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中国应用生理学杂志 ›› 2019, Vol. 35 ›› Issue (5): 443-446.doi: 10.12047/j.cjap.5819.2019.096

• 研究论文 • 上一篇    下一篇

艾灸对阿尔茨海默病模型大鼠血脑屏障结构与学习记忆功能的影响*

周翠1,2, 李檬妤1, 刘朝霞2, 李克荣2, 叶红3, 雷丽芳3, 陈琰姝1, 许奕华1   

  1. 1. 华中科技大学同济医学院公共卫生学院, 湖北 武汉 430030;
    2. 湖北省襄阳市中医医院, 襄阳 441000;
    3. 广东省中医院, 广州 510120
  • 收稿日期:2019-01-25 出版日期:2019-09-28 发布日期:2020-01-02
  • 通讯作者: Tel: 15172693005; E-mail: xuyihua_6@hotmail.com

Effects of moxibustion on the structure and function of blood brain barrier in Alzheimer's disease model rats

ZHOU Cui1,2, LI Meng-yu1, LIU Zhao-xia2, LI Ke-rong2, YE Hong3, LEI Li-fang3, CHEN Yan-shu1, XU Yi-hua1   

  1. 1. School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030;
    2. Xiangyang Chinese Medicine Hospital, Xiangyang 441000;
    3. Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China
  • Received:2019-01-25 Online:2019-09-28 Published:2020-01-02

摘要: 目的:探讨艾灸对阿尔茨海默病(AD)模型大鼠血脑屏障结构与学习记忆功能的影响。方法:48只SD大鼠随机分为4组:正常对照组、假手术组、模型组、艾灸组,模型组和艾灸组大鼠采用双侧海马一次性注射聚集态Aβ25-35的方法建立AD大鼠模型,假手术组双侧海马区注射等量生理盐水,正常组不做处理。造模成功后,在艾灸组大鼠的“百会”、“肾俞”、“印堂”穴上方2~3 cm处施予艾条温和灸治疗,每穴10 min,每天1次,持续治疗21 d。采用Morris水迷宫实验评估各组大鼠的学习与记忆能力,伊文思蓝法检测血脑屏障通透性,电镜下观察血脑屏障的超微结构,免疫组化法检测海马区MMP-2和MMP-9阳性细胞数。结果:与正常对照组和假手术组比较,模型组大鼠逃避潜伏期时间显著增加(P<0.01),空间探索时间显著下降(P<0.01),学习记忆功能严重受损,脑内伊文思蓝含量显著增加(P<0.01),血管周围水肿变大,血脑屏障结构功能受损,同时海马MMP-2和MMP-9阳性表达均显著增加(P<0.01);与模型组比较,艾灸治疗组大鼠的学习与记忆能力均有所增强(P<0.05),脑内伊文思蓝含量显著下降(P<0.05),血管周围水肿程度减轻,血脑屏障损伤情况得到改善,海马MMP-2和MMP-9阳性表达显著降低(P<0.05或P<0.01)。结论:艾灸能减轻AD模型大鼠血脑屏障结构的损伤程度,从而改善大鼠的学习记忆能力,其机制可能与MMP-2和MMP-9被抑制有关。

关键词: 艾灸, 阿尔茨海默病, 血脑屏障, 结构与功能, 海马

Abstract: Objective: To investigate the effects of moxibustion on the structure and function of blood-brain barrier in Alzheimer's disease (AD) model rats. Methods: Forty-eight SD rats were randomly divided into 4 groups: normal control group, sham operation group, model group, moxibustion group. Model group and moxibustion group rats were injected with aggregated Aβ25-35 by bilateral hippocampus. In the rat model, the sham-operated group was injected with the same amount of normal saline in the bilateral hippocampus, and the normal group was not treated. After successful modeling, the moxibustion treatment was given at 2~3 cm above the “Baihui”, “Shenshu” and “Yintang” points of the moxibustion group rats, each time for 10 min, once a day, continuous treatment for 21 d. The Morris water maze test was used to evaluate the learning and memory ability of rats in each group. The Evans blue method was used to detect the permeability of blood-brain barrier. The ultrastructure of blood-brain barrier was observed under electron microscope. The matrix metalloproteinase 2 (MMP-2) and matrix metalloproteinase 9 (MMP-9) positive cells in hippocampus were detected by immunohistochemistry. Results: Compared with the sham operation group, the escape latency was significantly increased (P<0.01), and the space exploration time was decreased (P<0.01), the learning and memory function in model group was impaired seriously, the Evans blue content in the brain was increased significantly (P<0.01), the perivascular edema became larger, and the blood-brain barrier structure function was impaired. At the same time, the positive expressions of MMP-2 and MMP-9 in hippocampus were increased significantly (P<0.01). Compared with model group, the learning and memory ability in moxibustion group rats was enhanced (P< 0.05), the content of Evans blue in the brain was decreased (P<0.05), the degree of perivascular edema was reduced, and the damage of blood-brain barrier was improved. Positive expressions of MMP-2 and MMP-9 in hippocampus were decreased (P<0.05 or P< 0.01). Conclusion: Moxibustion can decrease the expressions of MMP-2 and MMP-9, and reduce the damage of the structure and function of blood-brain barrier, thereby improving the learning and memory ability of AD model rats, and exerting therapeutic effects.

Key words: moxibustion, Alzheimer's disease, blood-brain barrier, structure and function, hippocampus

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