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

Overview
Journal Biomolecules
Publisher MDPI
Date 2024 Nov 27
PMID 39595584
Authors
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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.

References
1.
Badruzzaman Khan M, Hoda M, Vaibhav K, Giri S, Wang P, Waller J . Remote ischemic postconditioning: harnessing endogenous protection in a murine model of vascular cognitive impairment. Transl Stroke Res. 2014; 6(1):69-77. PMC: 4297613. DOI: 10.1007/s12975-014-0374-6. View

2.
Yang J, Balkaya M, Beltran C, Heo J, Cho S . Remote Postischemic Conditioning Promotes Stroke Recovery by Shifting Circulating Monocytes to CCR2 Proinflammatory Subset. J Neurosci. 2019; 39(39):7778-7789. PMC: 6764204. DOI: 10.1523/JNEUROSCI.2699-18.2019. View

3.
England T, Hedstrom A, OSullivan S, Donnelly R, Barrett D, Sarmad S . RECAST (Remote Ischemic Conditioning After Stroke Trial): A Pilot Randomized Placebo Controlled Phase II Trial in Acute Ischemic Stroke. Stroke. 2017; 48(5):1412-1415. DOI: 10.1161/STROKEAHA.116.016429. View

4.
Koncekova J, Kotorova K, Gottlieb M, Bona M, Bonova P . Remote Ischaemic Preconditioning Accelerates Brain to Blood Glutamate Efflux via EAATs-mediated Transport. Neurochem Res. 2023; 48(12):3560-3570. PMC: 10584753. DOI: 10.1007/s11064-023-04002-x. View

5.
Ren C, Yan Z, Wei D, Gao X, Chen X, Zhao H . Limb remote ischemic postconditioning protects against focal ischemia in rats. Brain Res. 2009; 1288:88-94. PMC: 2744502. DOI: 10.1016/j.brainres.2009.07.029. View