基础医学与临床 ›› 2010, Vol. 30 ›› Issue (7): 731-736.

• 研究论文 • 上一篇    下一篇

针刺对脑缺血再灌注模型大鼠脑组织基质金属蛋白酶、细胞间黏附分子表达的影响

徐虹 洪礼传 黄艳秋 陈素辉 孙华   

  1. 中国医学科学院 北京协和医院 中医科 中国医学科学院 基础医学研究所 中国医学科学院 北京协和医院 中医科 中国医学科学院 北京协和医院 中医科
  • 收稿日期:2010-04-19 修回日期:2010-05-07 出版日期:2010-07-05 发布日期:2010-07-05
  • 通讯作者: 孙华

The expression of MMP-9 and ICAM-1 in rats with cerebral ischemic /reperfusion treated by acupuncture

Hong XU, Li-chuan HONG, Yan-qiu HUANG, Su-hui CHEN, Hua SUN   

  1. Dept. of traditional chinese medicine,CAMS & PUMC Dept. of traditional chinese medicine,CAMS & PUMC
  • Received:2010-04-19 Revised:2010-05-07 Online:2010-07-05 Published:2010-07-05
  • Contact: Hua SUN

摘要: 目的 探讨针刺对脑缺血再灌注模型大鼠脑损伤区组织基质金属蛋白酶(MMP-9)和细胞间黏附分子-1(ICAM-1)表达的影响。方法 以大脑中动脉栓塞法制备脑缺血再灌注模型,将大鼠随机分成电针、针刺、药物、针药结合、模型、假手术和空白等7组,每组分12、24、48、72、96和144h 6个时间点,H.E.染色检测损伤区组织形态学变化;免疫组化法检测MMP-9和ICAM-1积分吸光度值。结果 HE染色显示,梗死核心区病理损伤高峰时间出现在48h;72h后间质水肿减轻,大量小胶质细胞和胶原纤维增生,出现大量新生血管。免疫组化结果显示,MMP-9和ICAM-1在血管内皮细胞和炎症细胞及少数神经元广泛表达,缺血区明显高于自身对照区;组内比较显示表达呈48h和144h双峰形;组间比较显示,在48h、72h和96h电针组与其它实验组结果有显著差异。结论 电针可能通过上调损伤-修复网络功能,促进梗死区神经功能的恢复。

关键词: 针刺, 足三里穴, 百会穴, 缺血再灌注损伤, 基质金属蛋白酶-9

Abstract: To study the cerebral expression of MMP-9 and ICAM-1 in rats with acupuncture after cerebral ischemic /reperfusion. Methods SD rats were randomly divided into seven groups, electro-acupuncture at "Zusanli" and "Bai hui " group , "Baihui" group, Nimodipime group , joint treatment group of acupuncture and medicine, model ,sham group and control group. Each group contains 12、24、48、72、96 and 144h six time points. The pathological lesion was detected by H.E. staining. We explored the expression of MMP-9 and ICAM-1 in core infarct area by Immunohistochemistry staining. Results H.E. staining showed that the pathological lesion reached the peak at 48th hour in the infarct core area; until the 72th hour cerebral interstitial oedema was alleviated. Also many glial cells and collagen fibers proliferate, and new blood capillaries appear. MMP-9 and ICAM-1 was widely expressed in vascular endothelial and inflammatory cells together with some neurons by immunohistochemistry staining. The positive cells in the ipsilateral region is more than in contralateral region; Comparison within groups shows MMP-9 and ICAM-1 expression at 48th and 144th hours exhibited a double-peak profile, while the expression in electro- acupuncture group at 48h、72 and 96h time points has significant difference compared with that in model group. Conclusions: acupuncture may have the effects on promoting neurological function recovery by up-regulating injury mediation network.

Key words: Acupuncture, “Zulanli”, “Baihui”, ischemia-reperfution injury, matrix metalloproteinases-9

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