Electroacupuncture alleviates acute myocardial ischemic injury in mice by regulating the β1 adrenergic receptor and post-receptor protein kinase A signaling pathway.

IF 2.4 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Acupuncture in Medicine Pub Date : 2024-12-01 Epub Date: 2024-11-23 DOI:10.1177/09645284241298716
Haiyan Zuo, Qiaoyu Qu, Yan Tong, Lei Wang, Xiaoxiao Wang, Shengbing Wu, Meiqi Zhou
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Abstract

Objective: To determine the effect of electroacupuncture (EA) on β1-adrenergic receptor (β1-AR) and post-receptor protein kinase A (PKA) signaling pathway after acute myocardial ischemia (MI).

Methods: An MI model was established by ligating the left anterior descending coronary artery of wild-type (WT) C57/BL and β1-AR+/- mice (heterozygous for β1-AR gene deletion). EA treatment was administered at HT5-HT7 or LU9-LU8. We evaluated cardiac function by measuring ST segment displacement, ischemic area and serum levels of creatine kinase (CK)-MB and lactate dehydrogenase (LDH). Pathological morphology/apoptosis of myocardial tissue were examined using hematoxylin-eosin and terminal deoxynucleotidyl transferase dUTP nick end labeling staining. Norepinephrine (NE) levels in myocardial tissue were detected by ELISA. Levels of β1 and post-receptor PKA signaling components were evaluated by quantitative reverse transcription polymerase chain reaction (qRT-PCR) and Western blotting.

Results: EA stimulation at HT7-HT5 could better regulate the level of β1-AR in myocardial tissue than that at LU9-LU8. Following EA, the ST segment, serum CK-MB/ LDH and area of myocardial infarction were decreased in WT mice, and the degree of myocardial pathology/apoptosis and expression of cleaved caspase-3 were decreased. Myocardial levels of Gs protein (Gs), adenylate cyclase (AC), cyclic adenosine monophosphate (cAMP), phosphorylated protein kinase A (p-PKA), L-type voltage-gated calcium channel α1C (Cav1.2), serine phosphate 16-phospholamban (p-PLBs16) and sarcoplasmic reticulum Ca2+-adenosine triphosphate (ATP)ase 2a (SERCA2a) increased after EA. However, these effects of EA were not replicated in β1-AR+/- mice. Interestingly, myocardial NE content decreased after EA in WT and β1-AR+/- mice.

Conclusion: EA may enhance cardiac function and reduced MI area/apoptosis by restoring the activity of β1-AR and post-receptor PKA signaling.

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电针通过调节β1肾上腺素能受体和受体后蛋白激酶A信号通路缓解小鼠急性心肌缺血损伤
目的测定电针对急性心肌缺血(MI)后β1-肾上腺素能受体(β1-AR)和受体后蛋白激酶A(PKA)信号通路的影响:方法:通过结扎野生型(WT)C57/BL和β1-AR+/-小鼠(β1-AR基因缺失杂合子)的左前降支冠状动脉建立心肌缺血模型。在 HT5-HT7 或 LU9-LU8 处给予 EA 治疗。我们通过测量ST段位移、缺血面积以及血清中肌酸激酶(CK)-MB和乳酸脱氢酶(LDH)的水平来评估心脏功能。使用苏木精-伊红和末端脱氧核苷酸转移酶 dUTP 缺口标记染色法检测心肌组织的病理形态/凋亡。心肌组织中的去甲肾上腺素(NE)水平通过酶联免疫吸附法检测。通过定量反转录聚合酶链反应(qRT-PCR)和 Western 印迹法评估了β1和受体后 PKA 信号转导成分的水平:结果:与LU9-LU8相比,HT7-HT5的EA刺激能更好地调节心肌组织中β1-AR的水平。EA刺激后,WT小鼠ST段、血清CK-MB/ LDH和心肌梗死面积下降,心肌病理/凋亡程度和裂解的caspase-3表达减少。EA后,心肌中的Gs蛋白(Gs)、腺苷酸环化酶(AC)、环磷酸腺苷(cAMP)、磷酸化蛋白激酶A(p-PKA)、L型电压门控钙通道α1C(Cav1.2)、丝氨酸磷酸16-磷脂酰班(p-PLBs16)和肌浆网Ca2+-腺苷三磷酸(ATP)ase 2a(SERCA2a)水平均升高。然而,EA 的这些效应在 β1-AR+/- 小鼠中没有得到复制。有趣的是,WT 和 β1-AR+/- 小鼠 EA 后心肌 NE 含量下降:结论:EA可通过恢复β1-AR的活性和受体后PKA信号传导来增强心脏功能并减少心肌梗死面积/凋亡。
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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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