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针刺调控脑卒中后轴突再生的机制研究进展

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脑卒中后脑组织病理改变如血肿形成或缺血缺氧状态会导致神经细胞死亡和轴突变性.脑神经细胞损伤后的轴突再生主要受到损伤周围微环境和相关蛋白的调控,主要包括胶质瘢痕、髓鞘相关抑制因子、轴突导向分子、神经营养因子,它们通过调节生长锥的形态和方向、突触稳定性、神经干细胞增殖与分化来影响轴突生长.本文梳理了针刺调控脑卒中后轴突再生的作用机制,结果显示针刺可通过抑制胶质瘢痕形成、减轻其物理屏障和化学屏障对轴突生长的抑制作用,逆转髓鞘相关抑制因子对轴突生长的抑制作用,调节轴突导向分子水平进而促进神经干细胞的增殖分化和损伤轴突的再生,上调神经营养因子促进神经细胞轴突重塑,从而改善脑卒中后的神经损伤.
Mechanism research progress of acupuncture for regulating axon regeneration after stroke
Stroke brings the pathological changes of brain tissues such as hematoma formation or ischemia and hypoxia,which leads to neuronal death and axon degeneration.Axon regeneration after its injury is mainly dependent on the surrounding microenvironment and the related proteins,including glial scar,myelin associated inhibitory factors,axon guidance molecules,and neurotrophic factors.All of them affect axon growth by regulating the morphology and orientation of growth cones,the synaptic stability,and the proliferation and differentiation of neural stem cells.This article summarizes the mechanism of acupuncture in regulating axon regeneration after stroke.Acupuncture inhibits glial scar formation,alleviates the inhibitory effects of its physical and chemical barriers on axon growth,reverses the inhibitory effects of myelin-related inhibitory factors on axon growth,and adjusts the level of axon guidance molecules to promote the proliferation and differentiation of neural stem cells and the regeneration of injured axons,and up-regulates neurotrophic factors.Eventually,post-stroke nerve injury can be ameliorated.

AcupunctureStrokeAxon regeneration

吴哲、焦明媛、邹伟

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黑龙江中医药大学,哈尔滨 150040

金华市妇幼保健院,浙江金华 321000

黑龙江中医药大学附属第一医院,哈尔滨 150040

针刺 脑卒中 轴突再生

国家自然科学基金面上项目黑龙江省中医药管理局省级名中医专家传承工作室项目

8177441620190529

2024

针刺研究
中国中医研究院针灸研究所,中国针灸学会

针刺研究

CSTPCD北大核心
影响因子:1.656
ISSN:1000-0607
年,卷(期):2024.49(7)
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