Cai Mudan, Yang Eun Jin
Department of Herbal Medicine Research, Korea Institute of Oriental Medicine, Daejeon, South Korea.
Department of Clinical Research, Korea Institute of Oriental Medicine, Daejeon, South Korea.
Front Pharmacol. 2020 Dec 10;11:606480. doi: 10.3389/fphar.2020.606480. eCollection 2020.
The complexity of pathological mechanisms in Alzheimer's disease (AD) poses significant challenges to the development of corresponding drugs. Symptom-specific pharmacological interventions and alternative treatments provide promising treatment possibilities. Therefore, we considered a combination of selegiline (SEL) and electroacupuncture (EA). We used an animal model with AD to investigate the effect of a combination of these treatments on cognitive function. 5XFAD mice received a week of SEL treatment and 2 weeks of EA. Novel object recognition and Y-maze tests were subsequently performed to assess their cognitive functions. To determine the molecular action of the combination treatment, Western blots, Aβ enzyme-linked immunosorbent assays (ELISA), and micro-positron-emission tomography were also performed to assess pathological markers and processes. The results were assessed based on the difference between untreated transgenic, SEL-treated, and SEL- and EA-treated groups of mice. Mice in the combined treatment group demonstrated significantly better cognitive functions, and lesser neuroinflammation than the comparative groups. In addition, mice treated with a combination of SEL and EA did not demonstrate a direct modulation of insoluble Aβ but demonstrated greater glucose metabolism. Our findings demonstrated that SEL combined with EA treatment was associated with better cognitive functioning due to inhibition of neuroinflammation and increased glucose metabolism relative to the comparative groups in a mouse model with AD.
阿尔茨海默病(AD)病理机制的复杂性给相应药物的研发带来了重大挑战。针对症状的药物干预和替代疗法提供了有前景的治疗可能性。因此,我们考虑了司来吉兰(SEL)与电针(EA)的联合应用。我们使用AD动物模型来研究这两种治疗方法联合应用对认知功能的影响。5XFAD小鼠接受了为期一周的SEL治疗和为期两周的EA治疗。随后进行了新物体识别和Y迷宫测试以评估它们的认知功能。为了确定联合治疗的分子作用,还进行了蛋白质免疫印迹、Aβ酶联免疫吸附测定(ELISA)和微型正电子发射断层扫描,以评估病理标志物和病理过程。根据未治疗的转基因小鼠、接受SEL治疗的小鼠以及接受SEL和EA联合治疗的小鼠组之间的差异对结果进行评估。联合治疗组的小鼠表现出比对照组明显更好的认知功能和更少的神经炎症。此外,接受SEL和EA联合治疗的小鼠并未显示出对不溶性Aβ的直接调节作用,但显示出更高的葡萄糖代谢。我们的研究结果表明,在AD小鼠模型中,与对照组相比,SEL与EA联合治疗由于抑制神经炎症和增加葡萄糖代谢而与更好的认知功能相关。