Evidence map›Paper›PMID 27702763›Full record

ArticleCardiovascular research2016

Glucagon-like peptide-1 (GLP-1) mediates cardioprotection by remote ischaemic conditioning.

Marina V Basalay, Svetlana Mastitskaya, Aleksander Mrochek, Gareth L Ackland, Ana Gutierrez Del Arroyo, Jenifer Sanchez, Per-Ove Sjoquist, John Pernow, Alexander V Gourine, Andrey Gourine

Open access · bronzeAbstract read
In one paragraph

Article in Cardiovascular research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
11.3field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 128 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. GLP-1 agonists and the gut microbiome: A bidirectional relationship.British journal of clinical pharmacology · 2026
    Review
  6. GLP-1 activates KNature communications · 2026
    Article
  7. Review
  8. Article
  9. GABAiScience · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Cardioprotective Strategies After Ischemia-Reperfusion Injury.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Review
  20. Neuroadaptive Biochemical Mechanisms of Remote Ischemic Conditioning.International journal of molecular sciences · 2023
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 3 countries.

Marina V BasalayCentre for Cardiovascular and Metabolic Neuroscience, Neuroscience, Physiology & Pharmacology, University College London, Gower Street, London WC1E 6BT, UK.
Svetlana MastitskayaCentre for Cardiovascular and Metabolic Neuroscience, Neuroscience, Physiology & Pharmacology, University College London, Gower Street, London WC1E 6BT, UK.
Aleksander MrochekResearch Centre Cardiology, Luxemburg Street 110, Minsk 220026, Belarus.
Gareth L AcklandCentre for Cardiovascular and Metabolic Neuroscience, Neuroscience, Physiology & Pharmacology, University College London, Gower Street, London WC1E 6BT, UK.
Ana Gutierrez Del ArroyoWilliam Harvey Research Institute, Queen Mary University of London, Charterhouse Square, London EC1M 6BQ, UK; and.
Jenifer SanchezWilliam Harvey Research Institute, Queen Mary University of London, Charterhouse Square, London EC1M 6BQ, UK; and.
Per-Ove SjoquistKarolinska Institute, Division of Cardiology, Karolinska University Hospital, Solna 171 76, Stockholm, Sweden.
John PernowKarolinska Institute, Division of Cardiology, Karolinska University Hospital, Solna 171 76, Stockholm, Sweden.
Alexander V GourineCentre for Cardiovascular and Metabolic Neuroscience, Neuroscience, Physiology & Pharmacology, University College London, Gower Street, London WC1E 6BT, UK; a.gourine@ucl.ac.uk agourine@hotmail.com.
Andrey GourineKarolinska Institute, Division of Cardiology, Karolinska University Hospital, Solna 171 76, Stockholm, Sweden a.gourine@ucl.ac.uk agourine@hotmail.com.
Karolinska University Hospital · SERepublican Scientific and Practical Center of Cardiology · BYUniversity College London · GBWilliam Harvey Research Institute · GBKarolinska Institutet · SEQueen Mary University of London · GB

Funding

British Heart Foundation RG/14/4/30736Medical Research Council MR/N02589X/1Wellcome Trust 200893/Z/16/Z
6 · The paper itself

Abstract

aimsAlthough the nature of the humoral factor which mediates cardioprotection established by remote ischaemic conditioning (RIc) remains unknown, parasympathetic (vagal) mechanisms appear to play a critical role. As the production and release of many gut hormones is modulated by the vagus nerve, here we tested the hypothesis that RIc cardioprotection is mediated by the actions of glucagon-like peptide-1 (GLP-1). METHODS AND

resultsA rat model of myocardial infarction (coronary artery occlusion followed by reperfusion) was used. Remote ischaemic pre- (RIPre) or perconditioning (RIPer) was induced by 15 min occlusion of femoral arteries applied prior to or during the myocardial ischaemia. The degree of RIPre and RIPer cardioprotection was determined in conditions of cervical or subdiaphragmatic vagotomy, or following blockade of GLP-1 receptors (GLP-1R) using specific antagonist Exendin(9-39). Phosphorylation of PI3K/AKT and STAT3 was assessed. RIPre and RIPer reduced infarct size by ∼50%. In conditions of bilateral cervical or subdiaphragmatic vagotomy RIPer failed to establish cardioprotection. GLP-1R blockade abolished cardioprotection induced by either RIPre or RIPer. Exendin(9-39) also prevented RIPre-induced AKT phosphorylation. Cardioprotection induced by GLP-1R agonist Exendin-4 was preserved following cervical vagotomy, but was abolished in conditions of M3 muscarinic receptor blockade.

conclusionsThese data strongly suggest that GLP-1 functions as a humoral factor of remote ischaemic conditioning cardioprotection. This phenomenon requires intact vagal innervation of the visceral organs and recruitment of GLP-1R-mediated signalling. Cardioprotection induced by GLP-1R activation is mediated by a mechanism involving M3 muscarinic receptors.

Indexed as

AnimalsDisease Models, AnimalExenatideFemoral ArteryGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorHormone AntagonistsIschemic PreconditioningLigationMaleMuscarinic AntagonistsMyocardial InfarctionMyocardial Reperfusion InjuryMyocardiumPeptide FragmentsPeptidesExenatideexendin (9-39)Glp1r protein, ratGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorHormone AntagonistsMuscarinic AntagonistsPeptide FragmentsPeptidesPhosphatidylinositol 3-KinaseProto-Oncogene Proteins c-aktReceptor, Muscarinic M3Stat3 protein, ratSTAT3 Transcription FactorVenomsCardioprotectionGlucagon-like peptide-1Myocardial infarctionMyocardial ischaemiaParasympatheticRemote ischaemic conditioningReperfusionVagus nerve

Identifiers

PMID27702763
PMCPMC5157137
OpenAlexW2528068157

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.