针对肌肉的侵入性激光针灸:一种保护帕金森病模型脑内多巴胺能神经元并减轻神经炎症的新方法。

Invasive laser acupuncture targeting muscle: a novel approach to protect dopaminergic neurons and reduce neuroinflammation in a brain of Parkinson's disease model.

作者信息

Jeon Halin, Oh Ju-Young, Ahn Sora, Yeom Mijung, Ha In Jin, Son Hong-Seok, Park Seong-Eun, Park Juhan, Huh Eugene, Baek In-Yeop, Nam Min-Ho, Na Changsu, Oh Myung Sook, Park Hi-Joon

机构信息

Acupuncture and Meridian Science Research Center (AMSRC), Kyung Hee University, Dongdaemun-gu, Seoul, 02447, Republic of Korea.

Department of KHU-KIST Convergence Science Technology, Graduate School, Kyung Hee University, Dongdaemun-gu, Seoul, 02447, Republic of Korea.

出版信息

Chin Med. 2025 May 7;20(1):59. doi: 10.1186/s13020-025-01104-2.

Abstract

Parkinson's disease (PD) affects 1-2% of the global population and presents significant therapeutic challenges. Due to the limitations of existing treatments, there is a pressing need for alternative approaches. This study investigated the effects of invasive laser acupuncture (ILA), which combines acupuncture and photobiomodulation. In this method, optical fibers are inserted into the muscle layers of the acupoint to enhance therapeutic outcomes. Mice with MPTP-induced PD were treated with ILA at 830 nm or 650 nm. Protective effects of nigrostriatal dopaminergic neurons and fibers were assessed by examining TH immunoreactivity in the brain. Neuroinflammation markers in the brain and muscle metabolomic profiles were also analyzed. Comparisons between invasive and non-invasive laser application, as well as the impact of nerve blocking with lidocaine, were also evaluated. ILA at 830 nm (ILA830) significantly improved motor performance and increased the nigrostriatal TH-positive immunoreactivities. It reduced the levels of α-synuclein, apoptotic proteins, and inflammatory cytokines, while increasing anti-inflammatory in the brain. ILA830 also decreased nigrostriatal astrocyte and microglia activation. Muscle metabolomic analysis showed distinct group clustering and significant changes in metabolites like glucose and galactose, correlating with improved motor functions. Invasive laser treatment was more effective than non-invasive, and lidocaine pre-treatment did not block its effects. ILA at 830 nm effectively ameliorates PD symptoms by protecting dopaminergic neurons, and reducing neuroinflammation in the brain. Muscle metabolomic changes by ILA830, such as increased glucose and galactose, correlate with motor improvement. This approach offers a promising strategy for PD treatment, warranting further research to optimize its use in clinical settings.

摘要

帕金森病(PD)影响着全球1%-2%的人口,并带来了重大的治疗挑战。由于现有治疗方法的局限性,迫切需要替代方法。本研究调查了侵入性激光针灸(ILA)的效果,该方法结合了针灸和光生物调节。在这种方法中,光纤被插入穴位的肌肉层以提高治疗效果。用1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)诱导帕金森病的小鼠接受830纳米或650纳米的ILA治疗。通过检测大脑中酪氨酸羟化酶(TH)免疫反应性来评估黑质纹状体多巴胺能神经元和纤维的保护作用。还分析了大脑中的神经炎症标志物和肌肉代谢组学特征。还评估了侵入性和非侵入性激光应用之间的比较,以及利多卡因神经阻滞的影响。830纳米的ILA(ILA830)显著改善了运动性能,并增加了黑质纹状体TH阳性免疫反应性。它降低了α-突触核蛋白、凋亡蛋白和炎性细胞因子的水平,同时增加了大脑中的抗炎作用。ILA830还减少了黑质纹状体星形胶质细胞和小胶质细胞的激活。肌肉代谢组学分析显示出明显的组聚类以及葡萄糖和半乳糖等代谢物的显著变化,这与运动功能的改善相关。侵入性激光治疗比非侵入性更有效,利多卡因预处理并未阻断其效果。830纳米的ILA通过保护多巴胺能神经元并减少大脑中的神经炎症,有效改善了帕金森病症状。ILA830引起的肌肉代谢组学变化,如葡萄糖和半乳糖增加,与运动改善相关。这种方法为帕金森病治疗提供了一种有前景的策略,值得进一步研究以优化其在临床环境中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79a4/12057028/88da73e6befb/13020_2025_1104_Fig1_HTML.jpg

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