Cichon Natalia, Synowiec Ewelina, Miller Elzbieta, Sliwinski Tomasz, Ceremuga Michal, Saluk-Bijak Joanna, Bijak Michal
Biohazard Prevention Centre, Faculty of Biology and Environmental Protection, University of Lodz, Pomorska 141/143, 90-236 Lodz, Poland.
Department of Molecular Genetics, Laboratory of Medical Genetics, Faculty of Biology and Environmental Protection, University of Lodz, Lodz, Pomorska 141/143, Poland.
Brain Sci. 2020 Apr 30;10(5):266. doi: 10.3390/brainsci10050266.
Apoptosis in acute stroke is associated with a negative prognosis and is correlated with the severity of the neurological deficit. However, there is no evidence that indicates that, in the subacute phase of the stroke, the apoptosis process might activate neuroplasticity. Therefore, in this study, we investigated the effect of an extremely low frequency electromagnetic field (ELF-EMF) on the molecular mechanism of apoptosis, as used in the rehabilitation of post-stroke patients. Patients with moderate stroke severity ( = 48), 3-4 weeks after incident, were enrolled in the analysis and divided into ELF-EMF and non-ELF-EMF group. The rehabilitation program in both groups involves the following: kinesiotherapy-30 min; psychological therapy-15 min; and neurophysiological routines-60 min. Additionally, the ELF-EMF group was exposed to an ELF-EMF (40 Hz, 5 mT). In order to assess the apoptosis gene expression level, we measured the mRNA expression of , -, , , and . We found that ELF-EMF significantly increased the expression of , , , and , whereas the mRNA expression after ELF-EMF exposition remained at a comparable level in both groups. Thus, we suggest that increasing the expression of pro-apoptotic genes in post-stroke patients promotes the activation of signaling pathways involved in brain plasticity processes. However, further research is needed to clarify this process.
急性脑卒中中的细胞凋亡与不良预后相关,且与神经功能缺损的严重程度相关。然而,没有证据表明在脑卒中的亚急性期,细胞凋亡过程可能激活神经可塑性。因此,在本研究中,我们调查了极低频电磁场(ELF-EMF)对细胞凋亡分子机制的影响,该电磁场用于中风后患者的康复治疗。入选分析的是中度脑卒中严重程度(n = 48)、发病后3 - 4周的患者,并将其分为ELF-EMF组和非ELF-EMF组。两组的康复方案包括:运动疗法——30分钟;心理治疗——15分钟;以及神经生理常规训练——60分钟。此外,ELF-EMF组暴露于ELF-EMF(40Hz,5mT)。为了评估细胞凋亡基因表达水平,我们测量了 Bax、Bcl-2、Caspase-3、Caspase-9 和 p53 的 mRNA 表达。我们发现ELF-EMF显著增加了 Bax、Caspase-3、Caspase-9 和 p53 的表达,而ELF-EMF暴露后两组的Bcl-2 mRNA表达水平相当。因此,我们认为增加中风后患者促凋亡基因的表达可促进参与脑可塑性过程的信号通路的激活。然而,需要进一步的研究来阐明这一过程。
Transl Stroke Res. 2025-4
Electromagn Biol Med. 2021-7-3
Bioengineering (Basel). 2025-4-30
Transl Stroke Res. 2025-4
Med Devices (Auckl). 2019-9-12
Front Neurosci. 2019-1-31
Cell Death Differ. 2018-1-23