Evidence map›Paper›PMID 36312592›Full record

ArticleJournal of orthopaedic translation2022

Ischemic preconditioning upregulates Mitofusin2 and preserves muscle strength in tourniquet-induced ischemia/reperfusion.

Prangmalee Leurcharusmee, Passakorn Sawaddiruk, Yodying Punjasawadwong, Nantawit Sugandhavesa, Kasisin Klunklin, Siam Tongprasert, Patraporn Sitilertpisan, Nattayaporn Apaijai, Nipon Chattipakorn, Siriporn C Chattipakorn

Abstract read
In one paragraph

Article in Journal of orthopaedic translation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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.

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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  15. Journal of orthopaedic translation · 2022
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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

10 authors.

Prangmalee LeurcharusmeeNeurophysiology Unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Passakorn SawaddirukNeurophysiology Unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Yodying PunjasawadwongDepartment of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Nantawit SugandhavesaDepartment of Orthopedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Kasisin KlunklinDepartment of Orthopedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Siam TongprasertDepartment of Rehabilitation, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Patraporn SitilertpisanFaculty of Associated Medical Science, Chiang Mai University, Chiang Mai, Thailand.
Nattayaporn ApaijaiNeurophysiology Unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Nipon ChattipakornNeurophysiology Unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Siriporn C ChattipakornNeurophysiology Unit, Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tourniquet-induced ischemia and reperfusion (I/R) has been related to postoperative muscle atrophy through mechanisms involving protein synthesis/breakdown, cellular metabolism, mitochondrial dysfunction, and apoptosis. Ischemic preconditioning (IPC) could protect skeletal muscle against I/R injury. This study aims to determine the underlying mechanisms of IPC and its effect on muscle strength after total knee arthroplasty (TKA). Methods: Twenty-four TKA patients were randomized to receive either sham IPC or IPC (3 cycles of 5-min ischemia followed by 5-min reperfusion). Vastus medialis muscle biopsies were collected at 30 ​min after tourniquet (TQ) inflation and the onset of reperfusion. Western blot analysis was performed in muscle protein for 4-HNE, SOD2, TNF-ɑ, IL-6, p-Drp1 Results: IPC significantly increased Mfn2 (2.0 ​± ​0.2 Conclusion: In TKA with TQ application, IPC preserved postoperative quadriceps strength and prevented TQ-induced I/R injury partly by enhancing mitochondrial fusion proteins in the skeletal muscle. The translational potential of this article: Mitochondrial fusion is a potential underlying mechanism of IPC in preventing skeletal muscle I/R injury. IPC applied before TQ-induced I/R preserved postoperative quadriceps muscle strength after TKA.

Indexed as

4-HNE, 4-hydroxy-2-nonenalADP, Adenosine diphosphateASA, American Society of AnesthesiologistsATP, Adenosine triphosphateBSA, Bovine serum albuminCAT, CatalaseCHOP, C/EBP homologous proteinDrp1, Dynamin-related protein-1ER, Endoplasmic reticulumETC, Electron transport chainFGF21, Fibroblast growth factor 21Fis1, Fission protein-1GPx, Glutathione peroxidaseIL-6, Interleukin-6IPACK, Interspace between the popliteal artery and capsule of the posterior kneeIPC, Ischemic preconditioningI/R, Ischemia and reperfusionIschemia reperfusion injuryIschemic preconditioningKnee arthroplastyMDA, MalondialdehydeMfn, MitofusinMitochondrial dynamicsMnSOD, Manganese superoxide dismutasemPTP, Mitochondrial permeability transition poreNF-κB, Nuclear factor kappa BOXPHOS, Oxidative phosphorylationPGC-1ɑ, Peroxisome proliferator-activated receptor-gamma coactivator-1ɑRIPC, Remote ischemic preconditioningROS, Reactive oxygen speciesSBP, Systolic blood pressureSOD, Superoxide dismutaseTKA, Total knee arthroplastyTNF, Tumor necrosis factorTourniquetTQ, TourniquetUPR, Unfolded protein response

Identifiers

PMID36312592
PMCPMC9582561

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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.