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1. 安徽中医药大学研究生院
2. 安徽中医药大学神经病学研究所附属医院
3. 中国科学院合肥物质研究院
4. 安徽中医药大学神经病学研究所
纸质出版日期:2021
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李广大, 李笑笑, 董健健, 等. 电针对脑缺血大鼠神经血管单元及Wnt/β-catenin信号通路的影响[J]. 针刺研究, 2021,46(2):87-94.
LI Guang-da, LI Xiao-xiao, DONG Jian-jian, et al. Effect of electroacupuncture on neurovascular unit and Wnt/β-catenin signaling in rats with cerebral ischemia[J]. Acupuncture research, 2021, 46(2): 87-94.
李广大, 李笑笑, 董健健, 等. 电针对脑缺血大鼠神经血管单元及Wnt/β-catenin信号通路的影响[J]. 针刺研究, 2021,46(2):87-94. DOI: 10.13702/j.1000-0607.200819.
LI Guang-da, LI Xiao-xiao, DONG Jian-jian, et al. Effect of electroacupuncture on neurovascular unit and Wnt/β-catenin signaling in rats with cerebral ischemia[J]. Acupuncture research, 2021, 46(2): 87-94. DOI: 10.13702/j.1000-0607.200819.
目的:观察电针对脑缺血大鼠神经血管单元主要标志蛋白——血管内皮生长因子(VEGF)、胶质纤维酸性蛋白(GFAP)、神经元核抗原(NeuN)和Wnt/β-catenin信号通路关键成分β-连环蛋白(β-catenin)、支架蛋白(Axin2)蛋白及mRNA表达的影响
探讨电针治疗缺血性脑卒中的机制。方法:将108只健康雄性SD大鼠随机分为对照组、模型组、电针组
每组36只
并按照术后7、14、21 d分为3个时相组
每组12只。电凝大鼠大脑中动脉建立永久性大脑中动脉闭塞(MCAO)模型。电针组大鼠予以电针刺激"百会""水沟"及双侧"三阴交""内关"(2 Hz/100 Hz
2~4 V
30 min)。第1次电针在造模后2 h内进行
此后每天上午电针1次
7 d为1个疗程
最多3个疗程。用Zea Longa评分法评价各组大鼠神经功能缺损情况;用磁共振影像系统检测各组大鼠脑梗死情况;分别用免疫组织化学法和荧光定量PCR法检测各组大鼠缺血区脑组织VEGF、GFAP、NeuN、β-catenin及Axin2蛋白和mRNA的表达。结果:与对照组比较
造模后模型组大鼠神经功能评分和脑梗死体积均明显升高(P<0.01);电针组在术后第7、14、21天神经功能评分和脑梗死体积均显著低于模型组(P<0.01)。与对照组比较
模型组各时点缺血脑组织中VEGF、GFAP、β-catenin蛋白和mRNA表达显著升高(P<0.01)
NeuN、Axin2蛋白和mRNA表达显著降低(P<0.01)。与模型组比较
电针组各时点VEGF、GFAP、NeuN、β-catenin蛋白和mRNA表达显著增多(P<0.01)
且随着时间延长
表达均逐渐增加
在第21天达到峰值;Axin2蛋白和mRNA表达明显下降(P<0.01)。结论:电针可以有效保护脑缺血大鼠神经血管单元
减少脑梗死体积
改善MCAO大鼠神经功能缺损症状
其机制可能与上调β-catenin及下调Axin2的表达
激活经典Wnt/β-catenin信号通路有关。
Objective To observe the effect of electroacupuncture(EA) at "Baihui"(GV20)
"Shuigou"(GV26)
etc. on the expressions of vascular endothelial growth factor(VEGF)
collagen fibrillary acidic protein(GFAP)
neuronal nucleus antigen(NeuN)
β-catenin and Axin2 protein and mRNA in rats with cerebral ischemia(CI)
so as to explore its mechanism underlying improvement of ischemic stroke. Methods A total of 108 male SD rats were randomly divided into control
model and EA groups
which were further divided into 7 d
14 d and 21 d subgroups
with 12 rats in each group. The CI model was established by occlusion of the middle cerebral artery. EA(2 Hz/100 Hz
2—4 V) was applied to GV20
GV26
bilateral "Sanyinjiao"(SP6) and bilateral "Neiguan"(PC6) for 30 min
once daily(except Sundays) for 21 days at most. The neurological deficit score was evaluated according to Longa's methods. The cerebral infarction state was assessed by using a magnetic resonance T2 imaging system. The expression levels of neurovascular markers as VEGF
GFAP and NeuN
and β-catenin and Axin2 protein and mRNA in the ischemic brain tissue were detected by using immunohistochemistry and quantitative real-time PCR
respectively. Results After modeling
the neurological deficit score and cerebral infarction size were significantly increased(P<0.01)
and the expression of NeuN and Axin2 proteins and mRNAs were significantly and gradually decreased with time(day 7
14 and 21)(P<0.01)
whereas the expression levels of VEGF
GFAP
β-catenin proteins and mRNAs were significantly increased on day 7
14 and 21 in the model group relevant to the control group(P<0.01). Compared with the model group
the neurological deficit score
cerebral infarction size and the expressions of Axin2 protein and mRNA were significantly decreased on day 7
14 and 21(P<0.01)
whereas the expression levels of VEGF
GFAP and NeuN and β-catenin proteins and mRNAs were considerably up-regulated in the EA group on day 7
14 and 21(P<0.01). Conclusion EA can protect the neurovascular units from injury
reduce the volume of cerebral infarction and improve the symptoms of neurological deficit in cerebral ischemic rats
which may be related to its effects in up-regulating β-catenin expression and in down-regulating Axin2 expression to further activate classical Wnt/β-catenin signal pathway.
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