电头针调控大脑中动脉栓塞大鼠缺血大脑皮层区CYP27a1/b1、CYP24a及相关炎性细胞因子表达的研究OA北大核心CSTPCDMEDLINE

Objective To observe the effect of electro-scalp acupuncture(ESA)on the expression of cytochrome P450a1/b1(CYP27a1/b1),cytochrome P45024a(CYP24a),signal transducer and activator of transcription(STAT)4,STAT6,tumor necrosis factor-α(TNF-α),interleukin(IL)-1β and IL-4 in ischemic cerebral cortex of rats with acute ischemic stroke,so as to explore its mechanism in alleviating inflammatory reaction of ischemic stroke.Methods Sixty SD rats were randomly divided into sham-operation,model,vitamin D3 and ESA groups,with 15 rats in each group.The middle cerebral artery occlusion rat model was established with thread ligation according to Zea-Longa's method.Rats in the vitamin D3 group were given 1,25-VitD3 solution(3 ng·100 g-1·d-1)by gavage,once daily for 7 days.Rats in the ESA group were treated at bilateral anterior parietotemporal slash(MS6)with ESA(2 Hz/100 Hz,1 mA),30 min a day for 7 days.Before and after interventions,the neurological deficit score and neurobehavioral score were evaluated.TTC staining was used to detect the volume of cerebral infarction in rats.The positive expressions of CYP24a,CYP27a1 and CYP27b1 in the cerebral cortex of ischemic area were detected by immunofluorescence.The mRNA expressions of STAT4 and STAT6 in the cerebral cortex of ischemic area were detected by quantitative real-time PCR.The protein expression levels of TNF-α,IL-1β and IL-4 in the cerebral cortex of ischemic area were detected by Western blot.Results Compared with the sham-operation group,the neurological deficit score,neurobehavioral score,the percentage of cerebral infarction volume,the positive expression level of CYP24a and mRNA expression level of STAT4,protein expression levels of TNF-α and IL-1β in cerebral cortex were increased(P<0.01),while the positive expression levels of CYP27a1/b1 and STAT6 mRNA,protein expression level of IL-4 were decreased(P<0.01)in the model group.After the treatment and compared with the model group,the neurological deficit score,neurobehavioral score,the percentage of cerebral infarction volume,the positive expression level of CYP24a and mRNA expression level of STAT4,protein expression levels of TNF-α and IL-1β in cerebral cortex were decreased(P<0.01),while the positive expression levels of CYP27a1/b1 and STAT6 mRNA expression level,protein expression level of IL-4 were increased(P<0.01)in the ESA and vitamin D3 groups.Conclusion ESA can alleviate the inflammatory response in ischemic stroke,which maybe related to its function in regulating the balance between CYP27a1/b1 and CYP24a,converting vitamin D into active vitamin D3,inhibiting vitamin D3 degradation,and regulating Th1/Th2 balance.