Yanamoto Hiroji, Nakajo Yukako, Kataoka Hiroharu, Iihara Koji
Laboratory of Neurology and Neurosurgery Osaka University Graduate School of Medicine, 5-7-1 Fujishirodai, Suita, Japan.
Front Neurol Neurosci. 2013;32:129-38. doi: 10.1159/000346422. Epub 2013 Jul 8.
Development of a safe method to increase brain-derived neurotrophic factor (BDNF) levels in the brain is expected to enhance learning and memory, induce tolerance to cerebral infarction or tolerance to depressive state, improve glucose metabolism, and suppress appetite and body weight. We have shown that repetitive applications of high-voltage electric potential (HELP) to the body increase BDNF levels in the brain, improving learning and memory in mice. Here, we investigated the effects of HELP treatment for a chronic period on the BDNF levels in the mouse brain, and on body weight in mice and humans. Adult mice were exposed to 3.1 or 5.4 kV HELP (on the body), 5 h a day for 24 weeks, and BDNF levels in the brain and alterations in body weight were analyzed. Humans [age, 53.2 ± 15.5 years old; BMI, 27.8 ± 5.6 (mean ± SD, n = 6)] were exposed to 3.9 kV HELP (on the body) for 1 h a day, continuing for 33 months (2.8 years) under the monitor of body weight. In mice, the HELP application elevated BDNF levels in the brain at least temporarily, affecting body weight in a voltage- and time-dependent manner. In humans, the HELP treatment reduced body weight compared to the pretreated initial values without any aversive effects (p < 0.002, one-way ANOVA with the post hoc Holm-Sidak test). The results in mice indicated that 3.1 kV HELP was considered insufficient for a continuous elevation of intracerebral BDNF, and 5.4 kV HELP was considered as excessive. HELP with an appropriate voltage can be utilized to increase BDNF levels in the brain for a prolonged period. We anticipate further investigations to clarify the effect of the optimal-leveled HELP therapy on memory disturbances, neurological deficits after stroke, depression, diabetes, obesity and metabolic syndrome.
开发一种能提高大脑中脑源性神经营养因子(BDNF)水平的安全方法,有望增强学习和记忆能力,诱导对脑梗死的耐受性或对抑郁状态的耐受性,改善葡萄糖代谢,并抑制食欲和体重。我们已经表明,对身体重复施加高压电势(HELP)可提高大脑中的BDNF水平,改善小鼠的学习和记忆能力。在此,我们研究了长期进行HELP治疗对小鼠大脑中BDNF水平以及对小鼠和人类体重的影响。成年小鼠每天接受3.1或5.4 kV HELP(作用于身体),持续5小时,共24周,并分析大脑中的BDNF水平和体重变化。人类[年龄,53.2±15.5岁;体重指数,27.8±5.6(平均值±标准差,n = 6)]每天接受3.9 kV HELP(作用于身体),持续1小时,在体重监测下持续33个月(2.8年)。在小鼠中,施加HELP至少在短期内提高了大脑中的BDNF水平,并以电压和时间依赖性方式影响体重。在人类中,与预处理的初始值相比,HELP治疗降低了体重,且没有任何不良影响(p < 0.002,采用事后Holm-Sidak检验的单因素方差分析)。小鼠实验结果表明,3.1 kV HELP被认为不足以持续提高脑内BDNF水平,而5.4 kV HELP则被认为过高。适当电压的HELP可用于长期提高大脑中的BDNF水平。我们期待进一步的研究来阐明最佳水平的HELP疗法对记忆障碍、中风后的神经功能缺损、抑郁症、糖尿病、肥胖症和代谢综合征的影响。