[Effects of electroacupuncture on neurological function and expressions of p-JNK and Beclin-1 in traumatic brain injury rats].

Ruo-Chen Liu, Tao Wu, Rui-Hui Wang, Ting Gu
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Abstract

Objective: To observe the effect of electroacupuncture (EA) on neurological function, the expressions of phosphorylated c-Jun amino terminal kinase (p-JNK) and Beclin-1 in rats with traumatic brain injury (TBI), so as to explore the underlying mechanism of EA in the treatment of TBI.

Methods: A total of 64 SD rats were randomly divided into blank, sham, modeling groups, with 8 rats in the blank group and the sham group and 48 rats in the modeling group. The modified Feeney free-fall impact method was used to establish the TBI rat model. After modeling, rats of the modeling group were randomly divided into model and EA groups, which were further divided into 3 d, 7 d and 14 d subgroups with 8 rats in each group. Rats in the EA group were treated with acupuncture at "Baihui" (GV20, retained for 15 min), "Shuigou" (GV26, stabbed for 20 s), "Neiguan" (PC6) and "Zusanli" (ST36) of the right side. EA (2 Hz, 1 mA) was applied to PC6 and ST36 for 15 min. The above treatments were performed once a day, and different subgroups were continuously stimulated for 3, 7 and 14 days, respectively. The neurological impairment was evaluated by modified neurological severity score(mNSS). The pathological morphological changes and the protein expressions of p-JNK and Beclin-1 in the injured area of the brain were detected by Nissl staining and immunohistochemistry, separately.

Results: After modeling, the mNSS and the protein expressions of p-JNK and Beclin-1 were increased (P< 0.05) on day 3, 7 and 14 in the model group relative to the sham group. The Nissl bodies were reduced or even dissolved and neurons were seriously damaged in the model group on the 3rd day, which were mildly repaired on day 7 and 14. Following acupuncture interventions, compared with the model group, the mNSS on day 7 and 14 and the protein expressions of p-JNK and Beclin-1 on day 3, 7 and 14 were decreased (P< 0.05)in the EA group. The status of Nissl bodies and neurons in the EA group was better at all time points than that in the model group. There were no significant differences in the above indicators between the blank group and the sham group.

Conclusion: EA can significantly improve the neurological function of TBI model rats, which may be related to its effects in down-regulating the protein expressions of p-JNK and Beclin-1 in the injured area of the brain.

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[电针对创伤性脑损伤大鼠神经功能及p-JNK、Beclin-1表达的影响]。
目的:观察电针(EA)对创伤性脑损伤(TBI)大鼠神经功能、磷酸化c-Jun氨基末端激酶(p-JNK)和Beclin-1表达的影响,探讨电针(EA)治疗TBI的机制。方法:将64只SD大鼠随机分为空白组、假手术组、造模组,空白组、假手术组各8只,造模组48只。采用改进的Feeney自由落体冲击法建立脑损伤大鼠模型。造模后,将造模组大鼠随机分为模型组和EA组,再分为3 d、7 d、14 d亚组,每组8只。EA组大鼠分别针刺右侧“百会”(GV20,保留15 min)、“水沟”(GV26,刺20 s)、“内关”(PC6)、“足三里”(ST36)。PC6和ST36分别施加2 Hz, 1 mA的EA,持续15 min。上述处理每天1次,不同亚组分别连续刺激3、7、14天。采用改良神经严重程度评分(mNSS)评价神经功能损害。采用尼氏染色法和免疫组化法分别检测脑损伤区病理形态学变化及p-JNK和Beclin-1蛋白表达。结果:造模后,模型组mNSS及P - jnk、Beclin-1蛋白表达量在第3、7、14天均较假手术组升高(P< 0.05)。模型组第3天尼索尔小体缩小甚至溶解,神经元严重损伤,第7、14天轻度修复。针刺干预后,与模型组比较,EA组第7、14天mNSS及第3、7、14天P - jnk、Beclin-1蛋白表达均降低(P< 0.05)。EA组大鼠尼索小体及神经元各时间点状态均优于模型组。空白组与假手术组在上述指标上均无显著差异。结论:EA能显著改善TBI模型大鼠的神经功能,其作用可能与其下调脑损伤区p-JNK和Beclin-1蛋白表达有关。
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