Evidence map›Paper›PMID 25868435›Full record

ArticleRestorative neurology and neuroscience2015

Limb remote ischemic per-conditioning in combination with post-conditioning reduces brain damage and promotes neuroglobin expression in the rat brain after ischemic stroke.

Changhong Ren, Pengcheng Wang, Brian Wang, Ning Li, Weiguang Li, Chenggang Zhang, Kunlin Jin, Xunming Ji

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Restorative neurology and neuroscience, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 46 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 7 pooled it
5.3field-weighted citation impact, top 4% of its field
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.

NCT03152799 phase1unknown statusnot on this mapstarted 2017, after this paper: background citation

Remote Ischaemic Conditioning in Endovascular Recanalization for Proximal Anterior Circulation Occlusion (RICE PAC) Study

TypeinterventionalSponsorUniversity College, LondonRan2017 to 2019Enrolled60ConditionsIschemic StrokeArmsRIPC Remote Ischaemic Pre-Conditioning, Sham Control
NCT03210051 phase1completednot on this mapstarted 2017, after this paper: background citation

A Pilot Study Assessing the Safety and Feasibility of Remote Ischemic Conditioning Paired With Endovascular Treatment for Acute Ischemic Stroke

TypeinterventionalSponsorCapital Medical UniversityRan2017 to 2017Enrolled20ConditionsAcute StrokeArmsRemote ischemic conditioning, Endovascular treatment
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 7 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Remote ischaemic conditioning for preventing and treating ischaemic stroke.The Cochrane database of systematic reviews · 2025
    Pooled it
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  3. Remote ischemic conditioning for stroke: A critical systematic review.International journal of stroke : official journal of the International Stroke Society · 2024
    Pooled it
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  5. A meta-analysis of remote ischaemic conditioning in experimental stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
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  7. Remote ischaemic conditioning for preventing and treating ischaemic stroke.The Cochrane database of systematic reviews · 2018
    Pooled it
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  10. The effect of repeated remote ischemic postconditioning after an ischemic stroke (REPOST): A randomized controlled trial.International journal of stroke : official journal of the International Stroke Society · 2023
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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

8 authors at 4 institutions in 2 countries.

Changhong RenInstitute of Hypoxia Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.
Pengcheng WangInstitute of Hypoxia Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.
Brian WangDepartment of Pharmacology and Neuroscience, University of North Texas Health Science Center at Fort Worth, Texas, USA.
Ning LiInstitute of Hypoxia Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.
Weiguang LiBeijing Institute of Radiation Medicine, State Key Laboratory of Proteomics, Cognitive and Mental Health Research Center, Beijing, China.
Chenggang ZhangBeijing Institute of Radiation Medicine, State Key Laboratory of Proteomics, Cognitive and Mental Health Research Center, Beijing, China.
Kunlin JinInstitute of Hypoxia Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xunming JiInstitute of Hypoxia Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.
University of North Texas · USBeijing Proteome Research Center · CNCapital Medical University · CNWeifang Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLimb remote ischemic per-conditioning or post-conditioning has been shown to be neuroprotective after cerebral ischemic stroke. However, the effect of combining remote per-conditioning with post-conditioning on ischemic/reperfusion injury as well as the underlying mechanisms are largely unexplored.

methodsHere, adult male Sprague Dawley rats were subjected to middle cerebral artery occlusion (MCAO). The limb ischemic stimulus was immediately applied after onset of focal ischemia (per-conditioning), followed by repeated short episodes of remote ischemia 24 hr after reperfusion (post-conditioning). The infarct volume, motor function, and the expression of neuroglobin (Ngb) were measured at different durations after reperfusion.

resultsWe found that a single episode of limb remote per-conditioning afforded short-term protection, but combining repeated remote post-conditioning during the 14 days after reperfusion significantly ameliorated cerebral ischemia/reperfusion injury. Interestingly, we also found that ischemic per- and post-conditioning significantly increased expression of Ngb, an oxygen-binding globin protein that has been demonstrated to be neuroprotective against stroke, at peri-infarct regions from day 1 to day 14 following ischemia/reperfusion.

conclusionOur results suggest that the conventional per-conditioning combined with post-conditioning may be used as a novel neuroprotective strategy against ischemia-reperfusion injury, and Ngb seems to be one of the important players in limb remote ischemia-mediated neuroprotection.

Indexed as

AnimalsBrainBrain IschemiaDisease Models, AnimalGlobinsIschemic PostconditioningIschemic PreconditioningMaleNerve Tissue ProteinsNeuroglobinRatsRats, Sprague-DawleyStrokeTreatment OutcomeGlobinsNerve Tissue ProteinsNeuroglobinIschemianeuroglobinremote conditioningstroke

Identifiers

PMID25868435
PMCPMC4923706
OpenAlexW2264241449

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.