Department of Rehabilitation Medicine, The First People's Hospital of Chenzhou, Chenzhou, Hunan, China (mainland).
Department of Traditional Chinese Medicine, Hubei Jianghan Oilfield General Hospital, Jianghan, Hubei, China (mainland).
Med Sci Monit. 2019 Jun 1;25:4082-4093. doi: 10.12659/MSM.913858.
BACKGROUND Alzheimer's disease (AD) is an age-associated neurodegenerative disorder. This study aimed to investigate effects of acupuncture administration on cognitive function and associated mechanisms. MATERIAL AND METHODS Senescence-accelerated prone 8 (SAM-P8) mice were randomly divided into 3 groups: the SAM-P8 group (P8-CN), the SAM-P8 administrating with acupuncture (P8-Acup) group, and the SAM-P8 administrating without acupuncture (P8-Sham) group. Morris water maze test was conducted to evaluate cognitive functions (memory and learning ability). PDK1, nPKC, and Rac1 inhibitors were used to treat SAM-P8 mice. Transmission electron microscope analysis was used to examine nuclear damage hippocampal tissues. Hematoxylin and eosin (H&E) staining was employed to evaluate inflammation. Western blot was used to detect PI3K, PDK1, nPKC, and Rac 1 expression in hippocampal tissues. RESULTS Acupuncture administration significantly reduced PI3K, PDK1, nPKC, and Rac 1 levels compared to P8-CN group (P<0.05). Both acupuncture and enzyme inhibitors (NSC23766, Rottlerin, OSU03012) significantly improved cognitive functions, reduced inflammation, and alleviated nuclear damages of SAM-P8 mice compared to P8-CN group (P<0.05). Acupuncture significantly enhanced effects of inhibitors on inflammation and nuclear damages compared to inhibitor treatment single (P<0.05). Acupuncture significantly enhanced down-regulative effects of OSU03012 on PI3K and PDK1 levels, increased down-regulative effects of Rottlerin on nPKC and Rac 1 levels and enhanced effects of Rottlerin on Rac 1 compared to P8-CN group (P<0.05). CONCLUSIONS Acupuncture administration improved cognitive functions and alleviated inflammatory response and nuclear damage of SAM-P8 mice, by downregulating PI3K/PDK1/nPKC/Rac 1 signaling pathway. This study could provide potential insight for treating cognitive dysfunction and aging of AD patients.
阿尔茨海默病(AD)是一种与年龄相关的神经退行性疾病。本研究旨在探讨针刺对认知功能的影响及其相关机制。
快速老化品系 8(SAM-P8)小鼠随机分为 3 组:SAM-P8 组(P8-CN)、SAM-P8 针刺组(P8-Acup)和 SAM-P8 假针刺组(P8-Sham)。采用 Morris 水迷宫试验评估认知功能(记忆和学习能力)。PDK1、nPKC 和 Rac1 抑制剂用于治疗 SAM-P8 小鼠。透射电镜分析观察海马组织核损伤。苏木精-伊红(H&E)染色评估炎症。Western blot 检测海马组织中 PI3K、PDK1、nPKC 和 Rac1 的表达。
与 P8-CN 组相比,针刺组可显著降低 PI3K、PDK1、nPKC 和 Rac1 水平(P<0.05)。与 P8-CN 组相比,针刺和酶抑制剂(NSC23766、Rottlerin、OSU03012)均显著改善 SAM-P8 小鼠的认知功能,减轻炎症反应,缓解核损伤(P<0.05)。与抑制剂单一治疗相比,针刺可显著增强抑制剂对炎症和核损伤的作用(P<0.05)。与 P8-CN 组相比,针刺可显著增强 OSU03012 对 PI3K 和 PDK1 水平的下调作用,增加 Rottlerin 对 nPKC 和 Rac1 水平的下调作用,并增强 Rottlerin 对 Rac1 的作用(P<0.05)。
针刺可改善 SAM-P8 小鼠的认知功能,减轻炎症反应和核损伤,通过下调 PI3K/PDK1/nPKC/Rac1 信号通路。本研究可为 AD 患者认知功能障碍和衰老的治疗提供潜在的思路。