Objective:This study aimed to investigate the role of receptor for advanced glycation end products(RAGE)in improving myocardial ischemia and reperfusion after remote ischemic postconditioning. Methods:Thirty-four C57/B6 mice aged 8-9 weeks were randomly divided into six groups:the sham operation group(sham),the FPS-ZM1 control group(FZM1),the ischemia and resperfusion group(IR),the FPS-ZM1 intervention group(FZM1+IR),the RIPostC group(RIPostC+IR)and the RIPostC intervention group(RIPostC+FZM1+IR). The anterior descending coronary artery was ligated to create myocardial ischemia-reperfusion model of mouse. The left ventricular ejection fraction(LVEF)and left ventricular shortening fraction(LVFS)of mice were detected by mouse cardiac ultrasonography,and the inflammatory factor IL-6,NF-κB P65 protein and RAGE protein were detected by enzyme-linked immunoassay(ELISA)and Western blotting. Results:①RIPostC significantly increased LVEF(P < 0.01)and LVFS(P < 0.01)compared with the I/R group. ②Compared with the IR group,RIPostC significantly reduced the expression of RAGE(P < 0.001). ③RIPostC significantly reduced the expression of NF-κB P65(P < 0.001)and IL-6(P < 0.001)compared with the I/R group. Conclusion:RIPostC was effective in protecting against myocardial ischemia-reperfusion injury. The cardioprotective effects of RIPostC may be achieved directly by inhibiting the expression of RAGE and thereby reducing the inflammatory response.