Evidence map›Paper›PMID 40104261›Full record

ArticleMedComm2025

Swimming Exercise Pretreatment Attenuates Postoperative Delirium-Like Behavior in Type 2 Diabetic Rats by Enhancing Mitochondrial Biogenesis Through Activation of SIRT2 Deacetylation.

Kaixi Liu, Lei Chen, Xinning Mi, Qian Wang, Yitong Li, Jingshu Hong, Xiaoxiao Wang, Yue Li, Yanan Song, Yi Yuan and 6 more

Abstract read
In one paragraph

Article in MedComm, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Kaixi LiuDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Lei ChenDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Xinning MiDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Qian WangDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Yitong LiDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Jingshu HongDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Xiaoxiao WangResearch Center of Clinical Epidemiology Peking University Third Hospital Beijing China.
Yue LiDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Yanan SongDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Yi YuanDepartment of Anesthesiology Beijing Jishuitan Hospital Capital Medical University Beijing China.
Jie WangDepartment of Anesthesiology and Perioperative Medicine People's Hospital of Zhengzhou University Zhengzhou China.
Dengyang HanDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Taotao LiuDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Ning YangDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Xiangyang GuoDepartment of Anesthesiology Peking University Third Hospital Beijing China.
Zhengqian LiDepartment of Anesthesiology Peking University Third Hospital Beijing China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative delirium (POD) is a common postsurgical complication that seriously affects patients' prognosis and imposes a heavy burden on families and society. Type 2 diabetes mellitus (T2DM) is a major risk factor for POD. The susceptibility mechanisms of POD in T2DM individuals and the role of exercise preconditioning remain unclear. Adult rats with and without T2DM were used to assess the promotive effect of diabetes on postoperative delirium-like behavior. The diabetic rats were also subjected to a swimming exercise program before surgery. The potential beneficial effect of exercise preconditioning on postoperative cognition was evaluated by examining neurobehavior, hippocampal neuroinflammation, mitochondrial morphology, and function in diabetic rats. Finally, underlying mechanisms were further analyzed by exploring the role of the sirtuin family in vivo and in vitro. We found that performing tibial fracture surgery resulted in delirium-like behavior and inhibited hippocampal mitochondrial biogenesis in diabetic rats but not in healthy rats. Preoperative swimming exercise was beneficial in attenuating delirium-like behavior, inhibiting neuroinflammation, and improving mitochondrial biogenesis and function. Preoperative swimming exercise achieved these positive effects by upregulating SIRT2-mediated peroxisome proliferator-activated receptor gamma coactivator-1 alpha (PGC-1α) deacetylation and activating mitochondrial biogenesis in T2DM rats.

Indexed as

mitochondrial biogenesispostoperative deliriumSIRT2swimming exerciseType 2 diabetes mellitus

Identifiers

PMID40104261
PMCPMC11914775

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.