首页|期刊导航|世界中西医结合杂志|基于Raf激酶抑制剂蛋白探讨针刺对脑出血大鼠神经保护的作用机制

基于Raf激酶抑制剂蛋白探讨针刺对脑出血大鼠神经保护的作用机制OA

Mechanism of Acupuncture on Neuroprotection in Rats with Cerebral Hemorrhage Based on Raf Kinase Inhibitor Protein

中文摘要英文摘要

目的 基于Raf激酶抑制剂蛋白(Raf kinase inhibitor protein,RKIP)探讨针刺对脑出血大鼠神经保护的作用机制.方法 将50只健康清洁级雄性SD大鼠按随机数字表法分为假手术组、脑出血组、针刺+空载体组、针刺组、针刺+RKIP组,每组10只.除假手术组外,其余各组大鼠均制备脑出血模型.假手术组、脑出血组给予头部安慰针(仅在头部穴位固定底座,不刺入皮肤),针刺+空载体组、针刺组、针刺+RKIP组均给予针刺治疗.连续干预10 d后,比较各组大鼠神经行为学评分、爬杆实验评分及脑组织含水量;采用HE染色观察各组大鼠脑组织变化情况;采用TUNEL染色计算各组大鼠神经元凋亡率;采用蛋白质免疫印迹法检测各组大鼠肿瘤坏死因子受体相关因子6(TNF receptor-associated factor 6,TRAF6)、磷酸化核因子κB p65(phosphorylated NF-κB p65,p-p65)表达水平.结果 与假手术组比较,脑出血组大鼠神经行为学评分、脑组织含水量、神经元凋亡率、TRAF6及p-p65表达水平均升高,爬杆实验评分降低(P<0.05);与脑出血组比较,针刺+空载体组大鼠神经行为学评分、脑组织含水量、神经元凋亡率、TRAF6及p-p65表达水平均降低,爬杆实验评分升高(P<0.05);与针刺+空载体组比较,针刺组大鼠神经行为学评分、脑组织含水量、神经元凋亡率、TRAF6及p-p65表达水平均降低,爬杆实验评分升高(P<0.05);与针刺组比较,针刺+RKIP组大鼠神经行为学评分、脑组织含水量、神经元凋亡率、TRAF6及p-p65表达水平均降低,爬杆实验评分升高(P<0.05).HE染色结果显示,假手术组大鼠脑组织结构正常,细胞排列整齐;脑出血组大鼠脑组织细胞出现坏死,细胞核固缩,排列无序;针刺+空载体组大鼠脑组织坏死细胞有所减少,细胞排列不规则;针刺组、针刺+RKIP组大鼠脑组织坏死细胞逐渐减少,细胞排列有序.结论 针刺联合RKIP可保护脑出血大鼠神经功能,其机制与抑制TRAF6/NF-κB信号通路有关.

Objective To explore the mechanism of acupuncture on neuroprotection in rats with cerebral hemorrhage based on Raf kinase inhibitor protein(RKIP).Methods Fifty healthy,clean-grade male Sprague-Dawley(SD)rats were divided into a sham operation group,a cerebral hemorrhage group,an acupuncture+empty vector group,an acupuncture group,or an acupuncture+RKIP group using the random number table method,with 10 rats in each group.Except for the sham operation group,cerebral hemorrhage rat models were established in the other groups.The sham operation group and the cerebral hemorrhage group received placebo acupuncture(the bases were only fixed onto the head acupoints,without skin penetration),while the acupuncture+empty vector group,the acupuncture group,and the acupuncture+RKIP group received acupuncture treatment.After 10 consecutive days of intervention,neurological behavior scores,pole climbing test scores,and brain tissue water content were compared among the groups.Changes in brain tissue were observed via hematoxylin and eosin(HE)staining.Neuronal apoptosis rate was calculated with terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling(TUNEL)staining.Furthermore,TNF receptor-associated factor 6(TRAF6)and phosphorylated NF-κB p65(p-p65)expression levels were measured by Western blot.Results Compared with the sham operation group,the cerebral hemorrhage group exhibited increased neurological behavior scores,brain tissue water content,and neuronal apoptosis rate,along with up-regulated TRAF6 and p-p65 expression levels and decreased pole climbing test scores(P<0.05).Compared with the cerebral hemorrhage group,the acupuncture+empty vector group showed decreased neurological behavior scores,brain tissue water content,and neuronal apoptosis rate,along with down-regulated TRAF6 and p-p65 expression levels and increased pole climbing test scores(P<0.05).Compared with the acupuncture+empty vector group,the acupuncture group displayed decreased neurological behavior scores,brain tissue water content,and neuronal apoptosis rate,along with down-regulated TRAF6 and p-p65 expression levels and increased pole climbing test scores(P<0.05).Compared with the acupuncture group,the acupuncture+RKIP group demonstrated decreased neurological behavior scores,brain tissue water content,and neuronal apoptosis rate,along with down-regulated TRAF6 and p-p65 expression levels and increased pole climbing test scores(P<0.05).According to HE staining results,the sham operation group exhibited normal brain tissue structure,with neatly arranged cells.The cerebral hemorrhage group showed brain tissue cell necrosis,with karyopyknosis and disordered cell arrangement.The acupuncture+empty vector group displayed decreased necrotic cells,with irregular cell arrangement.The acupuncture group and the acupuncture+RKIP group demonstrated gradually decreased necrotic cells,with orderly cell arrangement.Conclusion For rats with cerebral hemorrhage,acupuncture combined with RKIP protects neurological function,which is related to the TRAF6/NF-κB signaling pathway inhibition.

屈箫箫;邵娣;杨开洋;尹晓航

陕西省中医医院针灸科,陕西 西安 710003陕西省中医医院针灸科,陕西 西安 710003陕西省中医医院针灸科,陕西 西安 710003陕西省中医医院针灸科,陕西 西安 710003

医药卫生

Raf激酶抑制剂蛋白针刺脑出血神经保护TRAF6/NF-κB信号通路

Raf kinase inhibitor proteinacupuncturecerebral hemorrhageneuroprotectionTRAF6/NF-κB signaling pathway

《世界中西医结合杂志》 2026 (7)

1283-1288,6

陕西省中医管理局中医药科研课题(LCPT028)国家中医药管理局课题—全国名老中医药专家付永民传承工作室资助项目(2019No.517)

10.13935/j.cnki.sjzx.260702

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