FIGURE 4.

Evidence chain for quantitative validation of ROS-interacting cardiovascular biomaterials. Quantitative evidence should be interpreted sequentially from material characterization to demonstrated responsive behavior, precision delivery, biological action, and cardiac outcome. Particle size, loading, gelation, or catalytic activity establish material performance; ROS-dependent release or degradation establishes stimulus responsiveness; biodistribution, imaging, retention, cellular uptake, or mitochondrial localization establish delivery; and infarct size, LVEF, fibrosis, remodeling, rhythm outcomes, or survival establish therapeutic performance. The strongest evidence connects several levels within the same platform and includes appropriate non-responsive, untargeted, carrier, or free-drug controls (Prepared with the assistance of Gemini NotebookLM pro and OpenAI ChatGPT Plus).