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电针对大鼠CSCI后少突胶质前体细胞表达的影响

Effect of Electroacupuncture on the Expression of Oligodendrocyte Precursor Cells in Rats with Compressed Spinal Cord Injury

  • 摘要: 目的 研究脊髓压迫性损伤 (CSCI)后,电针对少突胶质前体细胞 (OPC)表达的影响,分析电针促进大鼠CSCI后受损神经纤维再髓鞘化的可能机制。方法 将36只SD大鼠建立CSCI模型后分为对照组和电针组,根据治疗时间分别分为3 d、7 d和14 d 3个亚组,每个亚组6只。对照组只造模,不治疗;治疗组于造模后,针刺脊髓损伤节段局部夹脊穴、双侧足三里和双侧太溪穴,并于双侧足三里和太溪穴进行电针刺激 (连续波,输出频率为2 Hz,电压1.5 V,30 min)。运用神经功能评分和电镜分别观察大鼠行为学变化及有髓神经纤维超微结构变化;采用免疫印迹法观察OPC标记物NG2蛋白的表达变化。结果 神经功能评分显示:3 d和7 d对照组和电针组组间及组内相比,差异均无统计学意义(P>0.05)。14 d电针组分别与7 d电针组及同时期的对照组相比,差异均有统计学意义(P<0.05)。电镜结果显示:不同时间点的对照组均有程度不等的轴突肿胀,轴浆内细胞器变性、丢失;髓鞘出现水肿,髓鞘板层结构紊乱、增厚,直至溃变、崩解。电针组的髓鞘、轴突肿胀程度比同时期的对照组略轻,髓鞘结构较为致密。G-ratio值显示,3 d和7 d对照组和电针组组间及组内相比,差异均无统计学意义(P>0.05)。14 d电针组分别与7 d电针组及同时期的对照组相比,差异均有统计学意义(P<0.05)。免疫印迹结果显示:对照组和电针组的NG2蛋白表达随时间延长均逐渐上调,对照组和电针组各组内不同时间点及相同时间点(7 d,14 d)组间比较,差异均有统计学意义(P<0.05)。结论 CSCI后,通过电针刺激穴位,并给予足够有效的刺激时间,可促进受损神经纤维炎症、水肿的吸收,并使OPC的表达增强,帮助脊髓受损神经纤维再髓鞘化,从而改善神经功能。

     

    Abstract: Objective To investigate the effect of electroacupuncture on the expression of oligodendrocyte precursor cells in rats with compressed spinal cord injury (CSCI) and to explore the mechanism of remyelinization. Methods Thirty-six SD rats were randomly divided into a control group and three treatment groups with 3 d, 7 d and 14 d of treatment respectively. Acupuncture was given to rats in the treatment groups through jiaji point, double zusanli (ST36), and double taixi (KI3). Electroacupuncture (continuous wave, 2 Hz/1.5 V, 30 min) was applied for the double zusanli (ST36) and double taixi (KI3). Ethological alterations of the rats were observed with quantitative assessment of neurologic function. The ultrastructure changes of nerve fibers in white matter were determined under electronic microscope. Expressions of NG2 protein, an OPC marker, was observed by Western blot. Results No significant changes in neurologic function and G-ratio were observed after three days and seven days of electroacupuncture treatment (P>0.05). However, 14 d of electroacupuncture treatment made a significant change compared to the 7 d treatment group and the control group (P<0.05). The electronic microscope showed axons with varied degree of swollen, degenerated and lost cell organelle in axoplasm, edema in myelin sheaths, disordered, thickened and even broken layers of myelin sheaths in the rats with CSCI. The rats in the treatment groups had milder swollen axons and more compacted layers of myelin sheaths compared to their controls. Western blot showed that the expression of NG2 was increased with time and the differences among the three treatment groups were statistically significant (P<0.05). The rats in the treatment groups also had higher expressions of NG2 than their controls at 7 d and 14 d (P<0.05). Conclusion Electroacupuncture can improve inflammation and edema in the injured nerve fibers and up-regulate NG2 expression and remyelination of the injured nerve fibers in rats with CSCI.

     

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