Mizutani Kenmei, Sonoda Shigeru, Wakita Hideaki, Shimpo Kan
From the Division of Biochemistry, Fujita Memorial Nanakuri Institute (KM, SS, KS), and Department of Internal Medicine, Nanakuri Sanatorium (HW), Fujita Health University, Mie, Japan.
Am J Phys Med Rehabil. 2015 Mar;94(3):239-43. doi: 10.1097/PHM.0000000000000227.
Recently, it has become widely known that neuronal reorganization in the perilesional cortex contributes to some improvement of hemiparesis after stroke. Here, the authors examined in vivo the effects of administration of bryostatin-1, an activator of protein kinase C, combined with voluntary exercise on functional recovery and on cortical phosphorylation of α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor subunit GluR1 after infarction.In behavioral evaluation, the mean latency until falling from a rotating rod in the group with exercise and administered agent at 8 days after infarction was significantly longer than that in the other groups. Although there were no significant changes in GluR1 phosphorylation between bryostatin-1 administration alone and the untreated groups, exercise induced an increase in phosphorylated-Ser845-GluR1. Moreover, combining exercise with administration led to increased phosphorylated-Ser831-GluR1.These results suggest that bryostatin-1 facilitated exercise-induced paralysis recovery, which is possibly mediated by synaptic plasticity related to an increase in synaptic transmission efficiency.
最近,人们普遍了解到,病灶周围皮质的神经元重组有助于中风后偏瘫症状的一定改善。在此,作者在梗死发生后,对蛋白激酶C激活剂苔藓抑素-1与自主运动联合给药对功能恢复以及对α-氨基-3-羟基-5-甲基-4-异恶唑丙酸受体亚基GluR1皮质磷酸化的影响进行了体内研究。在行为评估中,梗死8天后,运动并给药组从旋转杆上掉落的平均延迟时间显著长于其他组。虽然单独给予苔藓抑素-1组与未治疗组之间GluR1磷酸化无显著变化,但运动可诱导磷酸化-Ser845-GluR1增加。此外,运动与给药相结合导致磷酸化-Ser831-GluR1增加。这些结果表明,苔藓抑素-1促进了运动诱导的麻痹恢复,这可能是由与突触传递效率增加相关的突触可塑性介导的。