[Cluster needling of scalp points improves cognitive dysfunction by regulating NF-κB activity in rats with Alzheimer's disease].

Chun-Xia Wang, Yuan Ding, Di Wu, Ji-Jie Xing, Li-Yuan Feng
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Abstract

Objective: To observe the effect of cluster needling of scalp points on nuclear transcription factor kappa B p65 (NF-κB p65),NF-κB inhibitory protein α (IKBα),β secretase 1 (BACE1),beta-amyloid protein (Aβ) and hippocampal morphology in Alzheimer's disease (AD) rats,so as to reveal its mechanism underlying improvement of AD.

Methods: Male Wistar rats were randomly divided into sham operation,model,clustering acupuncture and medication groups,with 12 trats in each group. AD model was induced by Aβ1-42 injection into bilateral hippocampus. In the clustering acupuncture group,"Baihui" (DU20) and 1 mm on left and right sides of DU20 were needled for 30 min,once daily for 14 d. Rats of the medication group were given donepezil hydrochloride (0.5 mg·kg-1·d-1) intragastric perfusion once a day for 14 d. Morris water maze test was used to evaluate the cognitive function of rats. HE staining was used to observe the structure changes of hippocampal tissue. The expressions of NF-κB p65,IKBα and BACE1 in hippocampus were detected by Western blot. ELISA was used to detect the levels of Aβ in hippocampus and serum of rats.

Results: Compared with sham operation group,the escape latency of Morris water maze test in the model group was prolonged,the number of crossing the original platform was decreased(P<0.01),the protein expressions of NF-κB p65 and BACE1 in hippocampus,and the levels of Aβ in hippocampus and serum of AD rats were increased (P<0.01,P<0.05),while the expression of IKBα protein was decreased (P<0.01). Compared with the model group,the escape latency of Morris water maze test was shortened and the number of crossing the original platform was increased in the clustering acupuncture and medication groups (P<0.01,P<0.05),and the protein expressions of NF-κB p65 and BACE1 in hippocampus,the levels of Aβ in hippocampus and serum were decreased (P<0.01,P<0.05),while the expression of IKBα protein was increased (P<0.01). In comparison of the medication group,the protein expressions of NF-κB p65 and IKBα was lower in the clustering acupuncture group (P<0.05). HE staining showed that cells in the hippocampus were arranged loosely and disordered,some cytoplasm was hyperchromatic,nucleus was pyknotic,inflammatory cells were infiltrated in the model group,which were relatively milder in the clustering acupuncture and medication groups.

Conclusion: Cluster needling at scalp points may improve the cognitive impairment in AD rats by reducing inflammatory infiltration in hippocampus,regulating the expressions of NF-κB p65,IKBα and BACE1,and inhibiting the aggregation of Aβ.

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[集束针刺头皮穴位通过调节NF-κB活性改善阿尔茨海默病大鼠认知功能障碍]。
目的:观察集束针刺头皮穴位对阿尔茨海默病(AD)大鼠核转录因子κB p65 (NF-κB p65)、NF-κB抑制蛋白α (IKBα)、β分泌酶1 (BACE1)、β -淀粉样蛋白(Aβ)及海马形态的影响,探讨其改善AD的机制。方法:将雄性Wistar大鼠随机分为假手术组、模型组、聚类针刺组和药物组,每组12个特征。双侧海马注射Aβ1-42诱导AD模型。聚针组“百会”(DU20)及DU20左右各1 mm处针刺30 min,每日1次,连用14 d。给药组大鼠给予盐酸多奈哌齐(0.5 mg·kg-1·d-1)灌胃灌注,每日1次,连用14 d。采用Morris水迷宫法评价大鼠认知功能。采用HE染色观察海马组织结构变化。Western blot检测大鼠海马组织NF-κB p65、IKBα、BACE1的表达。ELISA法检测大鼠海马及血清中Aβ水平。结果:与假手术组比较,模型组Morris水迷宫逃避潜伏期延长,穿越原平台次数减少(ppppppppppppppppp)。结论:头皮穴位簇针可通过减少海马炎症浸润,调节NF-κB p65、IKBα、BACE1表达,抑制Aβ聚集等方式改善AD大鼠认知功能障碍。
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