# Comparison of the effects of direct and remote ischemic post and preconditioning in the kidney of young rats: histological and laboratory evaluation

**Authors:** Arthur Henrique de Almeida Oliveira, Daniel Meirelles de Paula, Suellen Serafini, Uenis Tannuri, Ana Cristina Aoun Tannuri

PMC · DOI: 10.1590/acb410726 · Acta Cirúrgica Brasileira · 2026-02-06

## TL;DR

This study compares direct and remote ischemic preconditioning and postconditioning effects on kidney injury in young rats, finding limited protective benefits.

## Contribution

The study provides new empirical evidence on the efficacy of direct and remote ischemic strategies in mitigating kidney ischemia-reperfusion injury in young rats.

## Key findings

- No significant histological differences were observed among preconditioning and postconditioning groups.
- Direct ischemic preconditioning significantly increased serum calcium levels compared to the control group.
- Remote ischemic postconditioning showed higher chlorine levels compared to ischemia-reperfusion groups.

## Abstract

To evaluate the effects of direct and remote ischemic preconditioning and postconditioning on kidney ischemia–reperfusion injury in young rats.

This study was divided into two experimental phases: preconditioning and postconditioning. In each phase, 78 rats were randomly assigned to four groups: control (CG), ischemia-reperfusion (IRG), direct ischemic pre/postconditioning (DIPG), and remote ischemic pre/postconditioning (RIPG). Animals were euthanized at 0- or 24-hours post-procedure, and samples were collected for histological and biochemical analyses.

The sum of the histological findings revealed no significant differences among the pre/postconditioning groups. However, serum calcium levels were significantly higher in preconditioning, DIPG compared to the control group (p = 0.002), and in postconditioning, DIPG and RIPG compared to the control group (p = 0.028 and p = 0.005, respectively). In postconditioning, the chlorine levels were higher in IRG compared to the DIPG group (p = 0.029).

In our findings, ischemic preconditioning and ischemic postconditioning no provided significant protection of renal tissue.

## Linked entities

- **Species:** Rattus norvegicus (taxon 10116)

## Full-text entities

- **Diseases:** ischemic (MESH:D002545), reperfusion injury (MESH:D015427), kidney ischemia (MESH:D007674), ischemia (MESH:D007511)
- **Chemicals:** chlorine (MESH:D002713), calcium (MESH:D002118)
- **Species:** Rattus norvegicus (brown rat, species) [taxon 10116]

## Full text

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## Figures

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## References

18 references — full list in the complete paper: https://tomesphere.com/paper/PMC12880797/full.md

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Source: https://tomesphere.com/paper/PMC12880797