目的 观察电针“曲池”“足三里”穴对脑缺血再灌注损伤局灶性大脑中动脉闭塞模型(MCAO)大鼠神经行为学的变化及多巴胺和环磷酸腺苷调节的蛋白(DARPP-32)磷酸化的影响。方法 将25只雄性SD大鼠随机分为假手术组(6只)、手术组(19只)。手术组采用Longa线拴法制备左侧左侧大脑中动脉栓塞(MCAO)大鼠模型,将造模后符合纳入标准的12只大鼠随机分为模型组、电针组,各6只。电针组取“曲池”和“足三里”穴,电针干预14 d,假手术组和模型组在同等条件下抓取及固定,不予任何干预。通过神经功能评分判断大鼠的神经功能缺损情况;小动物磁共振仪(MRI)扫描观察脑梗死体积,Western blot检测纹状体DARPP-32、p-Thr75-DARPP-32的表达情况。结果 与模型组相比,电针组大鼠神经功能评分降低(P〈0.05),脑梗死体积减少(P〈0.05),纹状体p-DARPP-32-Thr75/DARPP-32比值增高(P〈0.05)。结论 电针“曲池”和“足三里”穴可改善MCAO大鼠神经功能缺损症状,其机制可能与促进缺血纹状体的DARPP-32在Thr75位点的磷酸化有关。
Objective: To observe the effect of electro-acupuncture at Quchi (LI11 ) and Zusanli (ST36) on the change of neurological deficit,and the phosphorylation of dopamine and cyclic adenosin 3' ,5'-monophosphate regulated phosphoprotein (DARPP-32)in rat after cerebral ischemia reperfusion injury. Methods: 25 male SD rats were randomly divided into the sham operation group (n = 6) and the operation group (n = 19). The operation group were under the operation of the left middle cerebral artery occlusion(MCAO) by the modified Longa' meth- ods ,and 12 qualified rats were randomly divided into the model group (n = 6) and the electro-acupuncture group (n = 6). The electro-acupuncture group received electro-acupuncture at Quchi (LI11 ) and Zusanli(ST36) for 14 days. The neurological deficit was assessed;the cerebral infarct volume was scanned with animal magnetic reso- nance imaging (MRI) machine~ The protein expression of DARPP-32 and p-Thr75-DARPP-32 were detected by Western blotting technique. Results: Compared with the model group,the neurological deficit score in the elec- tro-acupuncture group was improved (P〈 0.05). The size of infarct volume was significantly reduced (P〈 0.05). The radio of p-DARPP-32-Thr75/DARPP-32 in corpus striatum in electro-acupuncture group was higher than that in the model group (P〈 0.05 ). Conclusion: The electro-acupuncture at Quchi (LI 11 ) and Zusanli (ST36) can promote the recovery of neurologic deficit symptom,which may be associated with promoting the phosphorylation of DARPP-32 on Thr75.