文章摘要
康复运动联合针灸通过调控miR-223/NLRP3信号轴缓解帕金森病的作用机制研究
Study on the Mechanism of Rehabilitation Exercise Combined with Acupuncture in Alleviating Parkinson"s Disease by Regulating the miR-223/NLRP3 Signaling Axis
投稿时间:2025-10-17  修订日期:2025-10-17
中文关键词: 帕金森病  康复运动  针灸  miR-223/NLRP3信号轴
英文关键词: Parkinson"s disease  rehabilitation exercise  acupuncture  miR-223/NLRP3 signaling axis
基金项目:浙江省中医药科技计划项目(2024ZL751)
作者单位邮编
吴瑶华 温州医科大学 325035
姜旭 绍兴市中医院 
陈丹 绍兴市中医院 
刘俊琼 绍兴市中医院 
吴砚* 杭州市老年病医院杭州市第一人民医院城北院区 310000
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中文摘要:
      目的:从miR-223/NLRP3信号轴角度探讨康复运动联合针灸治疗帕金森病(Parkinson`s diseases,PD)的潜在机制。方法:24只SD大鼠随机分为假手术(Sham)组、PD组、PD+针灸+康复运动组、PD+左旋多巴组。采用单侧纹状体双靶点法制备PD模型并给与相应干预,观察各组大鼠旋转频率。HE染色观察大鼠脑组织黑质区的病理变化;ELISA检测各组大鼠脑纹状体DA、5-HT、DOPAC、HVA水平;免疫组化检测大鼠脑组织黑质区中TH的表达情况;qPCR检测大鼠脑组织中miR-223 mRNA水平;WB检测各组大鼠脑组织中NLRP3、Caspase-1、IL-1β蛋白表达水平。结果:与PD组比较,治疗后的大鼠旋转频率显著下降(P<0.01),大鼠脑组织黑质区的神经元损伤程度均有所减轻。与PD组比较,治疗后的大鼠脑纹状体DA、5-HT、DOPAC、HVA水平均有所上升,大鼠脑组织黑质区中TH阳性细胞率显著上升(P<0.01)。qPCR和WB结果显示,miR-223 mRNA的表达水平较PD组显著升高,而NLRP3、Caspase-1、IL-1β蛋白表达水平显著性降低(P<0.01)。结论:康复运动联合针灸治疗能够通过调控miR-223/NLRP3信号轴缓解大鼠帕金森病。
英文摘要:
      Objective: To explore the potential mechanism of rehabilitation exercise combined with acupuncture in treating Parkinson"s disease (PD) from the perspective of the miR-223/NLRP3 signaling axis. Methods: Twenty-four SD rats were randomly divided into four groups: sham operation (Sham) group, PD group, PD + acupuncture + rehabilitation exercise group, and PD + levodopa group. A PD model was established using the unilateral striatal dual-target method, and the rotational frequency of rats in each group was observed. HE staining was used to examine pathological changes in the substantia nigra region of the rat brain. ELISA was employed to measure the levels of DA, 5-HT, DOPAC, and HVA in the striatum of each group. Immunohistochemistry was performed to detect the expression of TH in the substantia nigra region. qPCR was used to measure miR-223 mRNA levels in the rat brain, and WB was conducted to assess the protein expression levels of NLRP3, Caspase-1, and IL-1β in the brain tissues of each group. Results: Compared with the PD group, the treated rats showed a significant decrease in rotational frequency (P<0.01), and the degree of neuronal damage in the substantia nigra region was alleviated. Additionally, the levels of DA, 5-HT, DOPAC, and HVA in the striatum were increased, and the TH-positive cell rate in the substantia nigra region was significantly elevated (P<0.01). qPCR and WB results revealed that miR-223 mRNA expression was significantly higher than in the PD group, while the protein expression levels of NLRP3, Caspase-1, and IL-1β were significantly reduced (P<0.01). Conclusion: Rehabilitation exercise combined with acupuncture can alleviate Parkinson"s disease in rats by regulating the miR-223/NLRP3 signaling axis.
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