Evidence map›Paper›PMID 35035509›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2022

Pretreatment of Nicorandil Protects the Heart from Exhaustive Exercise-Induced Myocardial Injury in Rats.

Lei Lv, Lin Li, Yiyong Zhu, Anwar Azhar, Yao Li, Yongyuan Wang, Tao Jin, Xin Yin, Xi Chen, Yu Liu and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 57% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

11 authors at 2 institutions in 1 country.

Lei LvDepartment of Geriatric Cardiology, Jinling Hospital, Nanjing, Jiangsu 210002, China.
Lin LiHealth Care Office, Jinling Hospital, Nanjing, Jiangsu 210002, China.
Yiyong ZhuSchool of Life Sciences, Nanjing University, Nanjing, Jiangsu 210093, China.
Anwar AzharSchool of Life Sciences, Nanjing University, Nanjing, Jiangsu 210093, China.
Yao LiDepartment of Geriatric Cardiology, Jinling Hospital, Nanjing, Jiangsu 210002, China.
Yongyuan WangDepartment of Geriatric Cardiology, Jinling Hospital, Nanjing, Jiangsu 210002, China.
Tao JinDepartment of Health Medicine, Jinling Hospital, Nanjing, Jiangsu 210002, China.
Xin YinSchool of Life Sciences, Nanjing University, Nanjing, Jiangsu 210093, China.
Xi ChenSchool of Life Sciences, Nanjing University, Nanjing, Jiangsu 210093, China.ORCID https://orcid.org/0000-0002-5807-4219
Yu LiuDepartment of Geriatrics, Jinling Hospital, Nanjing, Jiangsu 210002, China.ORCID https://orcid.org/0000-0001-8732-9041
Yong ZhongDepartment of Health Medicine, Jinling Hospital, Nanjing, Jiangsu 210002, China.ORCID https://orcid.org/0000-0003-4785-8285
Nanjing General Hospital of Nanjing Military Command · CNNanjing University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNicorandil has been widely used for the treatment of angina pectoris and myocardial infarction. The purpose of this study was to investigate whether nicorandil plays a protective role in exhaustive exercise (EE)-induced myocardial injury.

methodsHere, we applied the rat EE model and treated them with exercise preconditioning (EP, reported to protect the heart) or different doses of nicorandil gavage, respectively, to explore whether there are protective effects of single EP or nicorandil or a combination of both and the potential mechanism. Forty-nine male Sprague Dawley rats were randomly divided into control, EE, EP + EE, nicorandil (with low, middle, and high dose) + EE, and EP + nicorandil (middle dose) + EE. Blood samples and myocardial tissues were collected to analyze the myocardial injury-related index.

resultsEE induced myocardial structural damage and altered the myocardial injury markers, which were partially reversed by pretreatment of nicorandil. In addition, oxidative stress and inflammation lead to the accumulation of reactive oxygen species (ROS) products and further damage to the myocardium, while pretreatment of nicorandil reduces the oxidative stress response and inflammation. Moreover, nicorandil suppressed the myocardial apoptosis induced by EE, as indicated by a decrease of Bax and caspase-3 expression and an increase of Bcl-2 expression. Finally, the pathway in which nicorandil plays a role may be involved in the endothelial nitric oxide synthase (eNOS)/nitric oxide (NO) pathway. Pretreatment of nicorandil increased the protein level of myocardial eNOS and NO production.

conclusionOur result demonstrated that nicorandil has protective effects in EE-induced myocardial injury with dose-dependent effects. A combination of nicorandil and EP can further improve the protective effects. Taken together, nicorandil can be potentially used as an intervention method in EE-induced myocardial injury.

Identifiers

PMID35035509
PMCPMC8758261
OpenAlexW4205843777

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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.