Evidence map›Paper›PMID 19296922›Full record

ReviewThe Lancet. Neurology2009

Preconditioning and tolerance against cerebral ischaemia: from experimental strategies to clinical use.

Ulrich Dirnagl, Kyra Becker, Andreas Meisel

3 registry-linked trialsAbstract readReview
In one paragraph

Review in The Lancet. Neurology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 306 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
306citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05355883 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects of Remote Ischemic Conditioning on Bimanual Skill Learning, Bimanual Coordination, and Corticospinal Excitability in Children With Unilateral Cerebral Palsy

TypeinterventionalSponsorEast Carolina UniversityRan2021 to 2025Enrolled51ConditionsUnilateral Cerebral Palsy, Hemiplegic Cerebral Palsy, Remote Ischemic ConditioningArmsRemote Ischemic Conditioning (RIC), Sham conditioning, Hand Arm Bimanual Intensive Therapy (HABIT), Bimanual Cup Stacking Training, Balance training
NCT05777070 nacompletednot on this mapstarted 2022, after this paper: background citation

Remote Ischemic Conditioning Combined With Bimanual Task Training to Enhance Bimanual Skill Learning and Corticospinal Excitability in Children With Unilateral Cerebral Palsy

TypeinterventionalSponsorEast Carolina UniversityRan2022 to 2025Enrolled51ConditionsUnilateral Cerebral PalsyArmsBimanual Cup Stacking Training
NCT06860464 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Effects of Remote Ischemic Conditioning Combined With Motor Training on Spinal Reflex Modulation in Healthy Young Adults

TypeinterventionalSponsorEast Carolina UniversityRan2025 to 2026Enrolled30ConditionsHealthy Young AdultsArmsRemote Ischemic Condtioning (RIC), Sham Conditioning, Balance training
3 · Its place in the literature

Who cites it

306 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Albumin therapy for acute ischemic stroke: a meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Pooled it
  4. Trial
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  6. Trial
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  9. Trial
  10. Ischemic Conditioning Is Safe and Effective for Octo- and Nonagenarians in Stroke Prevention and Treatment.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2015
    Trial
  11. Article
  12. Bioenergetics of the combat sports brain: Between risk and resilience.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  13. Review
  14. Article
  15. Article
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  19. Review
  20. Review

246 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Ulrich DirnaglDepartment of Neurology, Center for Stroke Research, Charite Universitätsmedizin Berlin, Charitéplatz, D-10098, Berlin, Germany. ulrich.dirnagl@charite.de
Kyra Becker
Andreas Meisel

Funding

Sensitization to Brain Antigens Following StrokeR01NS056457 · NINDS · UNIVERSITY OF WASHINGTON · PI BECKER, KYRA J · 2006 to 2015
$3.0M
CNS antigen sensitization in stroke.R01NS049197 · NINDS · UNIVERSITY OF WASHINGTON · PI BECKER, KYRA J · 2005 to 2009
$2.0M
THE ROLE OF LYMPHOCYTES IN CEREBRAL ISCHEMIC INJURYK02NS002160 · NINDS · UNIVERSITY OF WASHINGTON · PI BECKER, KYRA J · 2000 to 2004
$620k
NINDS NIH HHS K02 NS002160NINDS NIH HHS R01 NS049197NINDS NIH HHS R01NS049197NINDS NIH HHS R01 NS056457NINDS NIH HHS R01NS056457
6 · The paper itself

Abstract

Neuroprotection and brain repair in patients after acute brain damage are still major unfulfilled medical needs. Pharmacological treatments are either ineffective or confounded by adverse effects. Consequently, endogenous mechanisms by which the brain protects itself against noxious stimuli and recovers from damage are being studied. Research on preconditioning, also known as induced tolerance, over the past decade has resulted in various promising strategies for the treatment of patients with acute brain injury. Several of these strategies are being tested in randomised clinical trials. Additionally, research into preconditioning has led to the idea of prophylactically inducing protection in patients such as those undergoing brain surgery and those with transient ischaemic attack or subarachnoid haemorrhage who are at high risk of brain injury in the near future. In this Review, we focus on the clinical issues relating to preconditioning and tolerance in the brain; specifically, we discuss the clinical situations that might benefit from such procedures. We also discuss whether preconditioning and tolerance occur naturally in the brain and assess the most promising candidate strategies that are being investigated.

Indexed as

Ischemic PreconditioningAnimalsBrainBrain IschemiaCerebrovascular CirculationGene ExpressionHumansHypoxia-Inducible Factor 1MicrocirculationRandomized Controlled Trials as TopicStrokeTreatment OutcomeHypoxia-Inducible Factor 1

Identifiers

PMID19296922
PMCPMC2668955

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.