Technology Park, Sechenov First Moscow State Medical University, Moscow 119991, Moskva, Russia
Author contributions: Marzoog BA is the writer and researcher, collected and analyzed data, and revised the final version of the paper; Kopylov P revised the manuscript; all authors have read and approved the manuscript.
Supported by the Government Assignment «Application of Mass Spectrometry and Exhaled Air Emission Spectrometry for Cardiovascular Risk Stratification», No. 1023022600020-6; the Priority 2030 Program of the Ministry of Science and Higher Education of Russia, Project «Screening of Cardiac Pathology Using Telemedicine Technologies and Elements of Artificial Intelligence», No. 03.000.B.163; and the Priority 2030 Program of the Ministry of Science and Higher Education of Russia, Project «The Digital Cardiology with Artificial Intelligence», No. 03.000.B.166.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
Corresponding author: Basheer Abdullah Marzoog, MD, PhD, Institute of Personalized Cardiology of The Center “Digital Biodesign and Personalized Healthcare” of Biomedical Science and Technology Park, Sechenov First Moscow State Medical University, 8-2 Trubetskaya Street, Moscow 119991, Moskva, Russia. marzug@mail.ru
Received: December 1, 2025
Revised: January 13, 2026
Accepted: February 27, 2026
Published online: March 20, 2026
Processing time: 104 Days and 19.1 Hours
Core Tip

Core Tip: This mini-review pioneers a novel integrative concept linking myocardiocyte aging, ischemic heart disease pathogenesis, and the emerging field of breathomics. We propose that the metabolic byproducts of senescent myocardiocytes, released into the bloodstream, are detectable as a unique volatile organic compound signature in exhaled breath. This “breathome” offers a potential non-invasive window to directly assess cardiac biological age and ischemic heart disease status, moving beyond traditional risk scores. The article critically explores this missing chain between cellular senescence and breath biomarkers, framing breath analysis as a future tool for diagnostics, risk stratification, and monitoring of anti-senescence therapies in cardiology.