Zhu Cai-Feng, Zhang Li-da, Song Xiao-Ge, Yang Jun, Pan Hong-Ping, He Cheng-Gong, Yang Kun, Qin Xiao-Feng, Zhu Wan-Li
Department of Geriatrics, the Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230061, China.
School of Graduates, Anhui University of Chinese Medicine, Hefei 230038.
Zhen Ci Yan Jiu. 2019 Apr 25;44(4):235-41. doi: 10.13702/j.1000-0607.180305.
To observe the effect of moxibustion of acupoints of the Governor Vessel on the levels of cellular autophagy, β amyloid protein (Aβ) immunoactivity, and expression of LC3-Ⅰ, LC3-Ⅱ, p62 and p-P70S6K proteins in the hippocampal tissue of APPswe/PS1de9 (APP/PS1) double-transgenic Alzheimer's disease (AD) mice, so as to reveal its underlying mechanisms in improving AD.
APP/PS1 double-transgenic AD mice were randomly divided into AD model, moxibustion, autophagy-inducer (Rapamycin) and autophagy-inhibitor (3-MA)+moxibustion groups (=10 in each group), and other 10 C57BL/6J male mice (the same age) were used as the normal control group. Herbal-cake (made of Chuanwu []) partitioned moxibustion was applied to "Baihui"(GV20), moxibustion was applied to "Fengfu"(GV16) and "Dazhui"(GV14), all for 20 min, once daily for 2 weeks, with one day's off between two weeks. For mice of the autophagy-inducer and 3-MA+moxibustion groups, Rapamycin (2 mg•kg•d) and 3-MA (1.5 mg•kg•d) were separately administered by intraperitoneal injection for 2 weeks. The cognitive ability was examined by Morris water maze tests, and the ultrastructural changes (including autophagic lysosomes, etc.) of hippocampal neurons were observed by using transmission electron microscopy. The immunoactivity of cerebral cortex and hippocampal Amyloid β peptide 1-42 (Aβ) was detected by immunohistochemistry, and the expression levels of hippocampal LC3-Ⅰ, LC3-Ⅱ, p62 and p-P70S6K proteins were detected by Western blot.
After modeling, the escape latency of Morris water maze tasks was prolonged in the model group than in the normal control group (<0.05) and obviously shortened in the moxibustion and autophagy-inducer groups (not the autophagy-inhibitor group) than in the model group (<0.05). Results of transmission electron microscope showed deformed, irregular or atrophic neurons with rough and incomplete and fuzzy nuclear membrane, and decreased intracellular autophagosomes in the hippocampus in the model group, and partial irregular, atrophic neurons with more autophagic vesicles and lysosomes in the moxibustion group. The expression levels of Aβ in both cerebral cortex and hippocampus tissues, and LC3-Ⅰ, p62 and p-P70S6K proteins in the hippocampus were consi-derably up-regulated in the model group relevant to the normal control group (<0.01), and evidently down-regulated in both moxibustion and autophagy-inducer groups (not the autophagy-inhibitor group) than in the model group (<0.01), while that of hippocampal LC3-Ⅱ protein and LC3-Ⅱ/Ⅰ ratio levels were obviously down-regulated in the model group relevant to the normal control group (<0.01), and significantly up-regulated in both moxibustion and autophagy-inducer groups (not the autophagy-inhibitor group) than in the model group (<0.01)..
Moxibustion can improve the cognitive ability of APP/PS1 double-transgenic AD mice, which is associated with its effects in promoting hip-pocampal and cerebral cortex autophagy level, and down-regulating the expression levels of Aβ LC3-Ⅰ, p62 and p-P70S6K proteins in the hippocampus.
观察督脉穴位艾灸对APPswe/PS1de9(APP/PS1)双转基因阿尔茨海默病(AD)小鼠海马组织细胞自噬水平、β淀粉样蛋白(Aβ)免疫活性及LC3-Ⅰ、LC3-Ⅱ、p62和p-P70S6K蛋白表达的影响,以揭示其改善AD的潜在机制。
将APP/PS1双转基因AD小鼠随机分为AD模型组、艾灸组、自噬诱导剂(雷帕霉素)组和自噬抑制剂(3-甲基腺嘌呤)+艾灸组(每组n=10),另取10只同龄C57BL/6J雄性小鼠作为正常对照组。采用隔药饼(由川乌制成)灸“百会”(GV20),艾灸“风府”(GV16)和“大椎”(GV14),均灸20 min,每日1次,共2周,中间间隔1天。自噬诱导剂组和3-甲基腺嘌呤+艾灸组小鼠分别腹腔注射雷帕霉素(2 mg•kg•d)和3-甲基腺嘌呤(1.5 mg•kg•d),共2周。采用Morris水迷宫试验检测认知能力,透射电子显微镜观察海马神经元超微结构变化(包括自噬溶酶体等)。免疫组织化学法检测大脑皮质和海马淀粉样β肽1-42(Aβ)的免疫活性,蛋白质免疫印迹法检测海马LC3-Ⅰ、LC3-Ⅱ、p62和p-P70S6K蛋白表达水平。
造模后,模型组Morris水迷宫任务逃避潜伏期较正常对照组延长(P<0.05),艾灸组和自噬诱导剂组(非自噬抑制剂组)较模型组明显缩短(P<0.05)。透射电子显微镜结果显示,模型组海马神经元变形、不规则或萎缩,核膜粗糙、不完整且模糊,细胞内自噬体减少;艾灸组部分神经元不规则、萎缩,自噬泡和溶酶体增多。与正常对照组相比,模型组大脑皮质和海马组织中Aβ以及海马中LC3-Ⅰ、p62和p-P70S6K蛋白表达水平显著上调(P<0.01),艾灸组和自噬诱导剂组(非自噬抑制剂组)较模型组明显下调(P<0.01);与正常对照组相比,模型组海马LC3-Ⅱ蛋白及LC3-Ⅱ/Ⅰ比值水平明显下调(P<0.01),艾灸组和自噬诱导剂组(非自噬抑制剂组)较模型组显著上调(P<0.01)。
艾灸可提高APP/PS1双转基因AD小鼠的认知能力,其机制可能与促进海马和大脑皮质自噬水平、下调海马中Aβ、LC3-Ⅰ、p62和p-P70S6K蛋白表达有关。