首页|经皮耳穴-迷走神经刺激对2型糖尿病大鼠学习记忆能力和认知功能的影响

经皮耳穴-迷走神经刺激对2型糖尿病大鼠学习记忆能力和认知功能的影响

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目的 探讨经皮耳穴迷走神经刺激对2 型糖尿病大鼠学习能力和认知功能的影响及可能作用机制.方法 将32 只SD大鼠随机分为空白组、模型组、耳缘非迷走神经刺激组、耳穴迷走神经刺激组,每组8 只.除空白组外,其余组大鼠均采用链脲佐菌素+高脂法制备2 型糖尿病模型.造模成功后,耳穴迷走神经刺激组在大鼠双侧耳甲腔进行电刺激,耳缘非迷走神经刺激组在大鼠双侧耳缘处进行电刺激,刺激强度均为2 mA,每次30 min,1 次/d,持续3 周.采用Morris水迷宫实验评价大鼠学习和记忆能力,HE染色观察海马组织形态,ELISA 法检测海马组织中肿瘤坏死因子-α(TNF-α)含量,Western blot法检测海马组织中磷脂酰肌醇 3-激酶(PI3K)、蛋白激酶B(Akt)表达情况.结果 与空白组比较,模型组和耳缘非迷走神经刺激组大鼠逃避潜伏期均明显延长(P均<0.05),穿越平台次数均明显减少(P均<0.05);与模型组和耳缘非迷走神经刺激组比较,耳穴迷走神经刺激组大鼠水迷宫逃避潜伏期明显缩短(P均<0.05),穿越平台次数明显增多(P均<0.05).与空白组比较,模型组大鼠海马组织中 TNF-α 含量明显升高(P<0.05),PI3K、Akt蛋白相对表达量均明显降低(P均<0.05);与模型组比较,耳穴迷走神经刺激组大鼠海马组织中TNF-α含量明显降低(P<0.05),PI3K、Akt蛋白相对表达量均明显升高(P均<0.05).结论 经皮耳穴迷走神经刺激可以改善2 型糖尿病大鼠的学习能力和认知功能,机制可能与抑制炎症反应、激活PI3K/Akt 信号通路有关.
Effects of transcutaneous auricular-vagus nerve stimulation on learning and memory ability and cognitive function in type 2 diabetic rats
Objective It is to investigate the effects of transcutaneous auricular-vagus nerve stimulation(taVNS)on learning ability and cognitive function in rats with type 2 diabetes mellitus(T2DM).Methods Thirty-two SD rats were ran-domly divided into blank group,model group,transcutaneous noninvasive-vagus nerve stimulation(tnVNS)group and taVNS group,with 8 rats in each group.The rats of all groups except for the blank group were were prepared by streptozoto-cin +high fat method to establish T2DM rat models.After successful modeling,the rats of the taVNS group was electrically stimulated at bilateral cavum conchae,and the rats of the tnVNS group was electrically stimulated at bilateral auricular mar-gins,with stimulation strength of 2mA,30 min per time,once daily,continuously treated for 3 weeks.The learning and memory ability of the rats were assessed by Morris water maze test,the morphology of hippocampal tissues was observed by HE staining,the contents of tumor necrosis factor-α(TNF-α)in hippocampal tissues was determined by ELISA,and the expressions of phosphatidylinositol 3-kinase(PI3K)and protein kinase B(Akt)in hippocampal tissues were detected by Western blot method.Results Compared with the blank group,the water maze escape latency of rats in the model group and tnVNS group was significantly increased(P<0.05),while the times of crossing the platform was significantly de-creased(P<0.05);compared with the model group and tnVNS group,the water maze escape latency of rats in the taVNS group was significantly shortened(P<0.05),while the times of crossing the platform was significantly increased(P<0.05).Compared with the blank group,the content of TNF-αt in hippocampal tissue of rats in the model group was signifi-cantly higher(P<0.05),and the relative expressions of PI3K and Akt proteins were significantly lower(all P<0.05);compared with the model group,the content of TNF-α in hippocampal tissue of rats in the taVNS group was significantly lower(P<0.05),and the relative expressions of PI3K and Akt proteins were significantly higher(all P<0.05).Con-clusion Transcutaneous auricular-vagus nerve stimulation can improve the learning ability and cognitive function of T2DM rats,its mechanism may be related to inhibiting inflammatory response and activating PI3K/Akt signaling pathway.

type 2 diabetes mellituspercutaneous auricular vagus nerve stimulationcognitive function

薛娇、马鹏垒、丁玉美、王彩霞

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内蒙古医科大学第二附属医院,内蒙古 呼和浩特 010090

2型糖尿病 经皮耳穴迷走神经刺激 认知功能

内蒙古医科大学基础医学院"育才"计划重点实验室开放基金项目

NYFZBL202207

2024

现代中西医结合杂志
中国中西医结合学会河北分会,中华中医药学会

现代中西医结合杂志

CSTPCD
影响因子:1.775
ISSN:1008-8849
年,卷(期):2024.33(6)
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