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槲皮素治疗心肌缺血再灌注损伤:系统评价与Meta分析方案

Quercetin for myocardial ischemia reperfusion injury: A protocol for systematic review and meta-analysis.

作者信息

Lu Liying, Ma Xiaocong, Zheng Jinghui, Li Lijuan, Yang Wenna, Kong Yixuan, Wang Jie

机构信息

Ruikang Affiliated Hospital of Guangxi University of Chinese Medicine.

Department of Geriatrics, Ruikang Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, Guangxi, China.

出版信息

Medicine (Baltimore). 2020 Jun 26;99(26):e20856. doi: 10.1097/MD.0000000000020856.

Abstract

BACKGROUND

At present, there is no effective therapy for preventing myocardial ischemia reperfusion injury (MIRI), and it is inevitable. The methods how to effectively decrease MIRI have attracted the attention of medical researches in recent years. Quercetin is a part of natural flavonoids in plant polyphenols. Many studies have found that quercetin has a positive effect on MIRI.

METHODS

In order to clarify the effectiveness and potential mechanisms of quercetin for MIRI animals, we searched for animal studies of quercetin for MIRI in Wanfang data Information, Chinese National Knowledge Infrastructure, VIP information database, China Biology Medicine disc, EMBASE, PubMed, and Web of Science. Participant intervention comparator outcomes of this study are as flowing: P, rats in MIRI; I, received quercetin treatment merely; C, received only vehicle or no treatment; O, Main outcomes are myocardial infarction size and markers of myocardial injury. Additional outcomes are serum indices or protein levels tied to the mechanisms of quercetin in myocardial l/R injury. Review Manager 5.2 software and Stata14.0 will be used for data analysis. SYRCLE's risk of bias tool will be used for risk of bias analysis of animal studies.

DISCUSSION

This preclinical systematic review and meta-analysis will evaluate the effects and mechanisms of quercetin for MIRI animals, and provide more evidence-based guidance for transforming basic research into clinical treatment.

TRIAL REGISTRATION

INPLASY202050067, registered on 16/5/2020.

摘要

背景

目前,尚无预防心肌缺血再灌注损伤(MIRI)的有效疗法,且这种损伤不可避免。近年来,如何有效减轻MIRI的方法已引起医学研究人员的关注。槲皮素是植物多酚中天然黄酮类化合物的一部分。许多研究发现槲皮素对MIRI有积极作用。

方法

为阐明槲皮素对MIRI动物的有效性及潜在机制,我们在万方数据、中国知网、维普资讯数据库、中国生物医学光盘数据库、EMBASE、PubMed和Web of Science中检索了槲皮素用于MIRI的动物研究。本研究的参与者干预比较结果如下:P,MIRI大鼠;I,仅接受槲皮素治疗;C,仅接受赋形剂或不接受治疗;O,主要结局为心肌梗死面积和心肌损伤标志物。其他结局为与槲皮素在心肌I/R损伤机制相关的血清指标或蛋白水平。将使用Review Manager 5.2软件和Stata14.0进行数据分析。将使用SYRCLE的偏倚风险工具对动物研究进行偏倚风险分析。

讨论

这项临床前系统评价和荟萃分析将评估槲皮素对MIRI动物的作用及机制,并为将基础研究转化为临床治疗提供更多循证指导。

试验注册

INPLASY202050067,于2020年5月16日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f8/7328958/1dffd2b79b2f/medi-99-e20856-g001.jpg

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