Evidence map›Paper›PMID 34182937›Full record

ArticleBMC anesthesiology2021

Dexmedetomidine post-conditioning attenuates cerebral ischemia following asphyxia cardiac arrest through down-regulation of apoptosis and neuroinflammation in rats.

Guangqian Li, LeiQian, Pan Gu, Dan Fan

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Guangqian Li *School of Medicine, Universityof Electronic Science and Technology of China, Chengdu, China.
LeiQian *School of Medicine, Universityof Electronic Science and Technology of China, Chengdu, China.
Pan GuSchool of Medicine, Universityof Electronic Science and Technology of China, Chengdu, China.
Dan FanSchool of Medicine, Universityof Electronic Science and Technology of China, Chengdu, China. fandan1976@163.com.ORCID 0000-0003-3245-7702
University of Electronic Science and Technology of China · CN

Funding

the National Natural Science Foundation of China No.81500933the Sichuan science and technology department research projects No. 2015SZ0080
6 · The paper itself

Abstract

backgroundNeuroprotection strategies after cardiac arrest (CA)/cardiopulmonary resuscitation (CPR) remain key areas of basic and clinical research. This study was designed to investigate the neuroprotective effects of dexmedetomidine following resuscitation and potential mechanisms.

methodsAnesthetized rats underwent 6-min asphyxia-based cardiac arrest and resuscitation, after which the experimental group received a single intravenous dose of dexmedetomidine (25 μg/kg). Neurological outcomes and ataxia were assessed after the return of spontaneous circulation. The serum levels and brain expression of inflammation markers was examined, and apoptotic cells were quantified by TUNEL staining.

resultsNeuroprotection was enhanced by dexmedetomidine post-conditioning after the return of spontaneous circulation. This enhancement was characterized by the promotion of neurological function scores and coordination. In addition, dexmedetomidine post-conditioning attenuated the serum levels of the pro-inflammatory cytokine tumor necrosis factor (TNF)-α at 2 h, as well as interleukin IL-1β at 2, 24, and 48 h. TUNEL staining showed that the number of apoptotic cells in the dexmedetomidine post-conditioning group was significantly reduced compared with the control group. Further western blot analysis indicated that dexmedetomidine markedly reduced the levels of caspase-3 and nuclear factor-kappa B (NF-κB) in the brain.

conclusionsDexmedetomidine post-conditioning had a neuroprotective effect against cerebral injury following asphyxia-induced cardiac arrest. The mechanism was associated with the downregulation of apoptosis and neuroinflammation.

Indexed as

AnimalsApoptosisAsphyxiaBrain IschemiaCardiopulmonary ResuscitationDexmedetomidineDisease Models, AnimalDown-RegulationHeart ArrestInterleukin-1betaMaleNeuroinflammatory DiseasesNeuroprotective AgentsNF-kappa BRatsRats, Sprague-DawleyDexmedetomidineIL1B protein, ratInterleukin-1betaNeuroprotective AgentsNF-kappa BApoptosisAsphyxiacardiac arrestCerebral ischemiaDexmedetomidineNeuroinflammationPost-conditioning

Identifiers

PMID34182937
PMCPMC8236741
OpenAlexW3116365794

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.