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电针宁神穴对脑出血大鼠NLRP3/Caspase-1/GSDMD通路介导的细胞焦亡的影响

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目的 基于含NLR家族Pyrin域蛋白3(NLRP3)/半胱氨酸蛋白水解酶1(Caspase-1)/消皮素D(GSDMD)通路介导的细胞焦亡途径,探讨电针宁神穴对脑出血大鼠的脑神经保护作用。方法 将24只雄性SD大鼠随机分为正常组、假手术组、脑出血组、脑出血+电针组,每组6只。脑出血组和脑出血+电针组大鼠采用脑内自体动脉血二次注射法制备脑出血模型,脑出血+电针组于术后12 h开始采用电针针刺双侧宁神穴,每次30 min,1次/d,连续干预7 d。假手术组仅模拟手术创伤过程,不注入自体血;正常组不给予任何干预手段。采用Longa评分法评定各组大鼠术后24h、干预7d后脑神经功能损伤程度;干预7d后处死各组大鼠,采用干湿比重法测定脑组织含水量,HE染色观察脑组织病理形态,ELISA法检测脑组织中白细胞介素-1β(IL-1β)、白细胞介素-18(IL-18)含量,Western blot法检测脑组织中NLRP3、Caspase-1 p20、GSDMD蛋白表达情况,免疫组化法检测脑组织中NLRP3、Caspase-1、GSDMD蛋白阳性表达情况。结果 干预7 d后,脑出血组大鼠神经行为学评分、脑组织含水量、IL-1β和IL-18含量及脑组织中NLRP3、Caspase-1 p20、GSDMD蛋白相对表达量和NLRP3、Caspase-1、GSDMD蛋白阳性表达平均积分光密度值均明显高于正常组、假手术组(P均<0。05),出血区及周围脑组织水肿、炎细胞浸润;脑出血+电针组大鼠上述各指标均明显低于脑出血组(P均<0。05),出血区及周围脑组织水肿和炎细胞浸润明显减轻。结论 电针宁神穴可以明显减轻脑出血大鼠脑神经和脑组织损伤,机制可能与下调NL-RP3/Caspase-1/GSDMD信号通路相关蛋白表达,抑制细胞焦亡有关。
Effect of electroacupuncture at Ningshen acupoint on NLRP3/Caspase-1/GSDMD pathway mediated-pyroptosis in rats with cerebral hemorrhage
Objective It is to investigate the neuroprotective effect of electroacupuncture at Ningshen acupoint on rats with cerebral hemorrhage via NLRP3/Caspase-1/gasdermin D ( GSDMD) pathway mediated pyroptosis.Methods Twenty-four male SD rats were randomly divided into normal group,sham operation group,cerebral hemorrhage group and cerebral hemorrhage+electroacupuncture group,with 6 rats in each group.The rats in the cerebral hemorrhage group and cerebral hemorrhage+electroacupuncture group were treated with double injection of intracerebral autologous arterial blood to pre-pare the models of cerebral hemorrhage.The cerebral hemorrhage+electroacupuncture group was treated with electroacu-puncture at the bilateral Ningshen acupoint for 30 min,once daily,continuously treated for 7 days.The sham operation group was only simulated the surgical trauma process without injecting autologous blood,the normal group was treated with no intervention.The degree of cerebral nerve function damage of rats in each group was evaluated by Longa score at 24 h af-ter surgery and;after intervention for 7 days,the rats in each group were executed,the water content of brain tissue was detected by wet and dry weight method;the pathologic morphology of cerebral tissue was observed by HE staining,the con-tents of interleukin-1β (IL-1β) and interleukin-18 (IL-18) in cerebral tissue were detected by ELISA,the protein expres-sions of and NLRP3,Caspase-1 p20,and GSDMD in cerebral tissue were detected by Western blot method,and the posi-tive protein expressions of NLRP3,Caspase-1,and GSDMD proteins in cerebral tissues were detected by immunohisto-chemistry.Results After 7 days of intervention,the neurobehavioral scores,contents of water,IL-1βand IL-18 in cerebral tissue,relative protein expressions of NLRP3,Caspase-1 and GSDMD,and the average integral optical density values of positive protein expressions of NLRP3,Caspase-1 and GSDMD in cerebral tissue of rats in the cerebral hemorrhage group were significantly higher than those in the normal group and sham operation group (all P<0.05),with edema and inflam-matory cell infiltration in the hemorrhage area and surrounding brain tissues;all of the above indexes were significantly low-er in the rats of the cerebral hemorrhage+electroacupuncture group than those in the cerebral hemorrhage group ( all P<0.05 ),and the edema and inflammatory cell infiltration in the hemorrhage area and surrounding brain tissues were signifi-cantly improved.Conclusion Electroacupuncture at the Ningshen acupoint can significantly relieve cerebral nerve and brain tissue injury in rats with cerebral hemorrhage,and the mechanism may be related to down-regulating the expression of pro-teins related to the NLRP3/Caspase-1/GSDMD signaling pathway to inhibit pyroptosis.

cerebral hemorrhageelectroacupunctureNingshen acupointpyroptosisNLRP3Caspase-1gasdermin D

茹宝清、宋春华

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黑龙江中医药大学,黑龙江 哈尔滨150040

黑龙江中医药大学附属第二医院,黑龙江 哈尔滨150001

脑出血 电针 宁神穴 细胞焦亡 含NLR家族Pyrin域蛋白3 半胱氨酸蛋白水解酶1 消皮素D

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(22)