Li Weidong, Zhu Yan, Saud Shakir M, Guo Qiujun, Xi Shengyan, Jia Baohui, Jiao Shuang, Yang Xiuyan, Lu Jun, Song Sihong, Tu Ya
Department of Scientific Research Management, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China.
Xi'an XD Group Hospital, Xi'an 710077, China.
Neurosci Lett. 2017 Mar 6;642:43-50. doi: 10.1016/j.neulet.2017.01.060. Epub 2017 Jan 29.
Electroacupuncture (EA) has been shown to alleviate the symptoms associated with major depressive disorder; however, the underlying mechanisms remain unclear. While the mainstay treatment for depression are pharmacological agents that modulate serotonergic and/or noradrenergic activity of the brain, recent data suggest that, neurotrophins may play a larger role in the pathogenesis of depression and may offer better therapeutic potential in alleviating symptoms associated with depression. One downstream target of neurotrophins is the extracellular signal-regulated kinase (ERK)/Mitogen-activated protein kinase (MAPK) cascade, a major mediator of cellular stress often associated with clinical depression. In this study, we assessed whether the efficacy of EA is due to regulation of these novel pathways using an animal model of depression induced by chronic unpredictable mild stress (CUMS). We found that EA stimulation at specific locations, Baihui (GV20), and Yintang (GV29) ameliorated the behavioral responses of CUMS, which included reduced locomotion, decreased sucrose intake and weight loss. Furthermore, EA increased the activation of ERK and ribosomal s6 kinase (RSK) levels under stress. Both the behavioral and biochemical responses to EA were attenuated with administration of ERK inhibitor, suggesting that EA improves depression-like symptoms in stressed rats, in part, by activation of ERK signaling.
电针已被证明可缓解与重度抑郁症相关的症状;然而,其潜在机制仍不清楚。虽然抑郁症的主要治疗方法是调节大脑血清素能和/或去甲肾上腺素能活性的药物,但最近的数据表明,神经营养因子可能在抑郁症的发病机制中发挥更大作用,并可能在缓解与抑郁症相关的症状方面具有更好的治疗潜力。神经营养因子的一个下游靶点是细胞外信号调节激酶(ERK)/丝裂原活化蛋白激酶(MAPK)级联反应,这是一种常与临床抑郁症相关的细胞应激主要介质。在本研究中,我们使用慢性不可预测轻度应激(CUMS)诱导的抑郁症动物模型,评估电针的疗效是否归因于对这些新通路的调节。我们发现,在特定穴位百会(GV20)和印堂(GV29)进行电针刺激可改善CUMS的行为反应,包括运动减少、蔗糖摄入量降低和体重减轻。此外,电针可增加应激状态下ERK和核糖体s6激酶(RSK)水平的激活。给予ERK抑制剂后,电针的行为和生化反应均减弱,这表明电针部分通过激活ERK信号通路改善应激大鼠的抑郁样症状。