Cholinergic anti-inflammatory pathway: a possible approach to protect against myocardial ischemia reperfusion injury

Objective A general review was made of studies involving: (1) the concept and mechanism of the cholinergic anti-inflammatory pathway (CAP), (2) the important role of inflammatory response in myocardial ischemia reperfusion (I/R) injury and (3) the evidence and mechanisms by which CAP may provide pro...

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Veröffentlicht in:Chinese medical journal 2010-10, Vol.123 (19), p.2720-2726
Hauptverfasser: Xiong, Jun, Xue, Fu-shan, Yuan, Yu-jing, Wang, Qiang, Liao, Xu, Wang, Wei-li
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container_end_page 2726
container_issue 19
container_start_page 2720
container_title Chinese medical journal
container_volume 123
creator Xiong, Jun
Xue, Fu-shan
Yuan, Yu-jing
Wang, Qiang
Liao, Xu
Wang, Wei-li
description Objective A general review was made of studies involving: (1) the concept and mechanism of the cholinergic anti-inflammatory pathway (CAP), (2) the important role of inflammatory response in myocardial ischemia reperfusion (I/R) injury and (3) the evidence and mechanisms by which CAP may provide protection against myocardial I/R injury. Data sources The data used in this review were mainly from manuscripts listed in PubMed that were published in English from 1987 to 2009. The search terms were "vagal nerve stimulation", "myocardial ischemia reperfusion injury", "nicotine acetylcholine receptor" and "inflammation". Study selection (1) Clinical and experimental evidence that the inflammatory response induced by reperfusion enhances myocardial I/R injury. (2) Clinical and laboratory evidence that the CAP inhibits the inflammation and provides protection against myocardial I/R injury. Results The myocardial I/R injury is really an inflammatory process characterized by recruitment of neutrophils into the ischemic myocardium and excessive production of pro-inflammatory cytokines. Because the CAP can modulate the inflammatory response by decreasing the production and release of pro-inflammatory cytokines, it can provide protection against myocardial I/R injury. Conclusions The CAP can inhibit the inflammatory response induced by reperfusion and protect against myocardial I/R injury. It represents an exciting opportunity to develop new and novel therapeutics to attenuate the myocardial I/R injury.
doi_str_mv 10.3760/cma.j.issn.0366-6999.2010.19.019
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Data sources The data used in this review were mainly from manuscripts listed in PubMed that were published in English from 1987 to 2009. The search terms were "vagal nerve stimulation", "myocardial ischemia reperfusion injury", "nicotine acetylcholine receptor" and "inflammation". Study selection (1) Clinical and experimental evidence that the inflammatory response induced by reperfusion enhances myocardial I/R injury. (2) Clinical and laboratory evidence that the CAP inhibits the inflammation and provides protection against myocardial I/R injury. Results The myocardial I/R injury is really an inflammatory process characterized by recruitment of neutrophils into the ischemic myocardium and excessive production of pro-inflammatory cytokines. Because the CAP can modulate the inflammatory response by decreasing the production and release of pro-inflammatory cytokines, it can provide protection against myocardial I/R injury. Conclusions The CAP can inhibit the inflammatory response induced by reperfusion and protect against myocardial I/R injury. It represents an exciting opportunity to develop new and novel therapeutics to attenuate the myocardial I/R injury.</description><identifier>ISSN: 0366-6999</identifier><identifier>EISSN: 2542-5641</identifier><identifier>DOI: 10.3760/cma.j.issn.0366-6999.2010.19.019</identifier><identifier>PMID: 21034659</identifier><language>eng</language><publisher>China: Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144, China</publisher><subject>Animals ; Cytokines - metabolism ; Humans ; Inflammation - immunology ; Models, Biological ; Myocardial Reperfusion Injury - immunology ; Myocardial Reperfusion Injury - metabolism ; Myocardial Reperfusion Injury - prevention &amp; control ; PubMed ; Vagus Nerve Stimulation ; 实验证据 ; 心肌缺血再灌注 ; 炎性细胞因子 ; 炎症反应 ; 缺血再灌注损伤 ; 胆碱能</subject><ispartof>Chinese medical journal, 2010-10, Vol.123 (19), p.2720-2726</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/85656X/85656X.jpg</thumbnail><link.rule.ids>314,778,782,862,27907,27908</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21034659$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xiong, Jun</creatorcontrib><creatorcontrib>Xue, Fu-shan</creatorcontrib><creatorcontrib>Yuan, Yu-jing</creatorcontrib><creatorcontrib>Wang, Qiang</creatorcontrib><creatorcontrib>Liao, Xu</creatorcontrib><creatorcontrib>Wang, Wei-li</creatorcontrib><title>Cholinergic anti-inflammatory pathway: a possible approach to protect against myocardial ischemia reperfusion injury</title><title>Chinese medical journal</title><addtitle>Chinese Medical Journal</addtitle><description>Objective A general review was made of studies involving: (1) the concept and mechanism of the cholinergic anti-inflammatory pathway (CAP), (2) the important role of inflammatory response in myocardial ischemia reperfusion (I/R) injury and (3) the evidence and mechanisms by which CAP may provide protection against myocardial I/R injury. Data sources The data used in this review were mainly from manuscripts listed in PubMed that were published in English from 1987 to 2009. The search terms were "vagal nerve stimulation", "myocardial ischemia reperfusion injury", "nicotine acetylcholine receptor" and "inflammation". Study selection (1) Clinical and experimental evidence that the inflammatory response induced by reperfusion enhances myocardial I/R injury. (2) Clinical and laboratory evidence that the CAP inhibits the inflammation and provides protection against myocardial I/R injury. Results The myocardial I/R injury is really an inflammatory process characterized by recruitment of neutrophils into the ischemic myocardium and excessive production of pro-inflammatory cytokines. Because the CAP can modulate the inflammatory response by decreasing the production and release of pro-inflammatory cytokines, it can provide protection against myocardial I/R injury. Conclusions The CAP can inhibit the inflammatory response induced by reperfusion and protect against myocardial I/R injury. It represents an exciting opportunity to develop new and novel therapeutics to attenuate the myocardial I/R injury.</description><subject>Animals</subject><subject>Cytokines - metabolism</subject><subject>Humans</subject><subject>Inflammation - immunology</subject><subject>Models, Biological</subject><subject>Myocardial Reperfusion Injury - immunology</subject><subject>Myocardial Reperfusion Injury - metabolism</subject><subject>Myocardial Reperfusion Injury - prevention &amp; control</subject><subject>PubMed</subject><subject>Vagus Nerve Stimulation</subject><subject>实验证据</subject><subject>心肌缺血再灌注</subject><subject>炎性细胞因子</subject><subject>炎症反应</subject><subject>缺血再灌注损伤</subject><subject>胆碱能</subject><issn>0366-6999</issn><issn>2542-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1u1TAQhS0EoreFV0AWC-gmwf-Jl-iKP6kSG1hHE8e5cUjs1E5ahUfhWXgnXgFXt6BZzEjz6cycg9A1JSWvFHlnZijH0qXkS8KVKpTWumQkr6kuCdVP0IFJwQqpBH2KDv-ZC3SZ0kgIk7JSz9EFo4QLJfUB3R2HMDlv48kZDH51hfP9BPMMa4g7XmAd7mH_8_sXBryElFw7WQzLEgOYAa8B52m1ZsVwAufTiuc9GIidgwm7ZAY7O8DRLjb2W3LBY-fHLe4v0LMepmRfPvYr9P3jh2_Hz8XN109fju9vCsNUvRbUCqhqyjomqKwYEyAsUE247FojoOOt0pVkPRNcdKzu-q6WtbE6VzbbaX6F3px178H34E_NGLbo88Xm52Dm8SG6LEcfwLdnMPu53Wxamzm_b6cJvA1bairFCCc1IZl89Uhu7Wy7Zoluhrg3_zLNwOszYIbgT7cuX23B_OjdZBsuNSVCKv4XskGL-A</recordid><startdate>20101005</startdate><enddate>20101005</enddate><creator>Xiong, Jun</creator><creator>Xue, Fu-shan</creator><creator>Yuan, Yu-jing</creator><creator>Wang, Qiang</creator><creator>Liao, Xu</creator><creator>Wang, Wei-li</creator><general>Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144, China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W94</scope><scope>WU4</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>20101005</creationdate><title>Cholinergic anti-inflammatory pathway: a possible approach to protect against myocardial ischemia reperfusion injury</title><author>Xiong, Jun ; 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Data sources The data used in this review were mainly from manuscripts listed in PubMed that were published in English from 1987 to 2009. The search terms were "vagal nerve stimulation", "myocardial ischemia reperfusion injury", "nicotine acetylcholine receptor" and "inflammation". Study selection (1) Clinical and experimental evidence that the inflammatory response induced by reperfusion enhances myocardial I/R injury. (2) Clinical and laboratory evidence that the CAP inhibits the inflammation and provides protection against myocardial I/R injury. Results The myocardial I/R injury is really an inflammatory process characterized by recruitment of neutrophils into the ischemic myocardium and excessive production of pro-inflammatory cytokines. Because the CAP can modulate the inflammatory response by decreasing the production and release of pro-inflammatory cytokines, it can provide protection against myocardial I/R injury. Conclusions The CAP can inhibit the inflammatory response induced by reperfusion and protect against myocardial I/R injury. It represents an exciting opportunity to develop new and novel therapeutics to attenuate the myocardial I/R injury.</abstract><cop>China</cop><pub>Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144, China</pub><pmid>21034659</pmid><doi>10.3760/cma.j.issn.0366-6999.2010.19.019</doi><tpages>7</tpages></addata></record>
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subjects Animals
Cytokines - metabolism
Humans
Inflammation - immunology
Models, Biological
Myocardial Reperfusion Injury - immunology
Myocardial Reperfusion Injury - metabolism
Myocardial Reperfusion Injury - prevention & control
PubMed
Vagus Nerve Stimulation
实验证据
心肌缺血再灌注
炎性细胞因子
炎症反应
缺血再灌注损伤
胆碱能
title Cholinergic anti-inflammatory pathway: a possible approach to protect against myocardial ischemia reperfusion injury
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