Liu Pei-Rong, Cao Feng, Zhang Yu, Peng Sheng
1 Department of Anaesthesiology, Seventh People's Hospital of Shanghai University of TCM, Shanghai, China.
2 Department of Neurology and Neurological Rehabilitation, Seventh People's Hospital of Shanghai University of TCM, Shanghai, China.
J Int Med Res. 2019 Aug;47(8):3860-3873. doi: 10.1177/0300060519860026. Epub 2019 Jul 16.
To investigate the effects of electroacupuncture in regulating astrocytes and oxidative stress in a rat model of postoperative cognitive dysfunction (POCD).
Male aged Sprague-Dawley rats were randomized to undergo left hepatic lobe resection to induce POCD, followed by either electroacupuncture or no treatment; or similar surgery without left lobe resection or electroacupuncture (sham). Postsurgical cognitive function, hippocampal astrocyte number and oxidative stress indicators were measured.
At days 1, 3 and 7 following surgery, escape latency was significantly shorter and platform crossing frequency was increased with electroacupuncture versus other groups. At postoperative day 1, the electroacupuncture group showed significantly fewer glial fibrillary acidic protein (GFAP)-positive hippocampal astrocytes versus the POCD model group. In POCD rats, electroacupuncture significantly decreased serum S100 calcium binding protein B and neuron-specific enolase levels, and increased brain-derived neurotrophic factor and glial cell-derived neurotrophic factor levels, at days 1, 3 and 7. Electroacupuncture significantly attenuated the hippocampal POCD-induced increase in malondialdehyde and decreased superoxide dismutase levels at day 1 following surgery.
Electroacupuncture may improve cognitive function in rats with POCD by reducing hippocampal GFAP-positive astrocyte number and suppressing oxidative stress.
探讨电针在术后认知功能障碍(POCD)大鼠模型中对星形胶质细胞和氧化应激的调节作用。
将雄性成年Sprague-Dawley大鼠随机分为两组,一组接受左肝叶切除以诱导POCD,随后进行电针治疗或不治疗;另一组进行类似手术但不切除左叶且不进行电针治疗(假手术组)。测量术后认知功能、海马星形胶质细胞数量和氧化应激指标。
术后第1、3和7天,与其他组相比,电针组的逃避潜伏期明显缩短,平台穿越频率增加。术后第1天,电针组海马中胶质纤维酸性蛋白(GFAP)阳性星形胶质细胞数量明显少于POCD模型组。在POCD大鼠中,电针在术后第1、3和7天显著降低血清S100钙结合蛋白B和神经元特异性烯醇化酶水平,并提高脑源性神经营养因子和胶质细胞源性神经营养因子水平。术后第1天,电针显著减轻POCD诱导的海马丙二醛增加,并降低超氧化物歧化酶水平。
电针可能通过减少海马GFAP阳性星形胶质细胞数量和抑制氧化应激来改善POCD大鼠的认知功能。