目的:探讨艾灸防治阿尔茨海默病(Alzheimer Disease,AD)的作用及其机制。方法:大鼠双侧脑室微量注射STZ造模,术后第10天艾灸组灸"关元""长强""命门""百会",同时西药对照组灌胃盐酸多奈哌齐,治疗30 d后用Morris水迷宫测各组大鼠学习记忆能力,再取材用ELISA法、免疫组织化学、Western blot等检测海马区GSK-3β活性及tau蛋白磷酸化位点(Ser396/Thr231)的含量和表达水平。结果:艾灸组与西药对照组较模型组平均游泳距离百分比上升;与假手术组比较,模型组大鼠海马CA1区椎体细胞形态结构异常,阳性染色深,而艾灸组与西药对照组较模型组形态结构完整,阳性染色浅;除假手术组外,GSK-3β活性及磷酸化tau蛋白Ser396、thr231位点相对表达量均升高,且西药对照组和艾灸组低于模型组。结论:艾灸可部分改善AD大鼠学习记忆,其可能通过抑制海马GSK-3β活性,降低p-tau S396、T231的磷酸化水平起到防治AD的作用,且作用效果与西药盐酸多奈哌齐相同。
Objective To study the effect and mechanism of moxibustion for prevention and treatment of Alzheimer's Disease( AD). Methods: After making the AD model rats with a pair of lateral ventricle injection of STZ,we observe the rats' learning and memory by using Morris water maze,the activity of GSK-3 beta in rats hippocampus by ELISA and Tau protein phosphorylation sites( Ser396 / Thr231) of content and expression by immunohistochemistry and Western blot technology. Results: The average swimming distance percentage of moxibustion group are more than model group;hippocampus CA1 in model group district vertebral body immune of staining shows cell form exception,positive cell staining deep while in two a treatment group cell form structure more full and positive staining shallower; GSK-3 Beta activity and the phosphate of Tau protein Ser396,thr231 bit points relative expression volume compared: while the model rose to the highest,control group decline below the moxibustion group and the moxibustion below the model. Conclusion: Moxibustion may partly improve learning and memory in AD rats,possibly through inhibition of hippocampal GSK-3β activities,decreased the phosphorylation of phosphorylation levels of Tau protein site Ser396 / Thr231 so as to control AD.