电针对老年性痴呆大鼠脑内生化及学习记忆信号转导机制的影响
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摘要
目的:探讨电针对老年性痴呆大鼠学习记忆影响的机理。
     方法:将老年痴呆(AD)大鼠分为空白组、假损伤组、模型组和电针组,采用D-半乳糖结合氯化铝损害模型的造模方法,选“百会”、“大椎”、“太溪”、“足三里”电针治疗。分别用生化方法观察电针对AD大鼠脑组织胆碱酯酶、超氧化物歧化酶、单胺氧化酶、一氧化氮、一氧化氮合酶的影响;用免疫组化方法观察海马组织蛋白激酶的表达;用光、电镜方法观察大鼠脑组织形态结构的变化;用原位杂交方法观察海马组织天门冬氨酸受体rnRNA的表达;用水迷宫和电迷宫实验观察大鼠逃避潜伏期和错误次数,以了解其学习记忆能力。
     结果:电针可明显降低痴呆模型组大鼠脑组织AchE活力;电针提高了SOD的活性,抑制MAO活性,提高了抗氧化系统的能力;电针能提高模型大鼠海马匀浆中NO、NOS含量,提高了大鼠学习记忆能力;电针通过调节蛋白激酶、天门冬氨酸受体rnRNA的表达影响长时程增强(LTP)的形成;电针能影响海马突触形态;电针能使AD大鼠在水迷宫和电迷宫实验中逃避潜伏期和错误次数减少,使AD大鼠学习记忆能力得到一定程度的恢复。电针不失为治疗老年性痴呆的简单、有效的方法。
Objective: To explore the mechanism of electro-acupuncture effect on senile dementia rat's learning and memory function.
    Methods: Divide senile dementia AD rats into normal control group, sham-operation group, model group and electro-acupuncture group randomly, adopt D-galactoside combinated aluminum chloride damage model, treat Baihui, Dazhui, Taixi and Zusanli with electro-acupuncture. Use biochemical method to observe the effect of electro-acupuncture on AchE, SOD, MACK NO, NOS of senile dementia AD rat's brain tissue; use immunohistochemistry technique to observe protein kinase expression of hippocampal; use optical and electron microscope to observe morphosis change of rat's brain tissue; use in situ hybridism technique to observe aspartate receptor mRNA expression of hippocampal; use water and electric maze experiment to observe rat escape latent period and mistake times, to understand it's learning and memory ability.
    Results: Electro-acupuncture can decrease AchE ability of VD rat's brain tissue evidently; electro-acupuncture can increase ability of SOD , inhibit ability of MAO , increase ability of antloxidation system; electro-acupuncture can increase model rat's NO, NOS content of hippocampal homogenate, increase learning and memory ability of rat ; electro-acupuncture can influence formation of long-term potentiation ( LTP) by regulate protein kintasc, aspartate receptor mRNA expression. Electro-acupuncture can influence morphosis of hippocampal synapse. Electro-acupuncture can decrease AD rat escape latent period and mistake times in water and electric maze experiment, improve AD rat's learning and memory in some extent. Electro-acupuncture is a simple and effective method for treating VD.
引文
[1] 盛树立.《老年性痴呆:从分子生物学到临床诊治》北京科学技术文献出版社,1995年5月第一版。
    [2] Alzheimera.Ueber eine eigenartrge Erkrankung derHiminde Cen Nervenheilk Psychiar,1907,30:177.6
    [3] 陈昌惠,等.北京市西城区老年痴呆流行病学患病率调查.中国心理卫生杂志,1992;6(2):49
    [4] Ernst RL, Hay JW, Fenn C, etal. Cognitive function and the cost of alzheimer disease, arch Neurol, 1997,84:1261~1264
    [5] Shigeta M; Hommaa. Sex, education,and races as risk faces as risk factors of alzheimer' sdisease. No-To-Shinkei.2001,Mar, 53(3):217~218
    [6] JormaF. The prevalence of dementia; aquantitative integration of the literature [J].acta Psychiatr Scand, 1987,76:464
    [7] Tang MX. Incidence of AD in african-Americans, Caribbean His panics,and Caucasinnor thern Manhattan. Neurology, 2000 Jan 9,56(1):49~56
    [8] 张明园,Robert Katzman,陈佩俊,等.痴呆和阿尔茨默病的发病率(J).中华精神科杂志,1998,31(4):195
    [9] Mclanchlan DR. Risk for neuropathologically confirmed alzheimer's disease and residucal aluminuminmunicipal drinking water employing weighted residential histories[J]. Neurology, 1996,46(2):401
    [10] SoniMG..Safety evaluation of dietary aluminum. Regul-Tolxicol-Pharmacol.2001Feb;33 (1):66~79
    [11] Gaos.The relationships between age, sex,and the incidence of dementia and Aizheimer disease:ameta-analysis[J].archgenpsychiatry, 1998,55(9):809
    [12] Ottber.lateralized cortical Perfusion in woman with alzheimer's disease.J-Gend-Specif-Med.2000Sep-Oct;3(6):29~35
    [13] Sanspnij.Dinamichenellafamiglia;qualitadelsonnodelledonnechesiprendonocurssca
    
    sadipersoneaffettedamorbod'Alzheimer(AD).Prof-inferm. 1999APR-JUN;52(2):73~9
    [14] Hebertle,Scherrpa,Mccannjj,etal.Istheriskofdeveloping Alzheimer's disease greater for women than for men?Am-J-Epidemiol.2001.Jan15,153(2):132~136
    [15] Allensj,Robertsonag. Recombinant human nerve growth factor for clinical triacls.J-Biochem-Biophys-Methods.2001 Fed26,47(3):239~255
    [16] Kawasc,Resnicks,Morrisona,ctal.aprospective study of estrogen replacement therapy and the risk of developing Alzheimer's disease:The baltimorelogitudinal study of aging[J].Neurology,1997,48:1517
    [17] Hoyers.Ages as risk factor for sporsdic dementia of the algimer type? annyacadsci,1994,719:248
    [18] Deleonm abnormal cortisol in Alzheimer's disease linked tohippocam platrophy. lancet, 1988,2(8607): 391
    [19] 刘永琦.免疫分子在Alzheimer's中表达的机制及作用[J].中风与神经疾病杂志,2002,19(5):380
    [20] Fratiglionil,Ahlboma,Viitanenm.risk factors for late-on set Alzheimer's disease:apopulation-based,case-control study [J],1993,33(3):258
    [21] Roccawa, Amaduccila, schoenbergbs, epidemiology of clinicallydd/iagnosed Alzheimer's disease.Annneurol,1986,19:415~425
    [22]. Mesulam MM, Asuncion Moran MA Cholinesterases wlthin neurofibrillary tangles related toage and alzheimer's disease.Ann Neurol. 1987, 22(22): 223
    [23]. Whitehouse PJ, MartinoaM, wagste MV etal. Reductions in nicotinic acetylcholine binding inalzheimer's diseaseand Parkinson's disease and autoradiographic study-Neurology 1988,38(5): 720
    [24] Sautiere PE,Sindou P, Couratier P ,etal Tau antigenic changes induced by glutamate rat primafy culturc model a biochemical approach. Neurosci Lett,1992, 140(2): 206
    [25] Hyman BT, Van-Hoesen Gw, DamasioaR. Alzheimer's diesase: glutamate depletion in the hippocampal perforant pathway zone. Ann Neurol, 1987, 22(1): 37
    [26] Olney JW, Woziak DF, Farber NB. Excitotoxic neurodegeneration in alzheimer's disease, New, hypothesis and new therapeutic strategies, Arch Neurol, 1997, 54(10): 1234
    
    
    [27] N C Berchtoldand C W Cotman. Evolution in the conceptualization of dementia and alzheimer's disease: Greco-Roman period to the 1960s. Neurology ofaging, 1998,19(3):173
    [28] Maho M K, Masato H, Koji Takio, etal. Hyperphosphorylation of tau in PHF. Neurobiology ofaging, 1995, 16(3):365
    [29] C Bancher, C Brunner, H. Lassmann, etal.acumulation of abnoramally phosphorylated precedes the formation of neurofibrillary tangles in alzheimer's disease. Brain Reserch, 1989, 477(1):90
    [30] Michel Goedert. Tau protein and the neurofibrillary pathology of alzheimer's disease. TINS, 1993, 16(11):460
    [31] C X Gong, I Grundke-Iqbal, K Igbal, etal. Dephosphorylation of alzheimer's disease abnormally phosphorylbted tau by protein phosphatase-2A. Neuroscience,1994, 61(4):765
    [32] 王建枝,龚成新,K.Iqbal,等.阿尔茨海默病患者脑中双螺旋丝的体外去磷酸化作用.中华神经科杂志,1998,31(3):146
    [33] Tarendt, M Holzer, R Fruth, etal. Phosphorylation of tau,a β-formation,and apoptosis after in vivo inhibition of PP-land PP-2A. Neurobiology of aging, 1998,19(1):3
    [34] K Iqbal, I Grundke-Iqbal, T Zaidi, etal. Defective brain microtubuleassembly in alzheimer's disease. Lancet, 1986, 2(8504):421
    [35] Mudhera, Chapman S, Richardson J, etal. Dishevelled regulates the metabolism of amyloid precursor protein via protein kinase C/mitogen activated protein kinase and c-Joun terminal kinase. J Neurosci, 2001, 21:4987-4995.
    [36] 秦斌,王新德.β淀粉样蛋白及TAU蛋白和Alzheimer's病关系的研究[J].国外医学·老年医学分册,1995,16(6):267.
    [37] Simons M, Keller P, Dichgans J, etal. Cholesterol anda Izheimer's disease: is there a link? Neurology, 2001,57:1089-1093.
    [38] Kivipelto M, Helkala EL, Laakso MP, ctal. Midlife vascular risk factors and alzheimer's disease in later life: longitudinal, population based study. BMJ,2001,322:1447-1451.
    
    
    [39] Refolo LM, Malester B, LaFrancois J, etal. Hypercholesterolemiaaccelerates the alzheimer's amyloid pathology ina transgenic muse model. Neurobiol Dis,2000,7:321-331.
    [40] Ehehalt R, Keller P, Haass C, etal.amyloidogenic processing of the alzheimer beta-amyloid precursor protein depends on lipid rafts. J Cell Biol, 2003,160:113-123.
    [41] 李求兵,梅荣.老年痴呆症的中西医诊断与治疗[M].北京:中国医药科技出版社,1999.
    [42] 盛树力,裴进京.老年性痴呆的临床和分子学基础[M].北京:科学技术文献出版社,1998.
    [43] Meier—Ruge WI wangoff P, Bertoni-Preddari C. what is primary and what secondary foramyloid disposition in alzheimer's disease, Ann NYacad Sci,1994,719: 230
    [44] Henneberry RC, Novellia, Cox JA,etal Nerotoxlcity at the N methyl Daspartate receptor in energy compromised neurons.Ann NYacad Sci, 1989,568: 225
    [45] De Leon M,McRae T, Tsai JR, etal abnormal cortisol response in alzheimer's disease linked to hippocampal atrophy Lancet 1988,2(8607): 391
    [46] Sapolsky RM. Glucocorticoid toxicity in the hippocampus temporal aspects of neuronal vulnerability. Brain Res,1985, 359(1—2): 300
    [47] Pappolla MA Omar RA,Dim KS,etal.Immunohistochemical evidence of oxidative stress in alzheimer's disease,Am J Pathol,1992,140(3):621
    [48] Multhup G, Ruppert T, Schlichsuppa,etal.Reactive oxygen species and alzheimer's disease.Biochem Pharmacol.1997,54(5):533
    [49] Loo DT,Copania,Pike CJ,etal.apoptosis is induced by beta-amyloid in cultured central nervous system neurons, Proc Natlacad Sxi USA,1993,90(17):7951
    [50] Weldon DT, Maggio JE,Mantyh PW, New insights into the neuropathology and biology of alzheimer's disease.Geriatrics,1997,52(Suppl 2):S13
    [51] Vandenabeele P, Fiers W.Isamyloidogenesis during alzheimer's disease due to an IL-1/IL-6 mediated acute phase reponse,in the brain? Immunol Today,1991,12(7):217
    [52] 杜泽英,李晓玉.阿尔茨海默病与免疫炎症反应的相关性[J].生理科学进展,1998,
    
    29(3):253.
    [53] 尹兆宝,吴洪梅,林松华,等.炎症与阿尔茨海默病[J].国外医学·老年医学分册,1998,19(6):247.
    [54] Foley P,Bradford HF, Docherty M,etal. Evidence for the presence of antibodies to cholinergic neurons in seurons of patients with alzheimer's disease, J Neurol,1988,235(8):466
    [55] Itagki S,Adiyama H,Saito H,etal.Ultrastructural localization of complement member attack complez (MAC)-like immunoreactivity in brains of patients with alzheimer's disease.Brains Res,1994,645(1-2):78
    [56] McGeer PL,Rogers J,McGeer EG. Neuroimmune mechanisms in alzheimer's disease pathogenesis.alzheimer's Disassoc Disord,1994,8(13):149
    [57] Walker DG, Kim SV,Mzgeer Pl,Complementand cytokine gene expression in cultured microglial derived from postmortem human brains,J Neurosci Res, 1995,40(4):478
    [58] Moran PM,Higgins LS,Cordell B,etal.age related Learning deficits in transgenic mice expressing the 751-aminoacid isoorm of human beta-amyloid pressor protein,Proc Natlacad Sci USE,995,92(12):5341
    [59] 马秋兰,卢锡林,刘焯霖,等.阿尔茨海默病患者载脂蛋白E等位基因的多态性[J].中山医科大学学报,1999,20(2):100.
    [60] 国汉邦,唐蔚青,秦斌,等.老年痴呆患者APOE基因型分布[J].中华老年医学杂志,1997,16(6):340.
    [61] 王琦,姚志彬.载脂蛋白E对神经系统损伤和老年性痴呆病理改变的影响[J].国外医学·老年医学分册,1998,19(1):6.
    [62] 江三多,冯国鄞,吴晓东.ALZH e IM e R病与载脂蛋白E e4等位基因的关联分析[J].中华精神科杂志,1996,29(1):15.
    [63] 毕胜,王德生,长昱,等.低密度脂蛋白受体相关蛋白基因3号外显子多态性与阿尔茨海默病的相关性研究[J].中国神经精神疾病杂志,2000,26(3):167.
    [64] Kovacs DM,Fuset HJ,Page KJ,etal. Alzheimer's associated presenilins land 2:neuronal expression in brainand localization to intracellular membranes in mammalian cells.Med,1996,2(2):224
    
    
    [65] HollmannM,Heinemann S. Cloned glutamate receptors [J].Ann Rev Neurosci,1994, 17: 31~108
    [66] Gasic GP, Hollmann M,Molecular neurobiology of gluta—mate receptors[J].ann Rev Physiol, 1997 54: 507~536
    [67] Aronica E, Dickson Dw, Kress Y, etal.Non-plaque dys-trophic dendrites in alzhemier hlppocam pus:a new pathological structure revealed by glutamate receptor i munocytochemistry[J], Neuroscience,1998 82 (4): 979—991
    [68] Ulas J,Cotman CW, Decreased expression of N—methyl—D—aspartate receptor 1 messenger RNA in select regions ofalzhemier brain[J],Neuroscience, 1997, 79 (4): 973~982
    [69] Tieney Jr L M,Mepheee S J,Papadakis Ma,eds.Current medical diagnosis and treatment.35th ed.Stamford:Appleton & Lange,1996,963~968
    [70] Simpkins J W, Green P S,Gridlegy K E,etal.Role of estrogen replacement therapy in memory enhancement and the pevention of neuronal Iossassociated with alzheimer's disease.Am J Med,1997,103(3A):19~25
    [71] McBee W L,Dailey M E,Dugan E,etal.Hormorne replacement therapy and other potential treatments for dementias.Endocrinol Metab Clin Northam,1997, (26) :45~329.
    [72] Honjo H,Ogino Y, Naithoh K,etal.In vivo effects by estronc sulfate on the central nervous system-senile dementia (Alheimer's type).J Steroid Biochem,1989, (34):521~525.
    [73] Nabeshima T.Nerve grouth factor strategyand preparation ofanimal model for alzheimer's disease type senile dementia.Yakugaku-Zasshi,1995,(115):499~512.
    [74] Aisen P S,Davis K L.Inflammatory mechanisms in alzheimer's disease:implications for therapy.Am J Psychiatry, 1994,(151):1105~1113.
    [75] 吴馥梅,萧信生.学习记忆及其脑内突触机制.自然杂志,1991;14(10)746-751
    [76] 杜文东,蔡雄鑫主编.医学心理学基础.南京:南京大学出版社,1987:56-81
    [77] 梅镇彤.学习记忆的神经机制.生理科学进展,1996,27(3):183-188
    [78] Hollmann M. Heine Cmaun S. CLoned glutamate receptors annu Rev.neurosci. 1994;28:31-108
    [79] 藤永春,等.中药及其复方对小鼠学习记忆的研究进展.中国中医基础医学杂志.
    
    
    [80] 王永炎,等.老年痴呆辨证.中国医药学报,1994,9(2):19~21
    [81] 王月芳,等.论肾虚痰凝血瘀是老年痴呆的重要发病机理.中国中医基础杂志,1999,5(8):9~12
    [82] 罗玉风.针药并治老年痴呆30例疗效观察,针灸临床杂志,1995,11(1):23~24
    [83] 沈卫生.老年痴呆针灸治疗的临床初步研究,上海针灸杂志,1996,15(5),5~7
    [84] 孙长旺.针刺四神穴为主治疗痴呆证临床经验,天津中医,1997,14(2):79~80
    [85] 杨湘源.针灸醒脑开窍法为主治疗老年性痴呆29例,河北中医,1996,11:3
    [86] 赖新生.电针治疗血管性痴呆近期疗效分析,中医杂志,1997,38(6):340~343
    [87] 吕家祥.头针治疗老年痴呆证60例,新疆中医药:1997,15(1):23~24
    [88] 车毓.针药并举治疗老年痴呆证25例,辽宁中医杂志,1997,24(8):377
    [89] 董宇翔.针刺配合脑活素穴位注射治疗老年性痴呆症,中风与神经疾病杂志 1997,14(4):242
    [90] 赵宝兰.穴位注射治疗脑血管性痴呆234例.上海针灸杂志,1995,14(4):202
    [90] 杨增瑞,来丽萍,李平,等.针刺对快速老化痴呆模型小白鼠脑内Ach含量及AchE活性影响的实验研究.天津中医,1999;16(3):20
    [91] 石学敏,韩景献,李平,等,针刺对老化痴呆鼠脑兴奋性氨基酸水平影响的实验研究,中国针灸,1998;18(11):689
    [92] 赖新生,莫飞智,马朝笃,等,电针对实验性血管性痴呆大鼠学习记忆的影响.针刺研究,1999:24(3):192
    [93] 黄文川.针剌对多发性脑梗塞痴呆P300潜伏期的影响,针灸学报,1992;8(2):13
    [94] 黄文川.针剌对多发性脑梗塞痴呆P300潜伏期的影响.针灸临床杂志,1996;12(3):26
    [96] 赖新生.电针治疗血管性痴呆近期疗效分析.中医杂志,1997;38(6):340
    [97].来丽萍,李平,王舒,等.针剌以多发梗塞性痴呆模型大鼠行为学的影响,针刺研究,1999;24(3):198
    [98] 韩景献,李平,刘庆忠,等.针剌对快速老化痴呆模型小白鼠行为学影响的实验研究,中医杂志,1998;39(4):239
    [99] 周莉,裴廷辅,杜旭,等.针剌百会对记忆影响的实验观察.黑龙江中医药,1992;(3):41
    [100] 王中林,陶勇,徐恒泽,等.艾灸、电针、穴位注射对小鼠衰老模型空间分辨学习能力的影响,南京中医药大学学报,1999;15(5):30
    
    
    [101] 陆菁,陈百先.放血疗法加中药对脑梗塞患者脑血流的影响.上海针灸杂志,2000;19(4):10
    [102] 吕家祥.针药并施治疗老年痴呆症30例,陕西中医,1993,14(2):80
    [103] 黄文川,邹宏军,越京璐.针刺对多梗塞性痴呆患者局部脑血流量的影响,山东医药,1999;39(2):18
    [104] 祝捷,余曙光,越纪岚,等.针刺“涌泉”穴对老年大鼠血液流变性的影响,成都中医药大学学报,1997;20(2):39
    [105] 李艳慧.庄礼兴,郑谅.针灸、中药对血管性痴呆患者血浆TXB_2 6-keto-PGF_1a的影响,针刺研究,1999;24(4):245
    [106] 李忠仁,沈梅红.针剌对中见患者血浆过氧化脂质与6-K-P、TXB_2、6-K-P/TXB_2的相关性研究,中国针灸,1998;18(12):709
    [107] 赖新生,王黎,江雪华,等,电针对实验性血管性痴呆大鼠学习记忆及SOD和MDA的影响,中国针灸,2000,20(8):497
    [108] 李艳慧,郑谅,庄兴礼,等.针灸中药对血管性痴呆血过氧化脂质和抗氧化作用的影响,中国针灸,1999;19(11):691
    [109] 王郐,越俊宏,杨增瑞,等.针剌对SAM-P/8血浆及心肌NO影响的实验研究.针刺研究,1998;23(4):270
    [110] 陈业孟,方幼安,沈自尹,等.针剌结合穴位注射治疗老年脑血管性痴呆,上海针灸杂志 1992;12(1):7
    [111] 李艳慧,杨文辉,郑谅,等,血管性痴呆的针灸治疗与微量元素,针灸临床杂志,1996;12(11):50
    [112] 韩景献,杨增瑞,郑灏泳,等,针剌对快速老化小白鼠(SAM-P/10)脑组织凋亡阳性细胞数的影响,针刺研究,1998;23(4):266
    [113] 石学敏,来丽萍,张岭,等,针刺对多发梗塞性痴呆模型大鼠海马锥体细胞体视学的影响,针刺研究,1998;23(4):245~246

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