[1]王磊磊,胡方梅,陈 华,等.抽提透刺法对脑梗死模型大鼠脑的保护机制及对CXCL12-CXCR4信号通路的作用研究*[J].陕西中医,2020,(11):1524-1528.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.003]
 WANG Leilei,HU Fangmei,CHEN Hua,et al.Study on brain protection mechanism of extraction and penetration acupuncture and its effect on CXCL12-CXCR4 signaling pathway in cerebra infarction model[J].,2020,(11):1524-1528.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.003]
点击复制

抽提透刺法对脑梗死模型大鼠脑的保护机制及对CXCL12-CXCR4信号通路的作用研究*
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年11期
页码:
1524-1528
栏目:
基础研究
出版日期:
2020-11-05

文章信息/Info

Title:
Study on brain protection mechanism of extraction and penetration acupuncture and its effect on CXCL12-CXCR4 signaling pathway in cerebra infarction model
作者:
王磊磊胡方梅陈 华孙金鹏刘国华崔友祥
河北省沧州中西医结合医院(沧州 061001)
Author(s):
WANG LeileiHU FangmeiCHEN Huaet al.
Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine in Hebei Province(Cangzhou 061001)
关键词:
抽提透刺法 脑梗死 大鼠 CXCL12-CXCR4信号通路 神经功能 微血管密度
Keywords:
Extraction and penetration acupuncture Cerebral infarction Rats CXCL12-CXCR4 signaling pathway Neurological function Cerebral microvessel density
分类号:
R743.3
DOI:
DOI:10.3969/j.issn.1000-7369.2020.11.003
文献标志码:
A
摘要:
目的:探讨抽提透刺法对脑梗死模型大鼠的脑保护机制及对CXC趋化因子配体12-CXC趋化因子受体4(CXCL12-CXCR4)信号通路的作用。方法:选取清洁级健康雄性SD大鼠56只,随机分为对照组14只及造模组42只。造模组采用线栓法建立脑梗死模型,对照组予以假手术。将造模成功的大鼠随机分为模型组、针刺组及药物注射组,各14只。模型组及对照组分别给予生理盐水10 ml/kg,腹腔注射,1次/d; 针刺组采用抽提透刺法针刺头部穴位,幅度为0.1~0.2 cm,行针30 s,留针30 min,1次/d; 药物注射组给予脑蛋白水解物注射液10 ml/kg,腹腔注射,1次/d。各组大鼠均给药14 d。检测比较各组神经功能评分、脑组织微血管密度(MVD),血清血管内皮生长因子(VEGF)、基质金属蛋白酶-9(MMP-9)水平以及大脑皮质CXCL12、CXCR4蛋白相对表达水平。结果:与模型组比较,针刺组、药物注射组大鼠神经功能评分较低,且针刺组小于药物注射组,差异均有统计学意义(P<0.05)。与模型组比较,针刺组、药物注射组大鼠脑组织MVD较高,血清VEGF、MMP-9水平较高,大脑皮质CXCL12、CXCR4蛋白相对表达水平较高,且针刺组大于药物注射组,差异有统计学意义(P<0.05)。结论:抽提透刺法能有效改善脑梗死大鼠神经功能,提高缺血区微血管密度,其脑保护作用可能与上调CXCL12-CXCR4信号通路相关蛋白表达有关。
Abstract:
Objective:To analysis the r brain protection mechanism of extraction and penetration acupuncture and its effect on CXC chemokine ligand 12-CXC chemokine receptor 4(CXCL12-CXCR4)signaling pathway in cerebra infarction model.Methods:56 clean healthy male Sprague Dawley(SD)rats were selected,and were randomly divided into control group with 14 rats and model building group with 42 rats.The model building group was established cerebral infarction model by using suture embolization method,rats in the control group received sham operation.The successful model of the rats were randomly divided into model group,acupuncture group and drug injection group,each with 14 rats.The model group and control group were respectively given physiological saline 10 ml/kg,by intraperitoneal injection; acupuncture group was treated with extraction and penetration acupuncture at acupoints on the head,the range was 0.1~0.2 cm,needling for 30 s and retaining the needle for 30 minutes; drug injection group was given cerebroprotein hydrolysate injection 10 ml/kg,by intraperitoneal injection.All rats in each group were treated for 14 d.The neurological function scores,cerebral microvessel density(MVD),serum vascular endothelial growth factor(VEGF),matrix metalloproteinase-9(MMP-9)levels and cortical CXCL12,CXCR4 protein expression levels were detected and compared.Results:Compared with model group,the neurological function scores were lower in acupuncture group and drug injection group,and acupuncture group less than drug injection group,the differences were all statistically significant(P<0.05).Compared with the model control group,the cerebral MVD were higher,serum VEGF and MMP-9 levels were higher,cortical CXCL12,CXCR4 protein expression levels were higher in acupuncture group and drug injection group,and acupuncture group more than injection group,the differences were statistically significant(P<0.05).Conclusions:Extraction and penetration acupuncture can effectively improve neurological function in rats with cerebral infarction,increase microvessel density in ischemic area,the protective effect of brain may be related to up-regulation of CXCL12-CXCR4 signaling pathway-related protein expression.

参考文献/References:

[1] 王东升,刘英姿,刘莹莹,等.脑梗死与磷脂酰丝氨酸相关性的研究进展[J].中华老年心脑血管病杂志,2017,19(8):887-889.
[2] 涂雪松.缺血性脑卒中的流行病学研究[J].中国临床神经科学,2016,24(5):594-599.
[3] 肖新兴,刘庆新.趋化因子CXCL12在缺血性脑卒中的作用及其机制[J].中华脑科疾病与康复杂志:电子版,2014,4(3):45-48.
[4] Li A,Wang YH,Zhang F,et al.Acupuncture for gender differences and similarities in cerebral activity of health volunteers:a pilot fMRI study[J].Medicine,2018,97(50):13655.
[5] 刘霜月,许潇莹,张玉莲,等.电针治疗对MCAO模型大鼠缺血半暗带GDNF表达的影响[J].陕西中医药大学学报,2019,42(5):58-63.
[6] 韩 霞,闫小峰,王月琴,等.缺血性脑血管病96例侧支循环建立多因素分析[J].陕西医学杂志,2017,46(1):40-42.
[7] 胡惠琼,吴雄伟,杨玉燕,等.SDF-1/CXCR4轴及其对老年血管新生的影响机制进展[J].四川生理科学杂志,2015,37(3):137-139.
[8] 王有科,覃兴乐.脑源性神经营养因子和血管内皮生长因子及基质金属蛋白酶-9与脑梗死关系研究进展[J].中华实用诊断与治疗杂志,2017,31(1):95-97.
[9] 田 亮,王金海,孙润洁,等.头针治疗缺血性中风的机制研究进展[J].针刺研究,2016,41(1):87-89.
[10] 于学平,孙晓伟,邹 伟.百会透曲鬓对脑缺血再灌注大鼠脑微血管纤维连接蛋白表达的影响[J].中医药学报,2016,44(5):71-73.
[11] Zhang L,Chan P,Liu ZM.A technology developed from concept of acupuncture and meridian system,the clinical effect of BIOCERAMIC resonance on psychological related sleep disturbance with findings on questionnaire,EEG and fMRI[J].Journal of Traditional & Complementary Medicine,2018,8(2):289-295.
[12] Jia P,Tang L,Yu J,et al.Risk of bias and methodological issues in randomised controlled trials of acupuncture for knee osteoarthritis:a cross-sectional study[J].Bmj Open,2018,8(3):19847.
[13] 朱炜楷,沈 会,张朋新,等.针刺对脑缺血再灌注模型大鼠脑缺血皮质区神经血管单元微血管再生的影响[J].中国康复医学杂志,2020,35(4):398-403,419.
[14] 陈 佳,陶 红,陈小欢, 等.醒脑开窍针对急性脑梗死的疗效及部分机制探讨[J].世界中医药,2020,15(3):468-472.
[15] 王 峰,肖 瑾.急性脑梗死患者预后不佳的相关危险因素分析[J].中国急救复苏与灾害医学杂志,2017,12(5):414-417.
[16] 费云瀚,刘 斌,董亚楠, 等.血管生成相关分子标记物与急性脑梗死患者颈动脉颅外段狭窄相关性研究[J].陕西医学杂志,2019,48(4):427-431.
[17] 肖新兴,刘庆新,邹雪飞, 等.急性脑梗死患者血浆 CXCL12水平的改变及其对预后的影响[J].临床神经病学杂志,2015,18(2):91-94.
[18] 张 瑞,尉灵芝.神经肌肉电刺激辅助治疗对脑梗死患者脑部血流、CXC型趋化因子配体16及神经细胞因子的影响[J].国际神经病学神经外科学杂志,2020,47(2):136-140.
[19] 王 展,刘庆新.急性脑梗死患者血浆趋化因子12的变化与对预后的影响分析[J].健康必读,2018,26(31):56-57.
[20] 王聪聪,刘 睿,袁淑绘, 等.CXCL12在大鼠短暂性局灶性脑缺血损伤超早期中的作用[J].中风与神经疾病杂志,2015,32(12):1095-1098.
[21] 王东明.急性脑梗死侧支循环建立的神经影像学评估[J].影像研究与医学应用,2017,1(11):85-88.
[22] Cai RL,Shen GM,Wang H.Brain functional connectivity network studies of acupuncture:a systematic review on resting-state fMRI[J].Journal of Integrative Medicine,2018,16(1):26-33.
[23] Zhao Y,Zhou J,Mo Q,et al.Acupuncture for adults with overactive bladder:a systematic review and meta-analysis of randomized controlled trials[J].Medicine,2018,97(8):9838.

备注/Memo

备注/Memo:
*河北省中医药类科研计划课题(2018500)
更新日期/Last Update: 2020-11-09