Zhao Ya-Li, Yao Hai-Jiang, Li Zhi-Gang, Cao Zu-Mao, Gao Xiao-Ming, Hu Yu
School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 102488, China.
Treatment Center of Traditional Chinese Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068; School of Rehabilitation, Capital Medical University, Beijing 100068.
Zhen Ci Yan Jiu. 2023 Sep 25;48(9):906-13. doi: 10.13702/j.1000-0607.20220545.
To observe the effect of electroacupuncture(EA) on activities of A2 type astrocytes(A2s)and A1 type astrocytes (A1s) , expressions of neurofilament protein 200 (NF-200, a marker of axon regeneration), nexin 1(NL1, a marker of synaptic regeneration), and regeneration of Nissl bodies in rats with spinal cord injury (SCI), so as to explore its mechanisms underlying improvement of SCI.
A total of 75 male SD rats were rando-mized into sham operation, model, antibody neutralizing (AN), EA and EA+AN groups, with 15 rats in each group. The SCI model was established by using an infinite field impactor to deliver an about 200 k dyne weight onto the exposed spinal cord after making a dorsal laminectomy at vertebral level T10. EA (2 Hz, 1 mA) was applied to"Dazhui"(GV14) and "Mingmen"(GV4) for 20 min, once daily for 28 days. After modeling, intraspinal injection of neutralizing antibodies IL-1α, TNF-α and complement 1q (C1q, 2 μL) to the injured spinal locus for inhibition of A1 type astrocytes (A1s) was conducted on the 1, 7 , 14 and 21 day for rats of AN and EA+AN groups. BBB rating scale was used to evaluate hindlimb locomotor function on day 1, 7, 14, 21 and 28 after modeling. The activation of A2s (its specific marker S100a10), astrocyte (its specific marker glial fibrillary acidic protein, GFAP), and A1s (its specific marker C3) in the spinal cord was detected by immunofluorescence, and the protein expressions of NF-200 and NL1 in the spinal cord detected by Western blot and immunohistochemistry, separately, and the neuronal regeneration was observed after Nissl staining.
After SCI, the BBB scores at 1 , 7, 14, 21 and 28 day, and the immunoactivity of NL1 and NF-200 were significantly decreased (<0.01), and the fluorescence intensity of double labelled S100a10 (A2s)/GFAP and C3, and the expression of NF-200 were considerably increased in the model group (<0.05, <0.01). In contrast to the model group, the BBB scores at 7, 14, 21 and 28 day, and the immunoactivity of NL1 and NF-200, and the fluorescence intensity of A2s/GFAP in the AN, EA and AN+EA groups, and the expressions of NL1 in the EA and AN+EA groups, and expression of NF-200 protein in the AN+EA group were evidently increased (<0.05, <0.01), and the fluorescence intensity of C3 was strikingly decreased in the EA group (<0.01). The effect of AN+EA was significantly superior to that of single AN and EA in increasing BBB scores at 14, 21 and 28 day, and in up-regulating the immunoactivity of NF-200(<0.01, <0.05). Nissl staining showed damaged structure of the gray matter of the spinal cord, atrophy of the Nissl body, and pyknosis of neurons, which was milder in the AN and EA groups, particularly in the AN+EA group.
EA at GV14 and GV4 may promote activation of A2s and promote regeneration of axons and synapses in SCI model rats.
观察电针(EA)对脊髓损伤(SCI)大鼠A2型星形胶质细胞(A2s)和A1型星形胶质细胞(A1s)活性、神经丝蛋白200(NF-200,轴突再生标志物)、连接蛋白1(NL1,突触再生标志物)表达及尼氏体再生的影响,以探讨其改善SCI的机制。
将75只雄性SD大鼠随机分为假手术组、模型组、抗体中和(AN)组、电针组和电针+抗体中和(EA+AN)组,每组15只。采用无限场撞击器在T10椎体水平行背部椎板切除术后,将约200 k达因的重量施加于暴露的脊髓上,建立SCI模型。电针(2 Hz,1 mA)刺激“大椎”(GV14)和“命门”(GV4)20分钟,每日1次,共28天。建模后,于第1、7、14和21天对AN组和EA+AN组大鼠脊髓损伤部位进行脊髓内注射中和抗体白细胞介素-1α、肿瘤坏死因子-α和补体1q(C1q,2 μL)以抑制A1型星形胶质细胞(A1s)。在建模后第1、7、14、21和28天,采用BBB评分量表评估后肢运动功能。通过免疫荧光检测脊髓中A2s(其特异性标志物S100a10)、星形胶质细胞(其特异性标志物胶质纤维酸性蛋白,GFAP)和A1s(其特异性标志物C3)的激活情况,分别采用蛋白质印迹法和免疫组织化学法检测脊髓中NF-200和NL1的蛋白表达,并在尼氏体染色后观察神经元再生情况。
SCI后,模型组第1、7、14、21和28天的BBB评分以及NL1和NF-200的免疫活性显著降低(<0.01),双标S100a10(A2s)/GFAP和C3的荧光强度以及NF-200的表达显著增加(<0.05,<0.01)。与模型组相比,AN组、电针组和EA+AN组第7、14、21和28天的BBB评分以及NL1和NF-200的免疫活性、A2s/GFAP的荧光强度、电针组和EA+AN组中NL1的表达以及EA+AN组中NF-200蛋白的表达均明显增加(<0.05,<0.01),电针组中C3的荧光强度显著降低(<0.01)。在增加第14、21和28天的BBB评分以及上调NF-200的免疫活性方面,EA+AN组的效果明显优于单一的AN组和电针组(<0.01,<0.05)。尼氏体染色显示脊髓灰质结构受损、尼氏体萎缩和神经元固缩,AN组和电针组较轻,尤其是EA+AN组。
针刺GV14和GV4可能促进SCI模型大鼠A2s的激活,促进轴突和突触的再生。