Gu Wei-Jia, Bao Chun-Rong, Xie Hong-Yu, Chen Bin, Lin Wan-Qing, Wu Yi, Wang Nian-Hong
School of Rehabilitation Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China; Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040; Department of Rehabilitation Medicine, Shanghai Fourth People's Hospital, Shanghai 200434.
School of Rehabilitation Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
Zhen Ci Yan Jiu. 2022 May 25;47(5):428-34. doi: 10.13702/j.1000-0607.20210495.
To observe the effect of electroacupuncture(EA) on the expression of peroxisome proliferator-activated receptor gamma coactivators-1-alpha (PGC-1α), Irisin and brain-derived neurotrophic factor (BDNF) in the ischemic peripheral cortex, hippocampus and local skeletal muscle in rats with focal cerebral ischemic/reperfusion injury (CI/RI), so as to explore its underlying mechanism of improving of CI/RI.
Male SD rats were randomly divided into 3 groups: sham-operation, model and EA (11 rats in each group). The focal CI/RI model was established by middle cerebral artery occlusion (MCAO). EA (2 Hz /15 Hz, 2 to 4 mA) was applied to "Quchi" (LI11) and "Zusanli" (ST36) of the affected side for 20 min, once a day for 7 days. Zea-Longa's score and Balance Beam score were used to evaluate the neurological and motor functions. The infarcted volume of the brain was detected by using 2,3,5-triphenyltetrazolium chloride staining. The expression levels of PGC-1α, fibronectin type III domain-containing protein 5(FNDC5) and BDNF proteins in the ischemic peripheral cortex, hippocampus and local skeletal muscle were detected by Western blot.
Compared with the sham-operation group, the Zea-Longa's score, Balance Beam score, percentage of cerebral infarct volume were notably increased (<0.01), while the expression levels of PGC-1α, FNDC5 and BDNF proteins in the cerebral cortex and hippocampus (not in the local muscle) were significantly down-regulated in the model group (<0.01, <0.05). In comparison with the model group, the increase of Zea-Longa's score, Balance Beam score, percentage of cerebral infarct volume, and the decrease of expression levels of PGC-1α, FNDC5 and BDNF proteins in the ischemic peripheral cortex and that of BDNF in the hippocampus were reversed in the EA group (<0.01, <0.05). No significant changes were found in the expression levels of hippocampal PGC-1α and FNDC5 proteins in the hippocampus and those of PGC-1α, FNDC5 and BDNF proteins in the local muscle after EA intervention (>0.05).
EA can improve neurological and motor functions and reduce cerebral infarction volume in CI/RI rats, which may be related to its functions in activating PGC-1α/Irisin(FNDC5)/BDNF pathway in the cerebral cortex.
观察电针(EA)对局灶性脑缺血/再灌注损伤(CI/RI)大鼠缺血周边皮质、海马及局部骨骼肌中过氧化物酶体增殖物激活受体γ辅激活因子-1α(PGC-1α)、鸢尾素(Irisin)和脑源性神经营养因子(BDNF)表达的影响,以探讨其改善CI/RI的潜在机制。
雄性SD大鼠随机分为3组:假手术组、模型组和电针组(每组11只)。采用大脑中动脉闭塞(MCAO)法建立局灶性CI/RI模型。将电针(2 Hz /15 Hz,2~4 mA)施加于患侧“曲池”(LI11)和“足三里”(ST36),持续20分钟,每天1次,共7天。采用Zea-Longa评分和平衡木评分评估神经和运动功能。用2,3,5-三苯基氯化四氮唑染色检测脑梗死体积。采用蛋白质免疫印迹法检测缺血周边皮质、海马及局部骨骼肌中PGC-1α、含III型纤连蛋白结构域蛋白5(FNDC5)和BDNF蛋白的表达水平。
与假手术组相比,模型组Zea-Longa评分、平衡木评分、脑梗死体积百分比显著升高(<0.01),而大脑皮质和海马(局部肌肉未检测)中PGC-1α、FNDC5和BDNF蛋白的表达水平显著下调(<0.01,<0.05)。与模型组相比,电针组Zea-Longa评分、平衡木评分、脑梗死体积百分比升高及缺血周边皮质中PGC-1α、FNDC5和BDNF蛋白表达水平及海马中BDNF表达水平降低的情况均得到逆转(<0.01,<0.05)。电针干预后,海马中PGC-1α和FNDC5蛋白表达水平及局部肌肉中PGC-1α、FNDC5和BDNF蛋白表达水平无显著变化(>0.05)。
电针可改善CI/RI大鼠的神经和运动功能,减少脑梗死体积,这可能与其激活大脑皮质中PGC-1α/鸢尾素(FNDC5)/BDNF通路的作用有关。