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High-frequency repetitive transcranial magnetic stimulation improves functional recovery by inhibiting neurotoxic polarization of astrocytes in ischemic rats

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机构: [1]Nanjing Univ, Jingling Hosp, Dept Neurol, Sch Med, 305 East Zhongshan Rd, Nanjing 210002, Jiangsu, Peoples R China [2]Nanjing Tongren Hosp, Dept Orthoped, Nanjing 210002, Jiangsu, Peoples R China [3]Nanjing Univ Chinese Med, Dept Orthoped, Nanjing Hosp Chinese Med, Nanjing 210002, Jiangsu, Peoples R China [4]Nanjing Med Univ, Jinling Hosp, Dept Neurol, Nanjing 210002, Jiangsu, Peoples R China [5]Naval Med Univ, Changhai Hosp, Dept Neurol, Second Mil Med Univ, Shanghai 210000, Peoples R China [6]Southern Med Univ, Jinling Hosp, Dept Neurol, Nanjing 210002, Jiangsu, Peoples R China [7]Univ Sci & Technol China, Stroke Ctr, Affiliated Hosp 1, Div Life Sci & Med, Hefei 230036, Anhui, Peoples R China [8]Univ Sci & Technol China, Dept Neurol, Affiliated Hosp 1, Div Life Sci & Med, Hefei 230036, Anhui, Peoples R China [9]Nanjing Univ, Jingling Hosp, Dept Ultrasonog, Sch Med, 305 East Zhongshan Rd, Nanjing 210002, Jiangsu, Peoples R China
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关键词: Ischemic stroke Astrocytic polarization rTMS

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Background Repetitive transcranial magnetic stimulation (rTMS) is a noninvasive treatment for ischemic stroke. Astrocytes regulation has been suggested as one mechanism for rTMS effectiveness. But how rTMS regulates astrocytes remains largely undetermined. There were neurotoxic and neuroprotective phenotypes of astrocytes (also denoted as classically and alternatively activated astrocytes or A1 and A2 astrocytes) pertaining to pro- or anti-inflammatory gene expression. Pro-inflammatory or neurotoxic polarized astrocytes were induced during cerebral ischemic stroke. The present study aimed to investigate the effects of rTMS on astrocytic polarization during cerebral ischemic/reperfusion injury. Methods Three rTMS protocols were applied to primary astrocytes under normal and oxygen-glucose deprivation/reoxygenation (OGD/R) conditions. Cell survival, proliferation, and phenotypic changes were assessed after 2-day treatment. Astrocytes culture medium (ACM) from control, OGD/R, and OGD/R + rTMS groups were mixed with neuronal medium to culture neurons for 48 h and 7 days, in order to explore the influence on neuronal survival and synaptic plasticity. In vivo, rats were subjected to middle cerebral artery occlusion (MCAO), and received posterior orbital intravenous injection of ACM collected from different groups at reperfusion, and at 3 days post reperfusion. The apoptosis in the ischemic penumbra, infarct volumes, and the modified Neurological Severity Score (mNSS) were evaluated at 1 week after reperfusion, and cognitive functions were evaluated using the Morris Water Maze (MWM) tests. Finally, the 10 Hz rTMS was directly applied to MCAO rats to verify the rTMS effects on astrocytic polarization. Results Among these three frequencies, the 10 Hz protocol exerted the greatest potential to modulate astrocytic polarization after OGD/R injury. Classically activated and A1 markers were significantly inhibited by rTMS treatment. In OGD/R model, the concentration of pro-inflammatory mediator TNF-alpha decreased from 57.7 to 23.0 pg/mL, while anti-inflammatory mediator IL-10 increased from 99.0 to 555.1 pg/mL in the ACM after rTMS treatment. The ACM collected from rTMS-treated astrocytes significantly alleviated neuronal apoptosis induced by OGD/R injury, and promoted neuronal plasticity. In MCAO rat model, the ACM collected from rTMS treatment decreased neuronal apoptosis and infarct volumes, and improved cognitive functions. The neurotoxic astrocytes were simultaneously inhibited after rTMS treatment. Conclusion Inhibition of neurotoxic astrocytic polarization is a potential mechanism for the effectiveness of high-frequency rTMS in cerebral ischemic stroke.

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 2 区 免疫学 2 区 神经科学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 免疫学 1 区 神经科学
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出版当年[2018]版:
Q1 IMMUNOLOGY Q1 NEUROSCIENCES
最新[2023]版:
Q1 NEUROSCIENCES Q1 IMMUNOLOGY

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第一作者机构: [1]Nanjing Univ, Jingling Hosp, Dept Neurol, Sch Med, 305 East Zhongshan Rd, Nanjing 210002, Jiangsu, Peoples R China
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