Electroacupuncture attenuates cerebral ischemia/reperfusion injury by regulating oxidative stress, neuronal death and neuroinflammation via stimulation of PPAR-γ.

IF 2.4 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Acupuncture in Medicine Pub Date : 2024-06-01 Epub Date: 2024-02-13 DOI:10.1177/09645284231211600
Nanfang Cheng, Xinyuan Cheng, Feng Tan, Yangui Liang, Lihong Xu, Jian Wang, Jiuqing Tan
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Abstract

Background: Oxidative stress and inflammatory responses play essential roles in cerebral ischemia/reperfusion (I/R) injury. Electroacupuncture (EA) is widely used as a rehabilitation method for stroke in China; however, the underlying mechanism of action remains unclear. Peroxisome proliferator-activated receptor gamma (PPAR-γ) has been reported to impact anti-inflammatory and anti-oxidative effects.

Objective: This study investigated the role of PPAR-γ in EA-mediated effects and aimed to illuminate its possible mechanisms in cerebral I/R.

Methods: In this study, male Sprague-Dawley (SD) rats with middle cerebral artery occlusion/reperfusion (MCAO/R) injury were treated with EA at LI11 and ST36 for 30 min daily after MCAO/R for seven consecutive days. The neuroprotective effects of EA were measured by neurobehavioral evaluation, triphenyltetrazolium chloride staining, hematoxylin-eosin staining and transmission electron microscopy. Oxidative stress, inflammatory factors, neural apoptosis and microglial activation were examined by enzyme-linked immunosorbent assay, immunofluorescence and reverse transcriptase polymerase chain reaction. Western blotting was used to assess PPAR-γ-mediated signaling.

Results: We found that EA significantly alleviated cerebral I/R-induced infarct volume, decreased neurological scores and inhibited I/R-induced oxidative stress, inflammatory responses and microglial activation. EA also increased PPAR-γ protein expression. Furthermore, the protective effects of EA were reversed by injection of the PPAR-γ antagonist T0070907.

Conclusion: EA attenuates cerebral I/R injury by regulating oxidative stress, neuronal death and neuroinflammation via stimulation of PPAR-γ.

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电针通过刺激PPAR-γ调节氧化应激、神经元死亡和神经炎症,减轻脑缺血再灌注损伤。
背景:氧化应激和炎症反应在脑缺血再灌注(I/R)损伤中起着至关重要的作用。电针(EA)在中国被广泛用作脑卒中的康复治疗方法,但其潜在的作用机制仍不清楚。据报道,过氧化物酶体增殖激活受体γ(PPAR-γ)具有抗炎和抗氧化作用:本研究探讨了 PPAR-γ 在 EA 介导的效应中的作用,并旨在阐明其在脑 I/R 中的可能机制:本研究以雄性Sprague-Dawley(SD)大脑中动脉闭塞/再灌注(MCAO/R)损伤大鼠为研究对象,在MCAO/R后连续7天每天用LI11和ST36浓度的EA治疗30 min。通过神经行为评估、三苯基氯化四氮唑染色、苏木精-伊红染色和透射电子显微镜检测了EA的神经保护作用。通过酶联免疫吸附试验、免疫荧光和逆转录酶聚合酶链反应检测氧化应激、炎症因子、神经凋亡和小胶质细胞活化。用 Western 印迹法评估 PPAR-γ 介导的信号传导:结果:我们发现 EA 能明显减轻 I/R 引发的脑梗死体积,降低神经系统评分,抑制 I/R 引发的氧化应激、炎症反应和小胶质细胞活化。EA 还能增加 PPAR-γ 蛋白的表达。此外,注射 PPAR-γ 拮抗剂 T0070907 会逆转 EA 的保护作用:结论:EA通过刺激PPAR-γ调节氧化应激、神经元死亡和神经炎症,从而减轻脑I/R损伤。
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来源期刊
Acupuncture in Medicine
Acupuncture in Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
4.70
自引率
4.00%
发文量
59
审稿时长
6-12 weeks
期刊介绍: Acupuncture in Medicine aims to promote the scientific understanding of acupuncture and related treatments by publishing scientific investigations of their effectiveness and modes of action as well as articles on their use in health services and clinical practice. Acupuncture in Medicine uses the Western understanding of neurophysiology and anatomy to interpret the effects of acupuncture.
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