Remote ischemic conditioning-induced hyperacute and acute responses of plasma proteome in healthy young male adults: a quantitative proteomic analysis.
10.1097/CM9.0000000000002572
- Author:
Siying SONG
1
;
Hao WU
2
;
Yunhuan LIU
3
;
Duo LAN
1
;
Baolian JIAO
1
;
Shuling WAN
1
;
Yibing GUO
1
;
Da ZHOU
1
;
Yuchuan DING
4
;
Xunming JI
1
;
Ran MENG
1
Author Information
1. Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
2. Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
3. Department of Neurology, Huadong Hospital, Fudan University, Shanghai 200031, China.
4. Advanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100053, China.
- Publication Type:Journal Article
- MeSH:
Young Adult;
Humans;
Male;
Proteome;
Cardiovascular Diseases;
Proteomics;
Ischemia;
Blood Coagulation
- From:
Chinese Medical Journal
2023;136(2):150-158
- CountryChina
- Language:English
-
Abstract:
BACKGROUND:Long-term remote ischemic conditioning (RIC) has been proven to be beneficial in multiple diseases, such as cerebral and cardiovascular diseases. However, the hyperacute and acute effects of a single RIC stimulus are still not clear. Quantitative proteomic analyses of plasma proteins following RIC application have been conducted in preclinical and clinical studies but exhibit high heterogeneity in results due to wide variations in experimental setups and sampling procedures. Hence, this study aimed to explore the immediate effects of RIC on plasma proteome in healthy young adults to exclude confounding factors of disease entity, such as medications and gender.
METHODS:Young healthy male participants were enrolled after a systematic physical examination and 6-month lifestyle observation. Individual RIC sessions included five cycles of alternative ischemia and reperfusion, each lasting for 5 min in bilateral forearms. Blood samples were collected at baseline, 5 min after RIC, and 2 h after RIC, and then samples were processed for proteomic analysis using liquid chromatography-tandem mass spectrometry method.
RESULTS:Proteins related to lipid metabolism (e.g., Apolipoprotein F), coagulation factors (hepatocyte growth factor activator preproprotein), members of complement cascades (mannan-binding lectin serine protease 1 isoform 2 precursor), and inflammatory responses (carboxypeptidase N catalytic chain precursor) were differentially altered at their serum levels following the RIC intervention. The most enriched pathways were protein glycosylation and complement/coagulation cascades.
CONCLUSIONS:One-time RIC stimulus may induce instant cellular responses like anti-inflammation, coagulation, and fibrinolysis balancing, and lipid metabolism regulation which are protective in different perspectives. Protective effects of single RIC in hyperacute and acute phases may be exploited in clinical emergency settings due to apparently beneficial alterations in plasma proteome profile. Furthermore, the beneficial effects of long-term (repeated) RIC interventions in preventing chronic cardiovascular diseases among general populations can also be expected based on our study findings.
