电针百会、神庭穴对MCAO大鼠学习记忆能力及IL-1β、TNF-α表达的影响Effect of Electro-acupuncture on Learning and Memory Ability and IL-1β,TNF-α Expression in Rats with Cerebral Ischemic/Reperfusion
俞坤强,李晓洁,彭洪卫,卓沛元,张颖铮,林晓敏,林如辉,陶静,陈立典
摘要(Abstract):
目的观察电针神庭、百会穴对局灶性脑缺血再灌注大鼠学习记忆的影响,并探讨其可能的机制。方法雄性Sprague-Dawley大鼠45只,采用线栓法制备局灶性脑缺血再灌注大鼠模型,造模成功后随机分为假手术组、模型组和电针组,各15只。电针组大鼠取神庭、百会穴,电针治疗7 d。各组大鼠在造模后第3天开始采用定位航行实验和空间探索实验检测学习记忆能力;观察各组大鼠神经行为学的表现;2,3,5-氯化三苯基四氮唑(TTC)检测脑梗死体积;苏木素-伊红(HE)染色观察海马区神经元破坏和水肿情况;蛋白免疫印迹(Western blotting)法检测大鼠左侧海马白细胞介素-1β(IL-1β)、肿瘤坏死因子α(TNF-α)炎症因子的表达。结果同模型组相比,电针组大鼠学习记忆能力改善(P<0.05),神经行为学评分降低(P<0.05),脑梗死体积减小(P<0.001),海马CA1区神经元破坏情况减轻,IL-1β、TNF-α炎症因子表达降低(P<0.05)。结论电针能改善局灶性脑缺血再灌注大鼠学习记忆能力,其机制可能与减轻脑内神经元的破坏和水肿、抑制IL-1β、TNF-α炎症因子表达相关。
关键词(KeyWords): 脑缺血;电针;学习记忆;IL-1β;TNF-α
基金项目(Foundation): 科技部国际科技合作项目(2011DFG33240);; 福建省自然科学基金项目(2015J01335);; 福建省康复技术协同创新中心资助项目(X2012004-协同)
作者(Author): 俞坤强,李晓洁,彭洪卫,卓沛元,张颖铮,林晓敏,林如辉,陶静,陈立典
参考文献(References):
- [1]Donovan NJ,Kendall DL,Heaton SC,et al.Conceptualizing functional cognition in stroke[J].Neurorehabilitation and Neural Repair,2008,22(2):122-135.
- [2]Park JH,Kim BJ,Bae H,et al.Impact of post-stroke cognitive impairment with no dementia on health-related quality of life[J].Journal of stroke,2013,15(1):49-56.
- [3]Pulman J,Buckley E.Assessing the Efficacy of different upper limb hemiparesis interventions on improving health-related quality of life in stroke patients:A systematic review[J].Topics in Stroke Rehabilitation,2013,20(2):171-188.
- [4]Wang W,Xie C,Lu L,et al.A systematic review and metaanalysis of Baihui(GV20)-based scalp acupuncture in experimental ischemic stroke[J].Scientific Reports,2014,4(3981).
- [5]Yang S,Ye H,Huang J,et al.The synergistic effect of acupuncture and computer-based cognitive training on poststroke cognitive dysfunction:a study protocol for a randomized controlled trial of 2×2 factorial design[J].BMC Complementary and Alternative Medicine,2014,14(1):290.
- [6]Fan M,Song C,Wang T,et al.Protective effects of lithium chloride treatment on repeated cerebral ischemia-reperfusion injury in mice[J].Neurological Sciences,2015,36(2):315-321.
- [7]He W,Chen W,Zhou Y,et al.Xanthotoxol exerts neuroprotective effects via suppression of the inflammatory response in a rat model of focal cerebral ischemia[J].Cellular and Molecular Neurobiology,2013,33(5):715-722.
- [8]Lan L,Tao J,Chen A,et al.Electroacupuncture exerts antiinflammatory effects in cerebral ischemia-reperfusion injured rats via suppression of the TLR4/NF-kappa B pathway[J].International Journal of Molecular Medicine,2013,31(1):75-80.
- [9]Longa EZ,Weinstein PR,Carlson S,et al.Reversible middle cerebral artery occlusion without craniectomy in rats[J].Stroke a journal of cerebral circulation,1989,20(1):84-91.
- [10]Chen A,Lin Z,Lan L,et al.Electroacupuncture at the Quchi and Zusanli acupoints exerts neuroprotective role in cerebral ischemia-reperfusion injured rats via activation of the PI3K/Akt pathway[J].International Journal of Molecular Medicine,2012,30(4):791-796.
- [11]江一静,杨珊莉,陶静,等.巨刺法对大鼠脑缺血再灌注损伤的神经保护机制[J].中国康复医学杂志,2014,29(7):605-609.
- [12]周翠侠,胡永善,崔晓,等.综合干预对脑卒中后轻度认知障碍及综合功能的影响[J].针灸临床杂志,2012,29(8):1-4.
- [13]Chen L,Wang F,Zuo F,et al.Clinical research on comprehensive treatment of senile vascular dementia[J].Journal of Traditional Chinese Medicine,2011,31(3):178-181.
- [14]Feng X,Yang S,Liu J,et al.Electroacupuncture ameliorates cognitive impairment through inhibition of NF-kappa B-mediated neuronal cell apoptosis in cerebral ischemia-reperfusion injured rats[J].Molecular Medicine Reports,2013,7(5):1516-1522.
- [15]郭新荣,王瑞辉,李娜,等.针灸治疗颅脑损伤用穴规律的现代文献研究[J].时珍国医国药,2013,24(6):1433-1434.
- [16]Gazzaniga.认知神经科学:关于心智的生物学[M].北京:中国轻工业出版社,2011:310-312.
- [17]Dolek N,Saylisoy S,Ozbabalik D,et al.Comparison of hippocampal volume measured using magnetic resonance imaging in Alzheimer's disease,vascular dementia,mild cognitive impairment and pseudodementia[J].Journal of International Medical Research,2012,40(2):717-725.
- [18]Cao X,Ma H,Wang J,et al.Postoperative cognitive deficits and neuroinflammation in the hippocampus triggered by surgical trauma are exacerbated in aged rats[J].Progress in Neuro-psychopharmacology&Biological Psychiatry,2010,34(8):1426-1432.
- [19]Zhang ZY,Wu YQ,Zhang WG,et al.The expression of Ecadherin-catenin complex in adenoid cystic carcinoma of salivary glands[J].The Chinese journal of dental research:the official journal of the Scientific Section of the Chinese Stomatological Association(CSA),2000,3(3):36-39.
- [20]Hazan RB,Phillips GR,Qiao RF,et al.Exogenous expression of N-cadherin in breast cancer cells induces cell migration,invasion,and metastasis[J].The Journal of cell biology,2000,148(4):779-790.
- [21]Cui L,Zhang X,Yang R,et al.Neuroprotection of early and short-time applying atorvastatin in the acute phase of cerebral ischemia:Down-regulated 12/15-LOX,p38MAPK and c PLA2 expression,ameliorated BBB permeability[J].Brain Research,2010,1325:164-173.
- [22]Sang N,Zhang J,Marcheselli V,et al.Postsynaptically synthesized prostaglandin E2(PGE2)modulates hippocampal synaptic transmission via a presynaptic PGE2 EP2 receptor[J].Journal of Neuroscience,2005,25(43):9858-9870.
- [23]Wan Y,Xu J,Ma D,et al.Postoperative impairment of cognitive function in rats-A possible role for cytokine-mediated inflammation in the hippocampus[J].Anesthesiology,2007,106(3):436-443.
- [24]Kauppinen TM,Higashi Y,Suh SW,et al.Zinc triggers microglial activation[J].Journal of Neuroscience,2008,28(22):5827-5835.
- [25]Kim JM,Kim S,Kim DH,et al.Neuroprotective effect of forsythiaside against transient cerebral global ischemia in gerbil[J].European Journal of Pharmacology,2011,660(2-3):326-333.
- [26]Jin W,Feng S,Feng Z,et al.Minocycline improves postoperative cognitive impairment in aged mice by inhibiting astrocytic activation[J].Neuroreport,2014,25(1):1-6.