Lin Yangyang, Lu Xiao, Dong Juntao, He Xiaokuo, Yan Tiebin, Liang Huiying, Sui Minghong, Zheng Xiuyuan, Liu Huihua, Zhao Jingpu, Lu Xinxin
Department of Rehabilitation Medicine, The Sixth Affiliated Hospital, Sun Yat-sen University, 26 Erheng Road, Yuan Village, Guangzhou, 510655, Guangdong, China.
Neurochem Res. 2015 Sep;40(9):1839-48. doi: 10.1007/s11064-015-1673-3. Epub 2015 Aug 4.
A rat model of vascular dementia was used to compare the effects of involuntary exercise induced by functional electrical stimulation (FES), forced exercise and voluntary exercise on the recovery of cognitive function recovery and its underlying mechanisms. In an involuntary exercise (I-EX) group, FES was used to induce involuntary gait-like running on ladder at 12 m/min. A forced exercise group (F-EX) and a voluntary exercise group (V-EX) exercised by wheel running. The Barnes maze was used for behavioral assessment. Brain-derived neurotrophic factor (BDNF), phosphorylated extracellular signal-regulated kinase 1 and 2 (ERK1/2) and cAMP response element binding protein (CREB) positive cells in hippocampal CA1, CA2/3 and dentate gyrus (DG) regions were evaluated using immunohistochemical methods. Western blotting was used to assess the levels of BDNF, phosphorylated protein kinase B (Akt), tropomyosin receptor kinase B (TrkB), mitogen-activated protein kinase 1 and 2 (MEK1/2), ERK1/2 and CREB in BDNF-pCREB signaling in the hippocampus and prefrontal cortex. Involuntary, forced and voluntary exercises were all found to reverse the cognitive deficits of vascular dementia with about equal effectiveness. The number of BDNF, pCREB and pERK1/2 immunopositive cells was significantly increased in the hippocampal CA1, CA2/3 and DG regions in all three exercise groups. In addition, involuntary exercise activated BDNF and the phosphorylation of Akt, TrkB, MEK1/2, ERK1/2 and CREB in the hippocampus and prefrontal cortex equally as well as voluntary or forced exercise. These results suggest that involuntary exercise induced by FES may be as beneficial for alleviating cognitive deficits after cerebral ischemia.
采用血管性痴呆大鼠模型,比较功能性电刺激(FES)诱导的非自愿运动、强迫运动和自愿运动对认知功能恢复的影响及其潜在机制。在非自愿运动(I-EX)组中,使用FES以12米/分钟的速度在梯子上诱导非自愿步态样跑步。强迫运动组(F-EX)和自愿运动组(V-EX)通过轮转跑步进行运动。使用巴恩斯迷宫进行行为评估。采用免疫组织化学方法评估海马CA1、CA2/3和齿状回(DG)区域中脑源性神经营养因子(BDNF)、磷酸化细胞外信号调节激酶1和2(ERK1/2)以及cAMP反应元件结合蛋白(CREB)阳性细胞。采用蛋白质免疫印迹法评估海马和前额叶皮质中BDNF-pCREB信号通路中BDNF、磷酸化蛋白激酶B(Akt)、原肌球蛋白受体激酶B(TrkB)、丝裂原活化蛋白激酶1和2(MEK1/2)、ERK1/2和CREB的水平。发现非自愿运动、强迫运动和自愿运动在逆转血管性痴呆认知缺陷方面的效果大致相同。在所有三个运动组的海马CA1、CA2/3和DG区域中,BDNF、pCREB和pERK1/2免疫阳性细胞的数量均显著增加。此外,非自愿运动在激活海马和前额叶皮质中BDNF以及Akt、TrkB、MEK1/2、ERK1/2和CREB的磷酸化方面与自愿运动或强迫运动同样有效。这些结果表明,FES诱导的非自愿运动可能同样有利于减轻脑缺血后的认知缺陷。