Under hypoxia or high-altitude hypoxia ,it has been found that 2,3-bisphosphoglycerate(2,3-BPG) in erythrocyte increased and facilitated oxygen release to tissues.Remote Ischemic Conditioning(RIC) can also cause hypoxic conditions in local limbs.Thus,we hypothesize that whether RIC could also increase 2,3-BPG in erythrocyte.
RIC is induced by short-term insulting blood-flow of nonvital distant organs intermittently and has been proved to be effective in ischemic stroke and myocardial infarction(MI).The possible mechanisms of RIC protection is complicated.RIC leads to local ischemia and hypoxia and has been demonstrated to play a role in vital organs through hypoxia inducible factors(HIF) against stroke and MI.Besides HIF, hypoxia or high-altitude hypoxia could also change glycolytic process in erythrocyte through adenosine or sphingosine-1-phosphate(S1P).Accompanying with alternating glucolysis, 2,3-diphosphoglycerate(2,3-BPG) in erythrocyte increases and it also facilitating oxygen release to tissues.Thus,we hypothesize that whether RIC could also increase 2,3-BPG in erythrocyte.There are 8 arms in this trial: All arms are RIC treatment. The level of 2,3-BPG in erythrocyte will be assessed by ELISA before and after the treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
SINGLE
Enrollment
40
RIC is induced by short-term insulting blood-flow of nonvital distant organs intermittently.
Changes of 2,3-BPG levels in erythrocyte
Whole blood for testing effect of RIC on 2,3-BPG in Erythrocyte
Time frame: through study completion, an average of 24 hours
Changes of prothrombin time(PT)
Whole blood for testing effect of RIC on PT
Time frame: through study completion, an average of 24 hours
Changes of activated partial thromboplastin time(APPT)
Whole blood for testing effect of RIC on APPT
Time frame: through study completion, an average of 24 hours
Changes of activated partial thrombin time(TT)
Whole blood for testing effect of RIC on TT
Time frame: through study completion, an average of 24 hours
Changes of Fibrinogen(FIB)
Whole blood for testing effect of RIC on FIB
Time frame: through study completion, an average of 24 hours
Changes of D-dimer
Whole blood for testing effect of RIC on D-dimer
Time frame: through study completion, an average of 24 hours
Changes of hypoxia inducible factor-1(HIF-1)
Whole blood for testing effect of RIC on HIF-1
Time frame: through study completion, an average of 24 hours
Changes of lower limbs venous blood flow
Vascular ultrasound for detecting venous blood flow in lower limbs
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Time frame: through study completion, an average of 24 hours