Li Man, Peng Jun, Wang Meng-Die, Song Yan-Ling, Mei Yuan-Wu, Fang Yuan
Department of Neurology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Mol Neurobiol. 2014 Feb;49(1):216-21. doi: 10.1007/s12035-013-8512-9. Epub 2013 Aug 8.
Passive movement has been found to improve evidently ischemic stroke patients' impaired capacity of learning and memory, but the optimal time window of initiating the therapy and the underlying mechanism are not fully understood. In this study, the effect of passive movement at different time windows on learning and memory of rats with cerebral infarction was detected. The results showed that the expression of caspase-3 and escape latency in the passive movement group were all considerably lower than those in the model group (P < 0.05), while the expression of Bcl-2 mRNA was significantly higher than those in the model group (P < 0.05). Moreover, we found that there were most significant changes of escape latency and expressions of Bcl-2 mRNA and caspase-3 when the therapy started at 24 h after focal cerebral infarction. These results suggest that passive movement is able to contribute to the recovery of learning and memory of rats with cerebral infarction, which is partially mediated by inhibiting neuron cell apoptosis, and the optimal therapeutic time is at 24 h after cerebral infarction.
已发现被动运动能显著改善缺血性中风患者受损的学习和记忆能力,但启动该治疗的最佳时间窗及潜在机制尚未完全明确。在本研究中,检测了不同时间窗的被动运动对脑梗死大鼠学习和记忆的影响。结果显示,被动运动组中caspase-3的表达及逃避潜伏期均显著低于模型组(P < 0.05),而Bcl-2 mRNA的表达显著高于模型组(P < 0.05)。此外,我们发现局灶性脑梗死24小时后开始治疗时,逃避潜伏期以及Bcl-2 mRNA和caspase-3的表达变化最为显著。这些结果表明,被动运动有助于脑梗死大鼠学习和记忆的恢复,这部分是通过抑制神经元细胞凋亡介导的,最佳治疗时间为脑梗死24小时后。