文章摘要
通督御疲调神电针调节线粒体功能改善慢性疲劳综合征认知障碍的机制研究
Study on the Mechanism of Regulating Mitochondrial Function by Electroacupuncture to Improve Cognitive Impairment of Chronic Fatigue Syndrome
投稿时间:2025-05-01  修订日期:2025-05-01
DOI:
中文关键词: 慢性疲劳综合征  认知障碍  线粒体分裂  线粒体自噬  通督御疲调神电针
英文关键词: Chronic Fatigue Syndrome  cognitive impairment  mitochondrial division  mitochondrial autophagy  electroacupuncture  tongdu yupi tiaoshen  
基金项目:
作者单位邮编
冯楚文 黑龙江中医药大学附属第一医院 150040
鲁菁 黑龙江中医药大学 
屈媛媛 黑龙江中医药大学附属第一医院 
孙维伯 哈尔滨医科大学 
刘婷婷 黑龙江中医药大学 
吴永芳 黑龙江中医药大学 
杨添淞 黑龙江中医药大学附属第一医院 150040
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中文摘要:
      本研究旨在探讨通督御疲调神电针对慢性疲劳综合征(CFS)认知障碍大鼠海马CA1区线粒体分裂及线粒体自噬的影响。方法:采用慢性多因素复合应激刺激法制备CFS认知障碍大鼠模型,造模周期35天。将造模成功的大鼠随机分为模型组和电针组各10只,10只健康雄性SD大鼠为对照组。治疗期间,对照组正常饲养,模型组持续造模刺激,电针组在造模刺激基础上予神庭穴透刺百会穴、大椎穴电针治疗,参数设置为连续波,频率10 Hz,15 min/次/天,连续28天。采用《一般情况半定量观察量表》及Morris水迷宫评价各组大鼠一般情况及学习、记忆能力;透射电镜观察各组大鼠海马CA1区线粒体超微结构;Western Blot及RT-qPCR检测各组大鼠海马CA1区线粒体自噬及线粒体分裂关键分子Pink1、Parkin及Drp1的蛋白和mRNA表达水平。结果:造模后,与对照组比较,造模组一般情况评分显著升高(P<0.05),均>4分,逃避潜伏期延长(P<0.05),穿越平台次数减少(P<0.05),表明造模成功。治疗后,与对照组比较,模型组一般情况评分升高(P<0.05),逃避潜伏期延长(P<0.05),穿越平台次数减少(P<0.05),海马CA1区线粒体破坏增加,形态呈肿胀或缩小,基质变淡且伴空泡化,嵴突消失,线粒体外膜不完整,出现自噬小体,Pink1、Parkin、Drp1蛋白及mRNA表达水平下降(P<0.05);与模型组比较,电针组一般情况评分降低(P<0.05),逃避潜伏期缩短(P<0.05),穿越平台次数增多(P<0.05),海马CA1区线粒体破坏数量及自噬小体数量较少,形态呈轻度肿胀,内嵴较清晰,嵴有断裂但嵴突未消失,外膜大致完整,基质改变不显著,Pink1、Parkin、Drp1蛋白及mRNA表达水平上调(P<0.05)。结论:通督御疲调神电针具有抗疲劳,提高认知水平的作用,可能与调节CFS认知障碍大鼠线粒体自噬及线粒体分裂功能有关。
英文摘要:
      ABSTRACT:Background:To clarify the molecular pathway of Tongdu yupi tiaoshen electroacupuncture in regulating mitochondrial function and improving cognitive deficits in rats with CFS cognitive impairment.Objective: To observe the effects of Tongdu yupi tiaoshen electroacupuncture on mitochondrial division and mitochondrial autophagy in the hippocampal CA1 region of rats with CFS cognitive impairment.Methods:CFS cognitively impaired rats were prepared by chronic fatigue multifactorial compound stress method for 35 consecutive days, and then randomly divided into 10 rats each in model group, and electroacupuncture group,10 healthy male SD rats for the control group.During the treatment period, the control group was kept normally, the model group was given continuous modeling stimulation, and the electroacupuncture group was given electroacupuncture treatment based on continuous modeling at the GV24 puncture GV20 and the GV14, with a continuous wave, frequency of 10 Hz, and the current was applied for 15 min/times/day, for 28 consecutive days. The general condition semi-quantitative observation scale and morris water maze were used to evaluate the general condition and, learning and memory ability of rats in each group; transmission electron microscopy(TEM) was used to observe the ultrastructural changes of mitochondria in the CA1 region of the hippocampus of rats in each group; and autophagy and Pinkink, a key functional molecule of mitochondria, were detected in the mitochondrial autophagy and mitochondrial autophagy in the CA1 region of hippocampus of rats in each group using ELISA, Western Blot and RT-qPCR. Western Blot, and RT-qPCR were used to detect mitochondrial autophagy in the CA1 region and the protein and mRNA expression levels of key mitochondrial molecules Pink1, Parkin, and Drp1. Results:After modeling, compared with the control group, the general condition score of the modeling group was significantly higher (P<0.05), all scores were ≥4, the escape latency was prolonged (P<0.05), and the number of crossing the platform was reduced (P<0.05), which met the success criteria of modeling. After the treatment, compared with the control group, the general condition score of the model group continued to increase (P<0.05), the escape latency was prolonged (P<0.05), and the number of crossing the platform decreased (P<0.05),the mitochondrial destruction in the CA1 region of the hippocampus increased, the morphology was swollen or shrunken, the matrix became lighter and accompanied by vacuolation, the cristae disappeared, the outer mitochondrial membrane was incomplete, and autophagosomes appeared, the expression levels of Pink1, Parkin, and Drp1 protein and mRNAwere decreased in the model group (P<0.05). After treatment, the general condition score of the electroacupuncture group decreased,all scores were<4; the escape latency was shortened and the number of crossing the platform increased, compared with the model group, there was a statistically significant difference (P<0.05) .Compared with the control group, the number of mitochondria destroyed and the number of autophagosomes in the CA1 region of the hippocampus in the electroacupuncture group was smaller, the morphology was slightly swollen, the inner crest was clearer, the cristae were broken but the cristae did not disappear, the outer membrane was roughly intact, and the matrix was not significantly changed, the expression levels of Pink1, Parkin, and Drp1 protein and mRNA in the electroacupuncture group were up-regulated (P<0.05).Conclusion:Tongdu yupi tiaoshen electroacupuncture has anti-fatigue and cognitive-enhancing effects, which may be related to the regulation of mitochondrial autophagy and mitochondrial fission functions in CFS cognitive impairment rats.
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