Wang Lin-Mei, Zhao Tian-Tian, Zhou Han-Pu, Zhou Zi-Yi, Huang Shuo, Ling Yin-Lu, Shao Shui-Jin
School of Basic Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
Zhen Ci Yan Jiu. 2020 Jun 25;45(6):431-7. doi: 10.13702/j.1000-0607.190923.
To investigate the effect of electroacupuncture (EA) at "Baihui "(GV20) and "Shenshu "(BL23) on activation of glial cells, expression of inflammatory factor proteins and aquaporin 4 (AQP4)in the hippocampus of amyloid precursor protein/presenilin-1 (APP/PS1) transgenic mice, so as to explore its mechanisms underlying improvement of Alzheimer's disease(AD).
Twenty C57/BL6 background male APP695/PS1-dE9(APP/PS1) double transgenic mice (model group) and 20 wild type (WT) C57/BL6 mice (blank group) were respectively randomized into control and EA groups. EA (2 Hz/15 Hz, 1-2 mA) was applied to GV20 and bilateral BL23 for 30 min, once daily, 6 days a week for 4 weeks. The recognition memory ability was detected by novel object recognition tests in a behavior test box. The percentage of time spent in close interaction with novel object (C) relative to the total time was used to generate preference index. The contents of hippocampal β amyloid protein (Aβ) and Aβ were assayed using ELISA, and the expression levels of glial fibrillary acidic protein (GFAP), ionic calcium binding receptor molecule-1 (Iba-1), interleukin-1β (IL-1β), interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) proteins in the hippocampus measured by Western blot. The activities of hippocampal astrocytes (GFAP-labelled cells), microglia (Iba-1-labelled cells) and the polarity expression of AQP4 (for removing Aβ) were measured by immunohistochemistry.
The preference index was significantly decreased in the model group relatively to the blank control group (<0.05) and considerably increased in the model+EA group relatively to the model group (<0.05), suggesting an improvement of the recognition memory after EA. The contents of Aβ and Aβ immunoactivity of GFAP and Iba-1, expression levels of GFAP, Iba-1, IL-1β, IL-6 and TNF-α proteins were significantly higher in the model group than in the blank control group (<0.01,<0.05), while the AQP4 immunoactivity was notably lower in the model group than in the blank control group (<0.05). Compared with the model group, the levels of Aβ and Aβ GFAP, Iba-1, IL-1β, IL-6 and TNF-α proteins, and the percentage of Aβ plaque area were significantly decreased in the model+EA group (<0.01,<0.05), and the immunoactivity of AQP4 was significantly increased in the mo-del+EA group (<0.05). No significant changes were found in the above-mentioned indexes in the blank+EA group relevant to the blank control group (>0.05)..
EA at GV20 and BL23 can reduce inflammatory reaction and Aβ level, suppress activation of astrocytes and microglia, and up-regulate expression of AQP4 in the hippocampus tissue in APP/PS1 transgenic mice, which may contribute to its effect in improving recognition memory ability, suggesting a role of EA intervention in delaying the development of AD via promoting the drainage of Aβ by the glymphatic system in the brain.
观察针刺“百会”(GV20)、“肾俞”(BL23)对淀粉样前体蛋白/早老素-1(APP/PS1)转基因小鼠海马胶质细胞激活、炎性因子蛋白表达及水通道蛋白4(AQP4)的影响,探讨针刺改善阿尔茨海默病(AD)的作用机制。
将20只C57/BL6背景雄性APP695/PS1-dE9(APP/PS1)双转基因小鼠(模型组)和20只野生型(WT)C57/BL6小鼠(空白组),分别随机分为对照组和电针组。采用疏密波(2 Hz/15 Hz,1~2 mA)针刺GV20及双侧BL23,留针30 min,每日1次,每周6次,共4周。采用行为学实验箱进行新物体识别实验检测小鼠的认知记忆能力,以小鼠探索新物体(C)时间占总探索时间的百分比作为偏好指数。采用ELISA法检测海马β淀粉样蛋白(Aβ)含量;采用蛋白质免疫印迹法检测海马胶质纤维酸性蛋白(GFAP)、离子钙结合衔接分子-1(Iba-1)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)及肿瘤坏死因子-α(TNF-α)蛋白表达水平;采用免疫组织化学法检测海马星形胶质细胞(GFAP标记细胞)、小胶质细胞(Iba-1标记细胞)活性及AQP4极性表达(用于清除Aβ)。
与空白对照组比较,模型组偏好指数明显降低(P<0.05);与模型组比较,模型+电针组偏好指数明显升高(P<0.05),提示电针可改善APP/PS1转基因小鼠的认知记忆能力。与空白对照组比较,模型组海马Aβ含量、GFAP及Iba-1免疫活性、GFAP、Iba-1、IL-1β、IL-6及TNF-α蛋白表达水平明显升高(P<0.01,P<0.05),AQP4免疫活性明显降低(P<0.05)。与模型组比较,模型+电针组海马Aβ含量、GFAP及Iba-1免疫活性、GFAP、Iba-1、IL-1β、IL-6及TNF-α蛋白表达水平及Aβ斑块面积百分比明显降低(P<0.01,P<0.05),AQP4免疫活性明显升高(P<0.05)。与空白对照组比较,空白+电针组上述指标差异无统计学意义(P>0.05)。
针刺GV20、BL23可减轻APP/PS1转基因小鼠海马组织的炎症反应,降低Aβ水平,抑制星形胶质细胞和小胶质细胞激活,上调AQP4表达,这可能是其改善认知记忆能力的作用机制,提示针刺干预可能通过促进脑内类淋巴系统对Aβ的清除,延缓AD的发展。