Jing Qin, Ren Lu, Deng Xue, Zhang Nan, Fu Martin, Wang Ge, Jiang Xi-Rong, Lin Shu-Ru, Ming Cai-Rong
The State Key Laboratory of Chinese Educational Commission for Viscera Theory and Application of Traditional Chinese Medicine, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China.
The State Key Laboratory of Chinese Educational Commission for Viscera Theory and Application of Traditional Chinese Medicine, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China.
J Acupunct Meridian Stud. 2020 Jun;13(3):94-103. doi: 10.1016/j.jams.2020.03.065. Epub 2020 Apr 8.
Perimenopausal depression is caused by the impaired function of the ovarium before menopause and with a series of symptoms. Electroacupuncture (EA) therapy has been demonstrated to improve clinically depression. However, the mechanism underlying its therapeutic activity remains unknown. This study aimed to investigat the effects of EA treatment on the hippocampal neural proliferation through Wnt signaling pathway.
Chronic unpredictable mild stress (CUMS) combined with bilateral ovariectomy (OVX) were used to establish a rat model of perimenopausal depression. The open field test (OFT) and sucrose preference test (SPT) were used to assess depression-like behaviors in rats. ELISAs were used to measure estrogen (E2), luteinizing hormone (LH) and gonadotropin-releasing hormone (GnRH) levels in the serum. RT-PCR and Western blot assay were utilized for measuring the mRNA expressions and protein expressions of GSK-3β/β-catenin.
Four-week EA treatment at three points including "Shenshu" (BL23), "Baihui" (GV20) and "Sanyinjiao" (SP6) simultaneously ameliorated depression-like behaviors in rats with CUMS and OVX, whereas rescued the decreased serum level of E2 and prevented the increased serum levels of GnRH and LH. EA treatment ameliorated CUMS and OVX-induced alterations of glycogen synthase kinase-3β (GSK-3β) and β-catenin mRNA levels, β-catenin and phosphorylated β-catenin (p-β-catenin) protein levels.
The results showed that EA treatment promoted hippocampal neural proliferation in perimenopausal depression rats via activating the Wnt/β-catenin signaling pathway, indicating that EA may represent an efficacious therapy for perimenopausal depression.
围绝经期抑郁症是由绝经前卵巢功能受损引起的,并伴有一系列症状。电针(EA)疗法已被证明可在临床上改善抑郁症。然而,其治疗作用的潜在机制仍不清楚。本研究旨在探讨EA治疗通过Wnt信号通路对海马神经增殖的影响。
采用慢性不可预测轻度应激(CUMS)联合双侧卵巢切除术(OVX)建立围绝经期抑郁症大鼠模型。采用旷场试验(OFT)和蔗糖偏好试验(SPT)评估大鼠的抑郁样行为。采用酶联免疫吸附测定法(ELISA)检测血清中雌激素(E2)、黄体生成素(LH)和促性腺激素释放激素(GnRH)水平。采用逆转录-聚合酶链反应(RT-PCR)和蛋白质免疫印迹法(Western blot)检测糖原合酶激酶-3β(GSK-3β)/β-连环蛋白的mRNA表达和蛋白质表达。
在“肾俞”(BL23)、“百会”(GV20)和“三阴交”(SP6)三个穴位同时进行为期四周的EA治疗,可同时改善CUMS和OVX大鼠的抑郁样行为,恢复血清E2水平的降低,并防止血清GnRH和LH水平的升高。EA治疗改善了CUMS和OVX诱导的糖原合酶激酶-3β(GSK-3β)和β-连环蛋白mRNA水平、β-连环蛋白和磷酸化β-连环蛋白(p-β-连环蛋白)蛋白水平的改变。
结果表明,EA治疗通过激活Wnt/β-连环蛋白信号通路促进围绝经期抑郁症大鼠海马神经增殖,表明EA可能是治疗围绝经期抑郁症的有效疗法。