Fan Xing-Wen, Liu Huan-Huan, Wang Hong-Bing, Chen Fu, Yang Yu, Chen Yan, Guan Shi-Kuo, Wu Kai-Liang
a Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China, 200032; Departments of.
b Oncology and.
Radiat Res. 2017 Jun;187(6):672-681. doi: 10.1667/RR14561.1. Epub 2017 Apr 4.
Cognitive impairments after brain irradiation seriously affect quality of life for patients, and there is currently no effective treatment. In this study using an irradiated rat model, the role of electroacupuncture was investigated for treatment of radiation-induced brain injury. Animals received 10 Gy exposure to the entire brain, and electroacupuncture was administered 3 days before irradiation as well as up to 2 weeks postirradiation. Behavioral tests were performed one month postirradiation, and rats were then sacrificed for histology or molecular studies. Electroacupuncture markedly improved animal performance in the novel place recognition test. In the emotion test, electroacupuncture reduced defecation during the open-field test, and latency to consumption of food in the novelty suppressed feeding test. Brain irradiation inhibited the generation of immature neurons, but did not cause neural stem cell loss. Electroacupuncture partially restored hippocampal neurogenesis. Electroacupuncture decreased the amount of activated microglia and increased resting microglia in the hippocampus after irradiation. In addition, electroacupuncture promoted mRNA and protein expression of brain-derived neurotrophic factor (BDNF) in the hippocampus. In conclusion, electroacupuncture could improve cognitive function and hippocampal neurogenesis after irradiation, and the protective effect of electroacupuncture was associated with the modulation of microglia and upregulation of BDNF in the hippocampus.
脑部放疗后的认知障碍严重影响患者的生活质量,目前尚无有效的治疗方法。在这项使用辐照大鼠模型的研究中,探讨了电针对放射性脑损伤的治疗作用。动物接受全脑10 Gy的照射,在照射前3天以及照射后长达2周进行电针治疗。在照射后1个月进行行为测试,然后处死大鼠进行组织学或分子研究。电针显著改善了动物在新位置识别测试中的表现。在情绪测试中,电针减少了旷场试验中的排便次数,并缩短了新奇抑制摄食试验中进食的潜伏期。脑部照射抑制了未成熟神经元的生成,但未导致神经干细胞丢失。电针部分恢复了海马神经发生。电针减少了照射后海马中活化小胶质细胞的数量,并增加了静息小胶质细胞的数量。此外,电针促进了海马中脑源性神经营养因子(BDNF)的mRNA和蛋白质表达。总之,电针可以改善照射后的认知功能和海马神经发生,电针的保护作用与海马中小胶质细胞的调节和BDNF的上调有关。