Chen Rixin, Lyu Zhimai, Xie Dingyi, Huang Dandan, Chen Yanjun, Wu Chunmei
Affiliated Hospital of Jiangxi University of TCM, Nanchang 330006, Jiangxi Province, China.
First Affiliated Hospital of Gannan Medical University, Ganzhou 341000, Jiangxi Province, China.
Evid Based Complement Alternat Med. 2019 Jul 25;2019:9465181. doi: 10.1155/2019/9465181. eCollection 2019.
Heat-sensitization responses occurred in certain patients while exposed to suspended moxibustion. The response often indicated that the efficacy of moxibustion to those with it tended to triumph over those without. However, its mechanism remains to be explained. Our previous fMRI and EEG studies confirmed the changes of activities in cerebral certain regions accompanied with heat-sensitization responses, especially in prefrontal cortex. Therefore, we hypothesize that neurological system is involved in moxibustion-induced heat-sensitization responses. In the present study, phosphorylation of Cofilin representing long-term potentiation in synapse of prelimbic cortex of medial prefrontal cortex in stroke rats over suspended moxibustion was assessed, and the size of phosphorylated Cofilin positive spine in synapse was also measured. The result showed that heat-sensitization responses were observed to augment cerebral ischemic stroke-induced phosphorylation of Cofilin in prelimbic cortex of rats and increase the numbers of large synapses. This indicated that long-term potentiation of prelimbic cortex was attributed to heat-sensitization responses that were certain neurological responses of medial prefrontal cortex to suspended moxibustion.
部分患者在接受悬灸时会出现热敏化反应。这种反应通常表明,有此反应的患者接受艾灸的疗效往往优于无此反应者。然而,其机制仍有待阐释。我们之前的功能磁共振成像(fMRI)和脑电图(EEG)研究证实,伴随着热敏化反应,大脑特定区域的活动会发生变化,尤其是前额叶皮质。因此,我们推测神经系统参与了艾灸诱导的热敏化反应。在本研究中,评估了脑卒中大鼠悬灸后内侧前额叶皮质前边缘皮质突触中代表长时程增强的丝切蛋白磷酸化情况,并测量了突触中磷酸化丝切蛋白阳性棘突的大小。结果显示,观察到热敏化反应可增强大鼠前边缘皮质中脑缺血性脑卒中诱导的丝切蛋白磷酸化,并增加大突触的数量。这表明前边缘皮质的长时程增强归因于热敏化反应,而热敏化反应是内侧前额叶皮质对悬灸的特定神经反应。