Peer-Reviewed Papers

Explore published research on mitochondrial function, cellular energy, (-)-epicatechin, vascular biology, and related metabolic pathways. Browse by specialization below to quickly find the papers most relevant to your interests.

Featured Papers

Improving Cardiovascular Risk in Postmenopausal Women with (−)-Epicatechin

Nájera et al., 2024 · Journal of Clinical Medicine

Randomized, double-blind, placebo-controlled proof-of-concept trial evaluating cardiovascular risk–related measures in postmenopausal women using an (−)-epicatechin–enriched cacao supplement.

Antifibrotic Effects of (−)-Epicatechin in High-Glucose–Stimulated Cardiac Fibroblasts

Garate-Carrillo et al., 2021 · Journal of Medicinal Food

Cell-based mechanistic study examining how (−)-epicatechin modulates profibrotic signaling under high-glucose conditions, focusing on GPER and TGF-β1/SMAD pathways.

Modulation of Chronic Renal Damage Markers by (−)-Epicatechin in a 5/6 Nephrectomy Model

Montes-Rivera et al., 2019 · Heliyon

Preclinical study in a progressive chronic kidney disease model assessing the effects of (−)-epicatechin on biomarkers associated with renal injury progression.

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Modulation of molecular and serological biomarkers by (−)-epicatechin consumption on a murine model of metabolic dysfunction-associated steatotic liver disease

Hidalgo et al., 2025 · Biochemical and Biophysical Research Communications

Improving Cardiovascular Risk in Postmenopausal Women with an (−)-Epicatechin-Based Nutraceutical: A Randomly Assigned, Double-Blind vs. Placebo, Proof-of-Concept Trial

Nájera et al., 2024 · Journal of Clinical Medicine.

Co-administration of the flavanol (-)-epicatechin with doxycyclinesynergistically reduces infarct size in a model of ischemia reperfusioninjury by inhibition of mitochondrial swelling

Ortiz-Vilchis et al., 2014 · European Journal of Pharmacology

The beneficial vascular effects of cacao flavanols: having your cakeand eating it too

Ceballos & Villarreal, 2011 · Journal of Applied Physiology.

Enhancement of Statin Effects on Lipid Lowering and Reduction of Cardiovascular Risk Score by (−)‐Epicatechin in Proof‐of‐Concept Pilot Study

Ormiston et al., 2025 · Clinical and Translational Science

Flavonoids from dark chocolate and (-)-epicatechin ameliorate high-fat diet-induced decreases in mobility and muscle damage in aging mice

Nájera et al., 2020 · Food Bioscience.

Effects of (−)-epicatechin on molecular modulators of skeletal muscle growth and differentiation

Gutierrez-Salmean et al., 2014 · The Journal of Nutritional Biochemistry

Cocoa to Improve Walking Performance in Older People With Peripheral Artery Disease: The COCOA-PAD Pilot Randomized Clinical Trial

McDermott et al., 2020 · Circulation Research

Epicatechin-Enriched Cacao Subproducts Improve Cognition in Older Subjects: Proof of Concept

Nájera et al., 2025 · Journal of Mind and Medical Sciences.

SARS-CoV-2 induces mitochondrial dysfunction and cell death by oxidative stress/inflammation in leukocytes of COVID-19 patients

De la Cruz-Enríquez et al., 2021 · Free Radical Research

Mitochondrial dysfunction in long COVID: mechanisms, consequences, and potential therapeutic approaches

Molnár et al., 2024 · GeroScience

Impaired Peripheral Blood Mononuclear Cell (PBMC) Mitochondrial Respiration Is Associated with Mortality and Long COVID Syndrome Severity in COVID-19 Patients

Charles et al., 2025 · International Journal of Molecular Sciences

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