针康法对局灶性脑缺血大鼠胶质细胞环境和细胞凋亡的影响
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
目的
     观察针康法对局灶性脑缺血大鼠缺血区BDNF、S100β、GFAP蛋白和BDNF、Caspase-3基因的表达,探讨该方法促进脑缺血大鼠神经功能恢复的可能机制。
     方法
     建立大鼠永久性局灶性脑缺血模型,将240只大鼠按随机数字法分为5组:假手术组、模型组、针刺组、康复组、针康组,每组各48只。每组再按3、7、14、21天分为4亚组,每组12只。假手术组、模型组不进行任何干预,针刺组采用头穴丛刺治疗,康复组采用跑台训练,针康组采用头穴丛刺结合跑台训练治疗。各时间点采用Bederson's神经功能评分观察大鼠神经功能的变化,采用免疫组化检测各组大鼠缺血区BDNF、S100β、 GFAP蛋白的表达变化,采用实时荧光定量PCR检测BDNFmRNA. Caspase-3mRNA的表达。
     结果
     1神经功能评分:与假手术组比较,各时间点,各组神经功能评分降低,有显著性差异(P<0.01);术后7d,14d与模型组比较,针刺组,康复组,针康组神经功能评分降低,差异有统计学意义(P<0.05);术后7d,14d与针刺组,康复组比较,针康组神经功能评分降低,差异有统计学意义(P<0.05);各时间点,与针刺组比较,康复组神经功能评分趋势一致,差异无统计学意义(P>0.05)。
     2缺血区皮层BDNF的表达:术后3d,7d,14d,21d与假手术组比较,各组BDNF阳性细胞表达增加(p<0.01);术后7d,14d,与模型组相比,针刺组、康复组、针康组BDNF阳性细胞表达增加(p<0.05);术后7d,14d,与针刺组、康复组比较,针康组BDNF阳性细胞表达增加(p<0.05)。
     3缺血区皮层S100β的表达:术后3d,7d,14d,21d与假手术组比较,各组S100β阳性细胞表达增加(p<0.01);术后7d,14d,与模型组相比,针刺组、康复组、针康组S100β阳性细胞表达增加(p<0.05);术后7d,14d,与针刺组、康复组比较,针康组S100β阳性细胞表达增加(p<0.05)。
     4缺血区GFAP蛋白的表达:术后3d,7d,14d,21d与假手术组比较,各组GFAP阳性细胞表达增加(p<0.01);术后7d,14d,与模型组相比,针刺组、康复组、针康组GFAP阳性细胞表达增加(p<0.05);术后7d,14d,与针刺组、康复组比较,针康组GFAP阳性细胞表达增加(p<0.05)。
     5脑缺血大鼠BDNFmRNA的表达:各时间点,与假手术比较,各组BDNFmRNA的表达增加(p<0.01);术后7d,14d,与模型组相比,针刺组、康复组、针康组BDNFmRNA的表达增加(p<0.05);术后7d,14d,与针刺组、康复组比较,针康组BDNFmRNA的表达增加(p<0.05)。
     6脑缺血大鼠Caspase-3mRNA表达:各时间点,与假手术比较,模型组Caspase-3mRNA表达增加(p<0.01);术后7d,14d,与模型组相比,针刺组、康复组、针康组Caspase-3mRNA表达减少(p<0.05);术后7d,14d,与针刺组、康复组比较,针康组Caspase-3mRNA表达减少(p<0.05);术后7d,14d,与针刺组比较,康复组Caspase-3mRNA的表达无明显差异,(P>0.05)。
     结论
     1.针康法能促进局灶性脑缺血后大鼠神经功能康复,且针康法优于单纯针刺和康复。
     2.针康法能够促进局灶性脑缺血大鼠皮质缺血区周围GFAP,S100β的表达,促进胶质细胞活化,从而保护神经元,进而起到脑保护作用,且针康法优于单纯针刺和康复。
     3.针康法能促进局灶脑缺血后BDNFmRNA的表达增加,保护神经元,与BDNF蛋白表达趋势一致,并且随时间递增其表达增加,且针康法优于单纯针刺和康复。
     4.针康法能抑制局灶脑缺血后Caspase-3mRNA的表达,减少细胞凋亡,促进神经恢复,并且随时间递增其表达降低,且针康法优于单纯针刺和康复。
     5.针康法能够调控脑缺血后胶质细胞环境,抑制神经细胞凋亡途径,这可能是针康法促进脑缺血神经恢复的机制之一。
Objective
     To observe the effect of acupuncture in ischemic region of BDNF and S100β and GFAP protein and method on focal cerebral ischemia rats, and expression of BDNFmRNA, Caspase-3mRNA.
     Method
     Establishment of rat permanent focal cerebral ischemia model, In these standards in line with the selected240rats. Divided into5groups, Sham operation group, model group, acupuncture group, the rehabilitation group and acupuncture combined with rehabilitation group. Each group had48rats, Then each group at3,7,14.21days were divided into4groups,12rats in each group. Sham operation group, model group without any intervention, The acupuncture group were treated with head acupuncture therapy, The rehabilitation group was treated with treadmill training, Acupuncture combined with rehabilitation group was treated with head acupuncture treatment combined with treadmill training. Each time, Changes in the immunohistochemical detection of BDNF,S100β、GFAP in ischemic rats expression. point of the changes of nerve function test observation of neural function in rats, The detection of BDNF-mRNA,Caspase-3mRNA real-time fluorescent quantitative PCR
     Result
     1. The neurological function score, Each time point in each group, the neurological function score increased clearly (P<0.01); After7th days of treatment compared with the model group. The nerve function score of acupuncture group, rehabilitation group and comprehensive group decreased clearly (P<0.05). Compared with the acupuncture group and rehabilitation group, comprehensive group of neural function score was significantly lower (P<0.05). Acupuncture group and rehabilitation group was compared with similar.
     2Expression of BDNF in the ischemic area:After the success of the model,3days,7days,14days, each group and sham operation were statistically significant(p<0.01).7days after making models, compared with the model group, expression of BDNF was significantly reduced in acupuncture group, rehabilitation group and comprehensive group (P<0.05).14days after making models, Comprehensive group compared with the model group were significantly different(p<0.01).
     3The expression of S100β around ischemic cortex:on the3rd and7th day after the modeling, there were statistically difference between the sham operation group and other groups (P<0.05). On the3rd day after the modeling, to compared with the model group,S100β expression promoted in the CNSP combined with task-oriented training group and in the task-oriented training group (P<0.05). on the14th day after the modeling, there were statistically difference between the CNSP combined with task-oriented training group and model group (P<0.01). On the21St day after the modeling, there were statistically difference amongst in the CNSP combined with task-oriented training group, the task-oriented training group, the CNSP group and the model group(P<0.05).
     4The expression of GFAP around ischemic cortex:On the7th and14th days after the modeling, to compared with the model group, the expression of GFAP in the CNSP combined with task-oriented training group, the task-oriented training group and the CNSP group enhanced (P<0.05), and they in the CNSP combined with task-oriented training groupwere superior to the task-oriented training group and the CNSP group (P<0.05) respective.There were statistically difference amongst in the CNSP combined with task-orientedtraining group, the task-oriented training group and the CNSP group (P<0.05). On the21St day after the modeling, the expression of GFAP in the CNSP combined with task-oriented training group were superior to the others (P<0.05).
     5The expression of BDNFmRNA:Each time point in each group compared with the model group, BDNFmRNA expression was significantly increased (P<0.01). After7th days of treatment compared with the model group, expression of BDNFmRNA was significantly higher in acupuncture group, rehabilitation group and comprehensive group (P<0.05). Compared with the acupuncture group and rehabilitation group, Expression of BDNFmRNA was significantly higher in comprehensive group (P<0.05).Acupuncture group and rehabilitation group was compared with similar.
     6. The expression of Caspase-3mRNA:Each time point in each group compared with the model group, Caspase-3mRNA expression was Increased significantly (P<0.01). After7th days of treatment compared with the model group, expression of Caspase-3mRNA was significantly reduced in acupuncture group, rehabilitation group and comprehensive group (P<0.05) Compared with the acupuncture group and rehabilitation group, Expression of Caspase-3mRNA was significantly reduced in comprehensive group (P<0.05).Acupuncture group and rehabilitation group was compared with similar.
     Conclusion
     1Acupuncture and rehabilitation can promote the recovery of neural function of rats after focal cerebral ischemia.
     2Acupuncture and rehabilitation can promote the expression of proliferation in brain tissue after focal cerebral ischemia GFAP, S100β.
     3Acupuncture and rehabilitation can promote the expression of proliferation in brain tissue after focal cerebral ischemia BDNF-mRNA.
     4Acupuncture and rehabilitation promotes the expression of brain tissue after focal cerebral ischemia Caspase-3mRNA attenuation.
     5Acupuncture combined with rehabilitation to glial cells after cerebral ischemia in environmental regulation, inhibition of neuronal apoptosis pathway. This may be one of the mechanisms of acupuncture combined with rehabilitation for cerebral ischemia nerve recovery.
引文
[1]廖仁昊,陈立英,梁容仙等.阿司匹林联合脑缺血预处理对大鼠脑缺血再灌注后炎性反应的影响[J].中国老年学杂志.2010(13)
    [2]Liesz A, Suri-Payer E, Veltkamp C, Doerr H, Sommer C, Rivest S, Giese T, VeltkampR.Regulatory T cells are key cerebroprotectiveimmunomodulators in acute experimental stroke.[J].Nat Med.2009; 15:192-199.
    [3]Doyle KP, SimonRP, Stenzel-PooreMP.Mechanisms of ischemic braindamage.[J]. Neurophrmacology.2008;55:310-318.
    [4]尹瑞雪,卢昌均,陆兵勋等.大鼠脑缺血再灌注损伤后血浆内皮素、一氧化氮含量变化及通心络对其影响[J].中国康复医学杂志.2007(07)
    [5]周薇,周仲瑜.头针加体针治疗血管性痴呆的临床观察[J].针灸临床杂志,2012,28(6):11-13
    [6]庞国军,张挺,王可博.头针抽提法治疗脑卒中偏瘫疗效观察[J].上海针灸杂志2012,31(1):11-20
    [7]李诺,金炳旭,黎洁玲等.头针疗法治疗自闭症[J].中国针灸,2011,31(8):692-697
    [8]冯兆才,马融,李瑞仕.头针结合推拿治疗痉挛型脑瘫32例临床观察[J].山西中医,2011,27(11):31-33
    [9]刘方超.头针配合运动疗法治疗脑卒中后抑郁疗效观察[J].上海针灸杂志,2011,30(11):733-735
    [10]张鲜.头针治疗痉挛型小儿脑瘫粗大运动功能疗效评价[J].现代预防医学,2011,38(16):3208-3210
    [11]李光海,颜敏.头针治疗精神分裂症顽固性幻听60例[J].辽宁中医杂志,2012,39(7):1396-1399
    [12]王京军,金章安.朱氏头皮针留针配合肢体训练对急性脑梗死后痉挛性瘫痪神经功能缺损的影响[J].中国中医急症,2013.22(4):543-545
    [13]柴英芳.头针配合体针治疗中风后遗症463例[J].现代中医药,2009,29(6):49-51
    [14]金国栋.头针结合降纤酶治疗缺血.性脑卒中疗效观察[J].中国中医急症2009,18(6):867-869
    [15]唐强,陈慧杰,李雪静.头针结合高电位治疗脑卒中后肩痛的临床观察[J].针灸临床杂志,2009,25(1):19-21
    [16]王晓燕,桂敏霞.电针结合穴位注射及六合治疗仪治疗脑卒中偏瘫[J].内蒙古中医药,2010,31(17):99-101
    [17]白蓉;何予工电针联合PNF技术治疗老年脑卒中后肩关节半脱位患者的疗效[J].中国老年学杂志,2010,32(14):3034-3036
    [18]王学文,谭峰.电针治疗急性脑梗死的临床研究进展[J].江苏中医药,2011,43(3):90-92
    [19]彭勋超,黄杰.靳三针、电针结合促进技术治疗中风后遗症半身不遂的临床观察[J].光明中医,2011,26(3):533-535
    [20]项小林,杨婷婷.双侧头皮透刺电针疗法结合穴位注射治疗中风后遗症疗效观察[J].中国全科医学,2011,14(8):2701-2704
    [21]刘娇,冯晓东.电针百会、神庭穴配合康复训练治疗脑卒中后认知障碍临床研究[J].中医学报,2013,28(179):608-611
    [22]张纯,刘健,林秋虹等.电针治疗对急性脑梗塞患者运动功能的影响[J].湖南中医药大学学报,2013,33(2):79-81
    [23]余芳,赵晖,邹然等.体针加穴位注射治疗缺血性脑卒中及其对血管内皮分泌功能的影响[J].中西医结合研究,2012.4(6):285-289
    [24]于青,张志强,任亚平.体针联合PN F疗法早期干预对改善脑卒中后肢体运动功能障碍的疗效观察[J].临床和实验医学杂志,2012,11,(24):1928-1931
    [25]唐汉平,刘若兰.体针结合埋线治疗中风后上肢肌力恢复50例临床观察[J].中国社区医师,2011,13(5):126-127
    [26]王月梅,张丽民,王庆超.眼针加体针治疗中风偏瘫的临床观察[J].中国中医药现代远程教育,2011,9(3):51-52
    [27]柏强.眼针结合作业疗法刘偏瘫患者上肢运动及日常生活活动能力的影响[J].中华中医药学刊,2010,28(7):1540-1543
    [28]张雪松,王鹏琴.眼针治疗脑中风26例疗效观察[J].实用中医内科杂志,2010,24(2):100-101
    [29]卞金玲,张春红.石学敏院士针刺手法量学的概念及核心[J].中国针灸,2003,23(5):287-289.
    [30]张爱娜.醒脑开窍法治疗中风偏瘫的临床观察[J].辽宁中医杂志,2011,38(2):345-346
    [31]王在年,王明芹,龚德莲.醒脑开窍针刺治疗急性脑外伤、脑中风临床观察[J].医学信息,2011,24(1):152-153
    [32]赵琦.醒脑开窍针刺法治疗中风后失语临床疗效观察[J].四川中医,2011,29(10):120-121
    [33]陈颖,闻霞,张宁.醒脑开窍针刺法配合康复训练对脑卒中偏瘫的临床疗效观察[J].中华中医药学刊,2011,29(2):404-406
    [34]张艳,刘国成,王金宇.巨刺配合康复训练治疗脑卒中后痉挛性偏瘫疗效观察[J].上海针灸杂志,2012,31(9):631-634
    [35]周宇,吴中朝,栗新,巨刺针法治疗中风恢复期手功能障碍37例临床观察[J].中医杂志,2012,53(20):1746-1750
    [36]万娇,李波,陈向阳.巨刺导引复合针法对中风偏瘫运动功能康复的疗效观察[J].上海针灸杂志,2011,30(3):160-162
    [37]邹玮庚,徐远红,李海峰.巨刺阳经法治疗缺血性脑卒中后上肢痉挛的临床观察[J].天津中医药,2010,27(4):294-297
    [38]袁青.中风后遗症靳三针特效治疗[M].人民军医出版社,2005,72-73.
    [39]靳瑞,赖新生,李艳慧,等.颞三针治疗中风后遗症的临床观察[J].中国针灸1993,13(1):11-12.
    [40]迪亚拉,靳瑞.颞三针治疗中风急性期的研究[J].针灸临床杂志,1995,11(8):25-27.
    [41]谢心,张晓东,徐恒泽.“三针疗法”结合“四关穴”治疗急性脑梗死患者偏瘫65例[J].江苏中医药,2004,25(2):41-42.
    [42]杨明军,刘怀忠,倪三平.透穴针刺治疗中风后半身不遂75例[J].陕西中医,2006,14(2):17-19
    [43]王顺,蔡玉颖,胡丙成.透穴刺法治疗中风后小脑性共济失调临床观察[J].中国针灸,2006,1(12):27-29
    [44]秦宏,施丽俊, 张宇.头穴透刺配合康复训练治疗脑卒中后肩手综合征疗效观察[J].上海针灸杂志,2013,32(3):167-170
    [45]倪朝民.急性脑卒中的早期康复及其功能训练时间[J].中国临床康复,2002,6 (3):314-315.
    [46]倪朝民.脑卒中的康复研究[J].中国康复医学杂志,2005,20(1):3.
    [47]燕铁斌,窦祖林,实用瘫痪康复[M].人民卫生出版社,2000,205-271.
    [48]刘世文.利用关节感受器诱发肌肉活动能力的训练[J].中国康复医学杂志,1993,(3):133.
    [49]卓大宏.中国康复医学[M].华夏出版社,2003,866.
    [50]J. H. Carr.中风病人的运动再学习方案[M].黄永禧主译.北京医科大学出版社,1999,21-22.
    [51]燕铁斌.现代脑卒中康复及21世纪展望[J].现代康复,1999,3(11):1338-1344.
    [52]刘楠,刘世文.强迫运动疗法的研究进展[J].中国康复医学杂志,2007,22(3):278-282.
    [53]Buttefisch C, Hummelsheim H, Denzler P, et al.Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand [J].NeurSci,1995,130(1):59-68.
    [54]霍速,纪树荣.减重步行训练的临床应用[J].中国康复理论与实践,2003,9(2):115-118.
    [55]王刚,何建永,张德清,等.“运动想像”疗法对恢复期脑卒中患者功能恢复的影响[J].中国康复医学杂志,2006,21(12):1096-1098.
    [56]槐雅萍,李军涛,于进洪,等.“运动想象”疗法用于脑卒中患者上肢功能恢复一例报告[J].中国全科医学,2006,9(3):233-234.
    [57]谢财忠,陈光辉,陈光.脑卒中康复的理论和方法[J].中国康复理论与实践,2002,8(11):675-678.
    [58]燕铁斌.神经肌肉电刺激及其在痉挛性瘫痪治疗中的临床应用[J].中国康复理论与实践,2003,(9):155-158.
    [59]余锋,赵合庆,孙永安.经颅磁刺激对脑缺血-再灌注大鼠急性期脑内单胺类神经递质含量的影响[J].中国脑血管病杂志,2007,4(2):76-80.
    [60]王艳,张本恕,安中平.经颅重复磁刺激技术的原理及临床应用进展[J].国外医学,老年医学分册,2007,28(1):21-24.
    [61]杨雅琴,刑德利,赵性泉,等.经颅磁刺激对急性脑梗死患者运动功能的影响[J].中国康复理论与实践,2005,11(7):516-517.
    [62]朱琳.肌电生物反馈在卒中患者中的应用[J].中国康复理论与实践,2006,12(2):177.
    [63]韩瑞,倪朝民,肌电生物反馈治疗对脑卒中偏瘫患者上肢功能的影响[J].中国康复理论与实践,2005,11(3):209-210.
    [64]王蓓蓓.英国作业治疗简介[J].中国康复医学杂志,1994,(6):261.
    [65]尤春景,黄杰,黄国荣.步行矫形器在截瘫患者步行能力恢复中的作用[J].中国临床康复,2003,7(11):1682.
    [66]王茂斌.脑损伤后康复医疗的基本原则[J].中国脑血管病杂志,2008,5(3):127-131.
    [67]唐强,吴北峰,朱肖菊.针康法对缺血性脑卒中患者肢体运动功能的影响[J].针灸临床杂志,2005,6(12):75-76
    [68]赵振峰,王芳,刘宏光.针康法对局灶性脑缺血大鼠学习记忆能力及海马基质细胞衍生因子.-1α mRNA的影响[J].中国康复理论与实践,2011,17(4):307-310
    [69]唐强,刘宏光,王艳.针康法对局灶性脑缺血大鼠前肢运动功能及缺血区突触素和生长相关蛋白-43表达的影响[J].中国康复理论与实践,2011,17(10):973-977[70]关莹,张立,邢艳丽.针康法对脑卒中后痉挛状态的影响[J].中国康复理论.实践,2011,17(4):325-327
    [71]薛晴,崔仁爱,邢艳丽.运动想象疗法结合针康法治疗脑卒中后上肢功能障碍的临床疗效观察,针灸临床杂志,2012,28(9):14-16
    [72]TrendelenburgG,DirnaglU.Neuroprotective role of astrocytes incerebralischemia: focus on ischemic preconditioning[J].Glia,2005,50(4):307-320.
    [73]Nicholls D,Attwel D. The release and uptake of excitatory amino acids.[J].Trends PharmacolSci,1990,11:462-468
    [74]Walz W. Role of glial cells in the regulation of the brain ion microenvironment. [J].ProgNeurobiol,1989,33:309-333
    [75]Nakata N, Kato H, Kogure K. Protective effects of basic fibroblast growth fatoragainst hippocampal neuronal damage following cerebral ischemia in the gerbil [J].Brain Res,1993,605:458-464
    [76]ShgenoT,MimaT,TakakuraK,et al.Amelioration of delayed neuronal death in the hippocampus by nerve growth factor[J]. Neurosci,1991,11:2914-2919
    [77]Wilson J. X. Antioxidant defense of the brain:A role for astrocytes. Can [J]. Physiol Pharmacol,1997,75:1149-1163
    [78]陈秀,吴万福等.成年大鼠缺氧性脑损伤后亚临床发作及胶质原纤维酸性蛋白的表达[J].重庆医科大学学报.2007,(32)12:1256-1259
    [79]唐红霞,李文辉,施荣富,等.戊四氮致癫痫大鼠海马s100β蛋白变化及其相关性研究[J].临床神经病学杂志,2004,17(3):221-222.
    [80]张晓琴等.急性脑梗死患者血清肝细胞生长因子S100p蛋白变化的意义[J]邯郸医学院学报2008,10,27(8):405.
    [81]张鹏云,和荣丽,何生,等.力竭运动后大鼠海马NF-κB、BDNF的表达变化[J].神经解剖学杂志,2012,28(1):63-39
    [82]王彦春,梁少荣,马骏.电针对局灶性脑缺血模型大鼠皮层BDNF、TrkB的影响[J].中华中医药学刊,2012,30(3):469-472
    [83]谭永星,李雪梅,文素芳,等.不同时间脑室注射BDNF对大鼠脑缺血再灌注损伤氧化应激及神经细胞凋亡的影响[J].第四军医大学学报,2009,30(18):1681-1685
    [84]刘猛,康宁东.听源性惊厥点燃诱导新皮质内c-fos和BDNF变化的研究[J].神经解剖学杂志,2002.18(3):243.
    [85]Perez-Navarro E.GavaldaN,GratacosE,etal.Brain derived neurotrophic factorp-revents changes in Bcl-2 family members and caspase-3 activation induced by excito-toxicity in the striatum[J]. Neurochem.2008,92(3):678-691.
    [86]Hammonds MD, Shim SS,FengP,etal.Effects of subchronic lithium treatment onlevels of BDNF. Bcl-2 and phospho-CREB in the rat hippocampus[J].Basic ClinPharmacol Toxicol.2007,100(S):3S6-3S9.
    [87]Li Z, Zhang J, Liu Z, Woo CW, et al.Downregulation of Bim by brain-derived neuro trophic factor activation of TrkB protects neuroblastoma cells from paclitaxel but not etoposide or cisplatin-induced cell death[J].Cell Death Differ.2007,14 (2):318-326.
    [88]WeinrebO,Bar-Am O,AmitT,etal.Neuroprotection via pro-survival protein Kinase C isoforms associated with Bcl-2 family members [J].FASEB J.2004,18 (12):1471-1473.
    [89]ThompsonCB.Apoptosisinthe pathogenesia and treatment of disease[J].Science. 1995,267(5203):1456-1457
    [90]Yuan J. Yankner B A. B Apoptosis in the nervous system [J].Nature.2000,407: 802-809
    [91]Srinivasula SM, Pernandes-Alnemri T, Zangrilli J, et al. The Ced-3/interleukin 1 beta substrates for the apoptotic mediator CPP32[J].BiolChem,1996,271(43):27099-27106
    [92]W'u D, PardricigeW'M. Neuroprotection with noninvasive delivery to the brain[J]. Proc Natl A cadSciUSA,1999.96(1):254-259
    [93]Cheng B, Mattson MP. NT-3 and BDNF protect CNS neurons against metabolicexcitotoxicinsult[J].Brain Res 1994; 640(1-2):56-67
    [94]Brandoli C. Sanna A, De Bernardi MA, et al. Brain-derived neurotrophic factor and basic fibroblast growth factor downregulate NMDA receptor function in cerebellar granule cells [J]Neurosci 1998; 18(19):7953-61
    [95]牛平,王耀山,吕永利,等.神经营养因子对体外培养多巴胺能神经元营养作用比较研究[J]中国医科大学学报,2010,30(6):408-410
    [96]Longa E, Weinstein P, Carlson S, et al. Reversible middle cerebral artery Occlusion without craniectomy in rats[J]. Stroke,1989,20(1):84.
    [97]Schmittgen T D, Livak K J. Analyzing real-time PCR data by the comparative C(T) method[J]. Nat Protoc,2008,3(6):1101-8.
    [98]Tseng C P, Cheng A J, Chang J T, et al. Quantitative analysis of multidrug-resistance mdrl gene expression in head and neck cancer by real-time RT-PCR[J]. Jpn J Cancer Res,2002,93(11):1230-6.
    [99]唐强,朱冬梅,刘景隆,等.头穴丛刺结合康复治疗急性脑梗死患者运动功能障碍的临床观察[J].中国康复理论与实践,2004,10(11):697-698.
    [100]Tanaka H, Araki M, MasuzawaT.Reaction of astrocytes in the gerbil hippocampus following transient ischemia:Immunohisto-chemical observations with antibodies against glial fibrillary acidic protein, glutamine synthetase and s-100 protein[J].ExpNeurol,1992,116:264.
    [101]Landar A Caddell G, Cgssher J, et al.Identification of an S 100A/S 100B target protein, hosphoylucomutase.[J].Cell Calcium,1996 20(2):279.
    [102]钟相根,李澎涛,王永炎,等.清开灵对大鼠缺血脑组织星形胶质细胞活化的影响[J].中国医药学报,2004,19(6):338-340
    [103]施星压.针刺对实验性高血脂合并脑缺血大鼠星形胶质细胞影响的实验研究[D].北京中医药大学博士学位论文,2007.
    [104]Gomes FC, Paulin D, Moura NV, et al.Glialfibrillary acidic protein (GFAP): modulation by growth factors and its implication in astrocyte differentiation.Braz[J]. Med Biol Res,1999,32(5):619-631.
    [105]Day JR,LapingNJ,lampert -ErtchellsIvl,etal.Gonadal steroids regulate the expression of filial fibrillary acidic protein in the adult male rat hippocampus[J]. Neuroscience,1993,55:435-443.
    [106]王文昭,赵忠新,等.高血压性脑出血患者水肿周围组织GFAP表达.[J].Apoplexy and NervousDiseases, April 2008, Vol25, No.2.
    [107]张鹏远,陶胜中,等GFAP在脑出血周围脑组织表达的实验研究[J].中国基层医药2003.10(1):25-27
    [108]Bambrick L, K ristian T, FiskumG.Asrocytemitochndrial mechanism ischemic brain injury and neuroprotection[J].Neurochem Res,2004,29:601-608.
    [109]Schmidt-Kastner R, Garcia I, Busto R, Ginsberg M D。Nestin antibodies label reactive glial cells and some cortical neurons after global brain ischemia in adult rat[J].Cereb B lood Flow Metab,1997,17:727.
    [110]鲁利群,蒲昭霞,张雨生,等.环境对脑缺血性脑损伤新生鼠海马GFAP表达的影响[J].四川医学,2009,30:309-311.
    [111]Ferrer I, Ballabriga J, Marti E, et al.BDNF up-regulates TrkB protein and prevents the death of CA 1 neurons following transient forebrain ischemia[J].Brain Pathol,1998,8 (2):253-261.
    [112]Tremblay R, Hewitt W, Lesiuk H, et al.Evidence that brain-derived neurotrophicfatorneuroprotection is linded to its ability to reverse the NMDA-induced inactivation of protein kinase C in corticalneurons[J].Neurochem,1997.10(1): 102-111.
    [113]Nisticocatalase activity and increasesK, et al.NGF restores decrease insupe- roxidedimutase activity andincreases superoxide dimutase and glutathione peroxidase activity inthe brain of aged rats[J]:Free RadicBiol Med,1992,12 (3):177-181.
    [114]骆仲达,骆仲违,许能贵,等.电针对局灶性脑缺血大鼠脑源性神经营养因子影响的针刺研究[J].中国医药学报,2002,27(2):55
    [115]Arai D, Kinouchi H, Akabane A, et al.Induction of brainderivedneurotrophic factor and the receptor trkB mRNA following middle cerebral artery occlusion in rat[J].NeurosciLett,1996,211(1):57
    [116]胡圣望,胡勇,胡亚林,等.新生大鼠脑缺血缺氧后脑组织脑源性神经营养因子表达及电针的干预效应[J].中国临床康复2006,10(35):324
    [117]许能贵.汪帼斌.佘世锋,等.针刺百会、大椎穴对局灶性脑缺血大鼠皮层脑源性神经营养因子表达的影响[J].广州中医药大学学报2004,21(6):12
    [118]Dirnagl U, Iadecola C, Moskowitz MA. Pathobiology of ischaemicstroke: anintegratedview[J],.Trends Neurosci,1999;22(9):391-397
    [119]ThornbenyNA,Ynri L. caspases:enemies within[J].Science,1998,281(8):1312-13
    [120]戚基萍,王德生,王立峰,等.人脑局灶性缺血后海马神经元损伤与半胱氨酸蛋白酶-3的关系[J].中华神经科杂志,2005,38(2):112-115

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700