Tian Hao-Mei, Yan Hong, Zhang Juan, He Ping, Chen Chu-Tao
Key Lab of Correlation between Meridian Acupoints and Viscera of Hunan Administration of Traditional Chinese Medicine, Hunan University of Traditional Chinese Medicine, Changsha 410208, China.
Ningxiang County Hospital of Traditional Chinese Medicine, Changsha 410600.
Zhen Ci Yan Jiu. 2016 Dec 25;41(6):479-85.
To observe the effect of acupuncture on changes of neurological function and expression of proteins in the ischemic brain region in middle cerebral artery occlusion (MCAO) rats with protein chip technique, so as to reveal the profiles of cerebral proteins related to its effectiveness in improving cerebral ischemia (CI).
SD rats were rando-mized into sham operation (sham), CI model, non-acupoint and acupoint groups (=10 in each group). The CI model was established by MCAO according to modified Longa's method. For rats of the acupoint group, "Dazhui" (CV 14), "Baihui" (GV 20) and "Shuigou" (GV 26) were punctured by twirling the filiform needles for about 1 min, and repeated once again during 30 min of need-le retention, which was conducted once every 12 h, and 6 times altogether. The non-acupoints were about 3 mm away from the above-mentioned acupoints and stimulated with the same method and same procedures. The neurological deficit score was scaled according to Longa's method. The differentially-expressed proteins (≥ 1.5 folds in up- and down-regulation) in the ischemic region of the brain were detected by using Springbio 720 antibody chip technology.
Compared with the sham group, the neurological deficit score was significantly higher in the model group (<0.01), while compared with the model group, the neurological deficit scores were considerably in both acupoint and non-acupoint groups (<0.05, <0.01). The therapeutic effect of acupoint group was evidently superior to that of the non-acupoint group in improving neurological function (<0.05). Compared with the sham group, the differentially-expressed proteins in the ischemic brain including 33 up-regulated and 12 down-regulated were found in the model group, mainly functioning in cell apoptosis, cell cycle regulation, cell differentiation and proliferation, cell cytoskeleton and connection, cell signal transduction, DNA repair and transcription factors. Compared with the model group, the differentially-expressed proteins including 12 up-regulated and 31 down-regulated in the acupoint group, and 15 up-regu-lated and 17 down-regulated in the non-acupoint group were detected, functioning being the same as those mentioned above in the model group.
Manual acupuncture stimulation of GV 14, GV 20 and GV 26 can improve neurological function in CI rats, which may be associated with its function in regulating the expression of many proteins in the ischemic region of the brain.
采用蛋白质芯片技术观察针刺对大脑中动脉闭塞(MCAO)大鼠神经功能变化及缺血脑区蛋白质表达的影响,以揭示与针刺改善脑缺血(CI)疗效相关的脑蛋白质谱。
将SD大鼠随机分为假手术组(sham)、CI模型组、非穴位组和穴位组(每组各10只)。参照改良的Longa法通过MCAO制备CI模型。穴位组大鼠针刺“大椎”(CV 14)、“百会”(GV 20)和“水沟”(GV 26),提插捻转毫针约1分钟,留针30分钟期间重复1次,每12小时进行1次,共6次。非穴位组在距上述穴位约3mm处,采用相同方法和步骤进行刺激。参照Longa法进行神经功能缺损评分。采用Springbio 720抗体芯片技术检测脑缺血区差异表达蛋白(上调和下调≥1.5倍)。
与假手术组比较,模型组神经功能缺损评分显著升高(<0.01);与模型组比较,穴位组和非穴位组神经功能缺损评分均显著降低(<0.05,<0.01)。穴位组在改善神经功能方面的治疗效果明显优于非穴位组(<0.05)。与假手术组比较,模型组脑缺血区有33个上调和12个下调的差异表达蛋白,主要涉及细胞凋亡、细胞周期调控、细胞分化与增殖、细胞骨架与连接、细胞信号转导、DNA修复及转录因子等功能。与模型组比较,穴位组检测到12个上调和31个下调的差异表达蛋白,非穴位组检测到15个上调和17个下调的差异表达蛋白,其功能与模型组上述功能相同。
手动针刺GV 14、GV 20和GV 26可改善CI大鼠的神经功能,这可能与其调节脑缺血区多种蛋白质表达的作用有关。