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Acupuncture for autophagy in animal models of middle cerebral artery occlusion: A systematic review and meta-analysis protocol

INTRODUCTION: Ischemic stroke has high morbidity, disability and mortality rates. The effective treatments recommended by guideline have considerable limitations due to their strict range of adaptation and narrow time window. Acupuncture is an effective and safe treatment for ischemic stroke, and th...

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Autores principales: Yuan, Jingxue, Zhang, Ziniu, Ni, Jinxia, Wu, Xiaona, Yan, Haoyue, Xu, Jingni, Zhao, Qi, Yuan, Hongwei, Yang, Lei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946199/
https://www.ncbi.nlm.nih.gov/pubmed/36812222
http://dx.doi.org/10.1371/journal.pone.0281956
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author Yuan, Jingxue
Zhang, Ziniu
Ni, Jinxia
Wu, Xiaona
Yan, Haoyue
Xu, Jingni
Zhao, Qi
Yuan, Hongwei
Yang, Lei
author_facet Yuan, Jingxue
Zhang, Ziniu
Ni, Jinxia
Wu, Xiaona
Yan, Haoyue
Xu, Jingni
Zhao, Qi
Yuan, Hongwei
Yang, Lei
author_sort Yuan, Jingxue
collection PubMed
description INTRODUCTION: Ischemic stroke has high morbidity, disability and mortality rates. The effective treatments recommended by guideline have considerable limitations due to their strict range of adaptation and narrow time window. Acupuncture is an effective and safe treatment for ischemic stroke, and the mechanism may be related to autophagy. In this systematic review, we aim to summarize and evaluate the evidence of autophagy in acupuncture therapy for animal models of middle cerebral artery occlusion (MCAO). METHODS: Publications will be retrieved from the MEDLINE, Embase, Cochrane Library, Web of Science, CNKI, CBM, CVIP and Wanfang databases. We will include animal experimental studies of acupuncture for MCAO, and the control group will receive placebo/sham acupuncture or no treatment after model establishment. Outcome measures must include autophagy and will include neurologic scores and/or infarct size. The Systematic Review Center for Laboratory animal Experimentation (SYRCLE) risk of bias tool will be used to assess the risk of bias. A meta-analysis will be performed if the included studies are sufficiently homogenous. Subgroup analyses will be conducted according to different intervention types and different types of outcomes. Sensitivity analyses will also performed to explore the heterogeneity and to assess the stability of the results. Publication bias will be assessed by funnel plots. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system will be applied to evaluate the quality of evidence in this systematic review. DISCUSSION: The results of this study may help to explain autophagy in acupuncture therapy for ischemic stroke. The limitation of this review is that all included studies will be retrieved from Chinese or English medical databases due to language barriers. REGISTRATION: We registered in PROSPERO on May 31, 2022. (https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=329917) (CRD42022329917).
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spelling pubmed-99461992023-02-23 Acupuncture for autophagy in animal models of middle cerebral artery occlusion: A systematic review and meta-analysis protocol Yuan, Jingxue Zhang, Ziniu Ni, Jinxia Wu, Xiaona Yan, Haoyue Xu, Jingni Zhao, Qi Yuan, Hongwei Yang, Lei PLoS One Study Protocol INTRODUCTION: Ischemic stroke has high morbidity, disability and mortality rates. The effective treatments recommended by guideline have considerable limitations due to their strict range of adaptation and narrow time window. Acupuncture is an effective and safe treatment for ischemic stroke, and the mechanism may be related to autophagy. In this systematic review, we aim to summarize and evaluate the evidence of autophagy in acupuncture therapy for animal models of middle cerebral artery occlusion (MCAO). METHODS: Publications will be retrieved from the MEDLINE, Embase, Cochrane Library, Web of Science, CNKI, CBM, CVIP and Wanfang databases. We will include animal experimental studies of acupuncture for MCAO, and the control group will receive placebo/sham acupuncture or no treatment after model establishment. Outcome measures must include autophagy and will include neurologic scores and/or infarct size. The Systematic Review Center for Laboratory animal Experimentation (SYRCLE) risk of bias tool will be used to assess the risk of bias. A meta-analysis will be performed if the included studies are sufficiently homogenous. Subgroup analyses will be conducted according to different intervention types and different types of outcomes. Sensitivity analyses will also performed to explore the heterogeneity and to assess the stability of the results. Publication bias will be assessed by funnel plots. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system will be applied to evaluate the quality of evidence in this systematic review. DISCUSSION: The results of this study may help to explain autophagy in acupuncture therapy for ischemic stroke. The limitation of this review is that all included studies will be retrieved from Chinese or English medical databases due to language barriers. REGISTRATION: We registered in PROSPERO on May 31, 2022. (https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=329917) (CRD42022329917). Public Library of Science 2023-02-22 /pmc/articles/PMC9946199/ /pubmed/36812222 http://dx.doi.org/10.1371/journal.pone.0281956 Text en © 2023 Yuan et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Study Protocol
Yuan, Jingxue
Zhang, Ziniu
Ni, Jinxia
Wu, Xiaona
Yan, Haoyue
Xu, Jingni
Zhao, Qi
Yuan, Hongwei
Yang, Lei
Acupuncture for autophagy in animal models of middle cerebral artery occlusion: A systematic review and meta-analysis protocol
title Acupuncture for autophagy in animal models of middle cerebral artery occlusion: A systematic review and meta-analysis protocol
title_full Acupuncture for autophagy in animal models of middle cerebral artery occlusion: A systematic review and meta-analysis protocol
title_fullStr Acupuncture for autophagy in animal models of middle cerebral artery occlusion: A systematic review and meta-analysis protocol
title_full_unstemmed Acupuncture for autophagy in animal models of middle cerebral artery occlusion: A systematic review and meta-analysis protocol
title_short Acupuncture for autophagy in animal models of middle cerebral artery occlusion: A systematic review and meta-analysis protocol
title_sort acupuncture for autophagy in animal models of middle cerebral artery occlusion: a systematic review and meta-analysis protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946199/
https://www.ncbi.nlm.nih.gov/pubmed/36812222
http://dx.doi.org/10.1371/journal.pone.0281956
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