Liu Xiao-Ying, Dai Xiao-Hong, Zou Wei, Yu Xue-Ping, Teng Wei, Wang Ying, Yu Wei-Wei, Ma Hui-Hui, Chen Qiu-Xin, Liu Peng, Guan Rui-Qiao, Dong Shan-Shan
Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang Province, China.
The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang Province, China.
Neural Regen Res. 2018 Aug;13(8):1425-1432. doi: 10.4103/1673-5374.235298.
Inflammation plays an important role in nerve defects caused by intracerebral hemorrhage. Repairing brain damage by inhibiting the macrophage-inducible C-type lectin/spleen tyrosine kinase (Mincle/Syk) signaling pathway is a potential new target for treating cerebral hemorrhage. In this study, we aimed to determine whether acupuncture through Baihui (DU20) to Qubin (GB7) is an effective treatment for intracerebral hemorrhage through the Mincle/Syk signaling pathway. An intracerebral hemorrhage rat model was established by autologous blood infusion into the caudate nucleus. Acupuncture through Baihui to Qubin was performed for 30 minutes, once every 12 hours, for a total of three times. Piceatannol (34.62 mg/kg), a Syk inhibitor, was intraperitoneally injected as a control. Modified neurological severity score was used to assess neurological function. Brain water content was measured. Immunohistochemistry and western blot assay were used to detect immunoreactivity and protein expression levels of Mincle, Syk, and CARD9. Real-time polymerase chain reaction was used to determine interleukin-1β mRNA levels. Hematoxylin-eosin staining was performed to observe histopathological changes. Our results showed that acupuncture through Baihui to Qubin remarkably improved neurological function and brain water content, and inhibited immunoreactivity and expression of Mincle, Syk, CARD9, and interkeukin-1β. Moreover, this effect was similar to piceatannol. These findings suggest that acupuncture through Baihui to Qubin can improve neurological impairment after cerebral hemorrhage by inhibiting the Mincle/Syk signaling pathway.
炎症在脑出血所致神经缺损中起重要作用。通过抑制巨噬细胞诱导性C型凝集素/脾酪氨酸激酶(Mincle/Syk)信号通路修复脑损伤是治疗脑出血的一个潜在新靶点。在本研究中,我们旨在确定针刺百会(督脉20)至曲鬓(胆经7)是否通过Mincle/Syk信号通路对脑出血有有效治疗作用。通过向尾状核自体注入血液建立脑出血大鼠模型。针刺百会至曲鬓30分钟,每12小时1次,共3次。腹腔注射Syk抑制剂白皮杉醇(34.62 mg/kg)作为对照。采用改良神经功能缺损评分评估神经功能。测量脑含水量。采用免疫组织化学和蛋白质印迹法检测Mincle、Syk和CARD9的免疫反应性和蛋白表达水平。采用实时聚合酶链反应测定白细胞介素-1β mRNA水平。进行苏木精-伊红染色观察组织病理学变化。我们的结果表明,针刺百会至曲鬓可显著改善神经功能和脑含水量,并抑制Mincle、Syk、CARD9和白细胞介素-1β的免疫反应性及表达。此外,这种作用与白皮杉醇相似。这些发现提示,针刺百会至曲鬓可通过抑制Mincle/Syk信号通路改善脑出血后的神经功能缺损。