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. 2021 Oct 22;59(1):294–325. doi: 10.1007/s12035-021-02585-6

Table 1.

Experimental models of neuroprotection by limb RIC: molecular and cellular mechanisms underlying RIC-induced neuroprotection in the ischemic brain

Model Pathway/mechanism researched Reference

Rat: Sprague–Dawley (m/270-330 g)

IS model: 30 min BCCAO

post-RIC: directly after IS, 3 h or 6 h

3 cycles: 15 min RIC + 15 min RF

Protein synthesis

Afferent nerves

[23]

Rat: Sprague–Dawley (m/250–280 g)

IS model: 1 h MCAO

post-RIC: after RF

3 cycles: 10 min RIC + 10 min RF

HIF-1α [24]

Rat: Sprague–Dawley (m/250–330 g)

IS model: 1 h MCAO, 48 h RF

pre-RIC: before MCAO

3 cycles: 15 min RIC + 15 min RF

Aquaporin-4 [25]

Mouse: CD1 (adult)

IS model: 1 h MCAO

post-RIC: after MCAO

3 cycles: 5 min RIC + 5 min RF

Nrf2, HO-1, NQO-1

Nrf2-ARE pathway

oxidative stress

[26]

Rat: Sprague–Dawley (m/220–280 g)

IS model: 2 h MCAO + 24 h RF

per-RIC/post-RIC (at RF)

3 cycles: 10 min RIC + 10 min RF

p38 MAPK-ATF2 pathway [27]

Rat: Wistar (m/220-250 g)

IS model: 20 min BCCAO

post-RIC: before MCAO

3 cycles: 10 min RIC + 10 min RF

HO-1, BDNF, TNFα

oxidative stress

nitrite

neuroinflammation

[28]

Rat: Wistar (m/220-250 g)

IS model: 20 min BCCAO

post-RIC: after BCCAO

3 cycles: 10 min RIC + 10 min RF

nitrite, oxidative stress,

lipid peroxidation

AChE, BDNF, CREB, GSK-3β, TNFα

[29]

Rat: Sprague–Dawley (m/280-320 g)

IS model: 1.5 h MCAO, 24 h RF

pre-RIC: 1 h before MCAO

4 cycles: 5 min RIC + 5 min RF

AMPK, HSP70, HIF1α, Bcl2, caspase 3 and 9, apoptosis, inflammation, IL-1β, TNFα, IL-6, oxidative damage [30]

Mouse: C57BL/6 J (m/22-24 g)

IS model: 1 h MCAO, 24 h RF

post RIC: (after MCAO)

3 cycles: 10 min RIC + 10 min RF

pSTAT3/STAT3

GFAPα, GS

[31]

Rat: Sprague–Dawley (m/280-320 g)

IS model: 1.5 h MCAO

pre-RIC: 24 h before MCAO

3 cycles: 10 min RIC + 10 min RF

Brain: IL-4, IL-10, IL-1β, IFN𝛾

Blood: HIF-1α

Plasma:IL-4, IL-10, IL-1β,IFN𝛾

[32]

Rat: Sprague–Dawley (m/250-280 g)

IS model: 1 h MCAO, 24 h RF

pre-RIC: daily for 3 days

4 cycles: 5 min RIC + 5 min RF

Cell model: Primary hippocampal neurons, 30 min pre-OGD (precondition), 3 h OGD + 24 h recovery

Notch1/NICD/Hes1

IKKβ/NF-kB_p65

[33]

Rat: Sprague–Dawley (m/250-300 g)

IS model: MCAO 90 min

post-RIC: after MCAO

3 cycles: 5 min RIC + 5 min RF

apoptosis (Bcl-2/Bax)

TNF-α, NF-kB, pSTAT3

[34]

Rat: Sprague–Dawley (m/20 mo)

IS model: 90 min MCAO

pre-RIC: 24 h before MCAO

3 cycles: 10 min RIC + 10 min RF

HIF1A, HIF2A, IL-1β, IL-6, TNFα, IFN-γ, IL-4, IL-10, pAkt, pERK [22]

Rat: Wistar (m/250-300 g)

IS model: global 4-VO + BCCAO 8 min

pre-RIC: before IS

3 cycles: 10 min RIC + 10 min RF

Neuroglobin (Ngb), mt membrane potential, mt Na + /K + -ATPase activity [35]

Rat: Sprague–Dawley (m/280–320 g)

IS model: 1.5 h MCAO + 24 h RF

per-RIC, post-RIC: 24 h after RF, daily 14d

3 cycles: 10 min RIC + 10 min RF

Ngb, apoptosis, ROS [36]

Rat: Sprague–Dawley (m/280-320 g)

IS model: MCAO 2 h

pre-RIC: 1 h before MCAO

3 cycles: 5 min RIC + 5 min RF

adenosine, adenosine A1 receptor (ADORA1), lipid peroxidation, mitochondrial stress, oxidative stress, TNFα [37]

Mouse: C57BL/6 J (m/12wo) Bmal1 KO

IS model: 60 min MCAO

pre-RIC: before MCAO

2 cycles: 10 min RIC + 10 min RF

sleep

circadian system

[38]

Rat: Wistar (m/250–300 g,11-12wo)

IS model: 4-VO + BCCAO 8 min

pre-RIC: before IS

3 cycles: 10 min RIC + 10 min RF

adenosine

adenosine A1 receptor

p-p38 MAPK

pERK

[39]

Rat: Sprague–Dawley (m/260-280 g)

IS model: 1.5 h MCAO

per-RIC

3 cycles: 10 min RIC + 10 min RF

pial collateral flow [40]

Rat: Sprague–Dawley (m/16–18 mo)

IS model: MCAO

per-RIC: 1 h after MCAO

3 cycles: 15 min RIC + 15 min RF

collateral flow [41]

Rat: Sprague–Dawley (m/age NA)

IS model: 1 h MCAO, 24 h RF

per-RIC: immediately after MCAO

3 cycles: 15 min RIC + 15 min RF

Apoptosis, MMP-9, MMP-2, p-AMPK, eNOS [42]

Rat: Sprague–Dawley (m/280-320 g)

IS model: 1.5 h MCAO

per-RIC, post-RIC: 1d after, daily 7-14d

3 cycles: 10 min RIC + 10 min RF

arteriogenesis, focal CBF, collateral circulation, Notch signaling [43]

Rat: Sprague–Dawley (m/220-260 g)

IS model: 2-VO (3d hypoperfusion)

chronic Post-RIC: after VO, daily 28d

3 cycles: 10 min RIC + 10 min RF

p-eNOS/eNOS, CBF, angiogenesis [44]

Mouse: C57BL/6 J (m/10 wo)

IS model: BCAS (30 min + 30 min)

post RIC: 1w after BCAS, daily 3w, 1-4mo

4 cycles: 5 min RIC + 5 min RF

Endothelium, VEC (NO), EPC, Macrophages, Angiogenesis, Arteriogenesis [45]

Rat: Sprague–Dawley (m/250-300 g)

IS model: 1.5 h MCAO, 21d RF

post-RIC: 2d after MCAO

3 cycles: 10 min RIC + 10 min RF

Kallikrein 1

bradykinin B2 receptor

[46]

Mouse: C57BL/6 (m/9-10wo)

IS model: 3-VO

post-RIC: immediately after 3-VO

3 cycles: 10 min RIC + 10 min RF

leptomeningeal collateral flow, granulocyte colony‐ stimulating factor (G‐CSF), monocytes/macrophages [47]

Rat: Sprague–Dawley (m/270-330 g)

IS model: 30 min left CCAsO & dMCAO

pre-RIC: before CCAsO & dMCAO

3 cycles: 15 min RIC + 15 min RF

LCN2

Bim

BOCT

[48]

Rat: Sprague–Dawley (m/260-280 g)

IS model: 1.5 h MCAO

post-RIC: after MCAO

3 cycles: 10 min RIC + 10 min RF

synaptogenesis

PSD95

GAP43

Synapsin1

[49]

Rat: Wistar (m/adult)

IS model: Modified 2-VO

post-RIC: 1w after IS, 4x/day for 2 weeks

4 cycles: 5 min RIC + 5 min RF

Autophagolysosomal pathway, TFEB, Apoptosis [50]

Mouse: C57BL/6 (sex NA/adult 8-9wo)

IS model: 90 min MCAO, 48 h RF

pre-RIC: 48 h before MCAO

3 cycles: 3 min RIC + 5 min RF

COX-IV, HSP60, EndoG/AIF

Apoptosis, MDV

[51]

Rat: Wistar (m/200-250 g)

IS model: 4-VO + 8 min BCCAO

pre-RIC: before IS

3 cycles: 10 min RIC + 10 min RF

hippocampus CA1

apoptosis (DNA fragmentation, apoptotic bodies)

[18]

Rat: Wistar (m/280-320 g)

IS model: global 4-VO + BCCAO 8 min

pre-RIC: before IS

3 cycles: 10 min RIC + 10 min RF

hippocampus CA1, CA3/DG

MEK-1/pERK1/2

neural cell death

[52]

Rat: Wistar (m/250-300 g)

IS model: global 4-VO + BCCAO 8 min

pre-RIC: before IS

3 cycles: 10 min RIC + 10 min RF

hippocampus CA1

p38 MAPK

neural cell death

[53]

Rat: Wistar (m/250-300 g)

IS model: global 4-VO + BCCAO 8 min

pre-RIC: before IS

3 cycles: 10 min RIC + 10 min RF

p38 MAPK/HSP 70 [54]

Mouse: C57BL/6 J (m/20wo)

IS model: eMCAO (embolic)

per-RIC (2 h after eMCAO)

5 cycles: 5 min RIC + 5 min RF

Condition: tPA 4 h after eMCAO

Infarct size, CBF, pAkt [20]

Rat: Sprague–Dawley (m/adult)

IS model: 8 min 4-VO

post-RIC: after IS

4 cycles: 5 min RIC + 4 min RF

Apoptosis (Bcl-2/Bax), NO, eNOS, p-eNOS, PI3K-pAkt/p-eNOS [55]

Rat: Sprague–Dawley (m/300-320 g)

IS model: MCAO 2 h + 

post-RIC: 0 min,10 min, 30 min after IS

3 cycles: 10 min RIC + 10 min RF

Akt/GSK3b-dependent autophagy [56]

Rat: Sprague–Dawley (m/adult)

IS model: focal MCAO 90 min + 72 h RF post-RIC: 3 h-6 h after RF

3 cycles: 5 min RIC + 4 min RF

KATP channels [57]

Rat: Wistar (m/f, 250-350 g)

IS model: global 4-VO 10 min

delayed post-RIC: 20 min RIC, 2d after IS

very delayed post RIC [21]

Rat: C57BL/6 J (ovariectomized f/20wo)

IS model: eMCAO (embolic)

per-RIC (2 h after eMCAO)

5 cycles: 5 min RIC + 5 min RF

Infarct size, CBF [19]

Rat: Sprague–Dawley (m/280-320 g)

IS model: 120 min MCAO, 3 h and 24 h RF

per-RIC (10 min after MCAO)

4 cycles: 10 min RIC + 10 min RF

Apoptosis, Autophagy-lysosome pathway (ALP) [58]

[66]Rat: Sprague–Dawley (m/300–320 g)

IS model: 2 h MCAO + 22 h RF

per-RIC/post-RIC (I-30 min, RF-0)

3 cycles: 10 min RIC + 10 min RF

Akt/p-Bcl-2/Beclin activation of autophagy [59]

Rat: Sprague–Dawley (f/250-280 g)

IS model: 1 h MCAO

post-RIC: after MCAO

3 cycles: 10 min RIC + 10 min RF

TLR4/NF-кB pathway

(…inflammation/cytokine production…)

[60]

Rat: Sprague–Dawley (m/260-280 g)

IS model: 1.5 h MCAO

post-RIC: after MCAO

3 cycles: 10 min RIC + 10 min RF

neurogenesis [61]

Rat: Sprague–Dawley (m/300–320 g)

IS model: 2 h MCAO, 24 h RF

post-RIC: after MCAO, before RF

3 cycles: 10 min RIC + 10 min RF

pAkt, fibulin 5, claudin, occludin, BBB [62]

Rat: Sprague–Dawley (m/250–280 g)

IS model: 2 h MCAO, 24 h RF

post-RIC: after MCAO, before RF

3 cycles: 15 min RIC + 15 min RF

mTOR

p70S6K

[63]

Mouse: C57BL/6 J (m/20-25 g)

IS model: 2 h MCAO

post RIC: after MCAO

3 cycles: 10 min RIC + 10 min RF

p-AMPKα, p-mTOR, p-ACC, p-ULK1, autophagy, apoptosis [64]

Rat: Sprague–Dawley (f/16wo)

IS model: 1 h MCAO

post-RIC: just after MCAO

3 cycles: 10 min RIC + 10 min RF

BBB permeability, MMP-9, claudin-5, GFAP [65]

Mouse: C57BL/6 (8–10 wo)

IS model: 45 min MCAO

pre-, early pre-, per-, post- RIC:

4 cycles 5 min RIC + 5 min RF

collateral circulation [66]

Rat: Sprague–Dawley (m/250-280 g))

IS model: 90 min MCAO

post-RIC: just after MCAO

1–3 cycles: 5/10/15 min RIC + 5/10/15 min RF

BBB permeability, apoptosis [67]