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中医针灸:一种通过改善突触功能治疗自闭症大鼠模型的潜在疗法。

Chinese acupuncture: A potential treatment for autism rat model via improving synaptic function.

作者信息

Chen Sijie, Wang Juan, Zhang Yingying, Hong Yu, Zhuang Wanyu, Huang Xinxin, Kang Jie, Ou Ping, Huang Longsheng

机构信息

Fujian Maternity and Child Health Hospital, Fuzhou, 350108, Fujian, China.

College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, 350108, Fujian, China.

出版信息

Heliyon. 2024 Aug 29;10(17):e37130. doi: 10.1016/j.heliyon.2024.e37130. eCollection 2024 Sep 15.

Abstract

PURPOSE

Autistic symptom improvement can be observed in children treated with acupuncture, but the mechanism is still being explored. In the present study, we used scalp acupuncture to treat autism rat model, and then their improvement in the abnormal behaviors and specific mechanisms behind were revealed by detecting animal behaviors, analyzing the RNA sequencing of the prefrontal cortex (PFC), and observing the ultrastructure of PFC neurons under the transmission electron microscope.

METHODS

On gestational day 12.5, Wistar rats were given valproic acid (VPA) by intraperitoneal injection, and their offspring were considered to be reliable rat models of autism. They were randomized to VPA or VPA-acupuncture group (n = 8). Offspring of Wistar pregnant rats that were simultaneously injected with saline were randomly selected as the wild-type group (WT). VPA_acupuncture group rats received acupuncture intervention at 23 days of age for 4 weeks, and the other two groups followed without intervention. After the intervention, all experimental rats underwent behavioral tests. Immediately afterward, they were euthanized by cervical dislocation, and their prefrontal cortex was isolated for RNA sequencing and transmission electron microscopy.

RESULTS

The main results are as follows: 1. Animal behavioural tests: VPA group rats showed more anxiety-like behaviour and repetitive, stereotyped behaviour than WT group rats. While VPA group rats showed less spatial exploration ability, activity level, social interaction, and social novelty preference than WT group rats. It was gratifying to observe that acupuncture indeed improved these abnormal behaviors of autism rat model. 2. RNA-sequencing: The three groups of rats differed in the expression and enrichment pathways of multiple genes related to synaptic function, neural signal transduction, immune-inflammatory responses and circadian rhythm regulation. Our experiments indicated that acupuncture can alleviate the major symptoms of ASD by improving these neurological abnormalities. 3. Under the transmission electron microscopy, several lysosomes and mitochondrial structural abnormalities were observed in the prefrontal neurons of VPA group rats, which were manifested as atrophy of the mitochondrial membrane, blurring or disappearance of the mitochondrial cristae, and even vacuolization. Moreover, the number of synapses and synaptic vesicles was relatively small. Conversely, the mitochondrial structure of rats in the WT group and VPA_acupuncture was normal, and the number of synapses and synaptic vesicles was relatively large.

CONCLUSION

Acupuncture effectively improved the abnormal behaviors of autism rat model and the ultrastructure of the PFC neurons, which might worked by improving their abnormal synaptic function, synaptic plasticity promoting neuronal signal transduction and regulating immune-inflammatory responses.

摘要

目的

针刺治疗的儿童自闭症症状可得到改善,但其机制仍在探索中。在本研究中,我们采用头皮针治疗自闭症大鼠模型,通过检测动物行为、分析前额叶皮质(PFC)的RNA测序以及在透射电子显微镜下观察PFC神经元的超微结构,揭示其异常行为的改善情况及背后的具体机制。

方法

在妊娠第12.5天,对Wistar大鼠腹腔注射丙戊酸(VPA),其后代被认为是可靠的自闭症大鼠模型。将它们随机分为VPA组或VPA - 针刺组(n = 8)。同时注射生理盐水的Wistar孕鼠后代被随机选为野生型组(WT)。VPA - 针刺组大鼠在23日龄时接受针刺干预4周,其他两组不进行干预。干预后,所有实验大鼠均接受行为测试。随后立即通过颈椎脱臼法将其安乐死,分离前额叶皮质进行RNA测序和透射电子显微镜检查。

结果

主要结果如下:1. 动物行为测试:VPA组大鼠比WT组大鼠表现出更多的焦虑样行为和重复、刻板行为。同时,VPA组大鼠的空间探索能力、活动水平、社交互动和社交新奇偏好均低于WT组大鼠。令人欣慰的是,针刺确实改善了自闭症大鼠模型的这些异常行为。2. RNA测序:三组大鼠在与突触功能、神经信号转导、免疫炎症反应和昼夜节律调节相关的多个基因的表达和富集途径上存在差异。我们的实验表明,针刺可通过改善这些神经学异常来缓解ASD的主要症状。3. 在透射电子显微镜下,观察到VPA组大鼠前额叶神经元中存在多个溶酶体和线粒体结构异常,表现为线粒体膜萎缩、线粒体嵴模糊或消失,甚至空泡化。此外,突触和突触小泡数量相对较少。相反,WT组和VPA - 针刺组大鼠的线粒体结构正常,突触和突触小泡数量相对较多。

结论

针刺有效改善了自闭症大鼠模型的异常行为和PFC神经元的超微结构,其作用机制可能是通过改善其异常的突触功能、促进神经元信号转导的突触可塑性以及调节免疫炎症反应来实现的。

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