Beyond Pharmacology: The Biological Mechanisms of Remote Ischemic Conditioning in Cerebrovascular Disease.

IF 4.8 2区 生物学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
Biomolecules Pub Date : 2024-11-05 DOI:10.3390/biom14111408
Linhui Qin, Fang Tong, Sijie Li, Changhong Ren
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引用次数: 0

Abstract

Cerebrovascular diseases (CVDs), comprising predominantly ischemic stroke and chronic cerebral hypoperfusion (CCH), are a significant threat to global health, often leading to disability and mortality. Remote ischemic conditioning (RIC) has emerged as a promising, non-pharmacological strategy to combat CVDs by leveraging the body's innate defense mechanisms. This review delves into the neuroprotective mechanisms of RIC, categorizing its effects during the acute and chronic phases of stroke recovery. It also explores the synergistic potential of RIC when combined with other therapeutic strategies, such as pharmacological treatments and physical exercise. Additionally, this review discusses the pathways through which peripheral transmission can confer central neuroprotection. This review concludes by addressing the challenges regarding and future directions for RIC, emphasizing the need for standardized protocols, biomarker identification, and expanded clinical trials to fully realize its therapeutic potential.

超越药理学:脑血管疾病远程缺血调理的生物机制。
脑血管疾病(CVDs)主要包括缺血性中风和慢性脑灌注不足(CCH),是全球健康的重大威胁,通常会导致残疾和死亡。远程缺血调理(RIC)是通过利用人体的先天防御机制来对抗心血管疾病的一种前景广阔的非药物疗法。本综述深入探讨了 RIC 的神经保护机制,并对其在中风恢复的急性期和慢性期的作用进行了分类。综述还探讨了 RIC 与其他治疗策略(如药物治疗和体育锻炼)相结合的协同潜力。此外,本综述还讨论了外周传输可提供中枢神经保护的途径。最后,本综述探讨了 RIC 面临的挑战和未来的发展方向,强调了标准化方案、生物标志物鉴定和扩大临床试验的必要性,以充分发挥其治疗潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Biomolecules
Biomolecules Biochemistry, Genetics and Molecular Biology-Molecular Biology
CiteScore
9.40
自引率
3.60%
发文量
1640
审稿时长
18.28 days
期刊介绍: Biomolecules (ISSN 2218-273X) is an international, peer-reviewed open access journal focusing on biogenic substances and their biological functions, structures, interactions with other molecules, and their microenvironment as well as biological systems. Biomolecules publishes reviews, regular research papers and short communications.  Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.
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