A Study on the Effects of the Electro-Acupuncture(EA) Stimulation after Global Ischemia(GI) on Changes in Bax and Caspase-3 Expression among Forebrain Apoptosis

뇌허혈 유발 후 전침자극이 전뇌세포사 중 Bax와 Caspase-3 발현 변화에 미치는 영향 연구

  • Choi, Jung-Hyun (Dept. of Physical Therapy, Nam-Seoul Univ of Korea) ;
  • Min, Kyoung-Ok (Dept. of Physical Therapy, Yong-In Univ of Korea) ;
  • Kim, Soon-Hee (Dept. of Physical Therapy, Yong-In Univ of Korea) ;
  • Kim, Dong-Il (Dept. of Oriental Medicine Graduate School of Dongguk Univ.) ;
  • Lee, Sang-Bin (Dept. of Physical Therapy, Nam-Seoul Univ of Korea) ;
  • An, Ho-Jung (Dept. of Physical Therapy, Dae-Won Univ College of Korea) ;
  • Kim, Ji-Sung (Dept. of Physical Therapy, Suwon Women's College of Korea) ;
  • Choi, Wan-Suk (Dept. of Physical Therapy, Po-Hang College of Korea) ;
  • Kim, Bo-Kyoung (Dept. of Physical Therapy, Gun-Jang College of Korea) ;
  • Song, Chi-Won (Div. of General Service, National Institute of Food & Drug Safety Evaluation)
  • 최정현 (남서울대학교 물리치료과) ;
  • 민경옥 (용인대학교 물리치료학과) ;
  • 김순희 (용인대학교 물리치료학과) ;
  • 김동일 (동국대학교한방병원 부인학과) ;
  • 이상빈 (남서울대학교 물리치료과) ;
  • 안호정 (대원대학 물리치료학과) ;
  • 김지성 (수원여자대학 물리치료학과) ;
  • 최완석 (포항대학 물리치료학과) ;
  • 김보경 (군장대학 물리치료학과) ;
  • 송치원 (식품의약품안전평가원 행정지원과)
  • Received : 2010.01.20
  • Accepted : 2010.03.09
  • Published : 2010.03.30

Abstract

Objectives: The study aims to look into how the application of EA(Electro-acupuncture) in the initial step of ischemic brain injury affects the changes in Bax and Caspase-3 expression among forebrain apoptosis. Methods: It caused GI by using common carotid artery occlusion and conducted the test by dividing into the no applied EA group after 6 hours and 12 hours, the LI 4 EA group that applied EA to LI4, and GV 20 EA group that was applied to GV 20. After that, the following results were obtained by comparing Bax and Caspase-3 expression, which were apoptosis-related factors, with its application time through immunohistochemical staining after extracting brain of each group. Results: According to each group's Bax expression by the application time, the order of expression increase after 6 hours is shown to be the no applied EA group, LI 4 group, and GV 20 group. The stimulation after 12 hours was most lowly expressed in the GV 20 group, and the no applied EA group and LI 4 group showed similar level. Conclusions: EA stimulation in the initial step after ischemia seems to affect positively Bax and Caspase-3 expression that are index of forebrain apoptosis.

Keywords

References

  1. O'Sullivan SB, Thomas JS. Physical Rehabilitation. Assesment and Treatment(4th). Philadelphia 2005:589-97.
  2. Paul TA, Philip KL, Chung YH. Immediate Early Gene Expression in Response to Cerebral Ischemia. Storke. 1996;27:1682-7.
  3. Cho ZH, Chung SC, Jones JP, Park JB, Park H, Lee HJ, Wong EK, Min BI. New findings of the correlation between acupoints and corresponding brain cortices using functional MRI. Proc Natl Acad Sci, 1998;USA95:2670-3. https://doi.org/10.1073/pnas.95.5.2670
  4. Jang MH, Shin MC, Koo GS, Lee CY, Kim EH, Kim CJ. Acupuncture decreasesnitric oxide synthase expression in periaqueductal gray area of rats with streptozotocin-induced diabetes. Neurosci Lett. 2003;337:155-8. https://doi.org/10.1016/S0304-3940(02)01318-6
  5. Kim EH, Kim YJ, Lee HJ, Chung JH, Seo JC, Kang JE, Lee HJ, Yim SV, Kim CJ. Acupuncture increases cell proliferation in dentate gyrus after transient global ishcemia in gerbils. Neurosci Lett. 2001;297:21-4. https://doi.org/10.1016/S0304-3940(00)01656-6
  6. Sze FK, Wong E, Yi X, Woo J. Does acupuncture have additional value to standard poststroke motor rehabilitation? Stroke. 2002;33:186-94 https://doi.org/10.1161/hs0102.101815
  7. Johansson BB, Haker E, von Arbin M, Britton M, Langstrom G, Terent A, Ursing D, Asplund K. Acupuncture and transcutaneous nerve stimulation in stroke rehabilitation: a randomized, controlled trial. Stroke. 2001;2:707-13
  8. Gosman-Hedstrom G, Claesson L, Klingenstierna U, Carlsson J, Olausson B, Frizell M, Fagerberg B, Blomstrand C. Effects of acupuncture treatment on daily life activities and quality of life: a controlled, prospective, and randomized study of acute stroke patients. Stroke. 1998;29(10):2100-8. https://doi.org/10.1161/01.STR.29.10.2100
  9. Johansson K, Lindgren I, Widner H, Wiklund I, Johansson BB. Can sensory stimulation improve the functional outcome in stroke patients?. Neurology. 1993Nov;43(11):2189-92. https://doi.org/10.1212/WNL.43.11.2189
  10. Magnusson M, Johansson K, Johansson BB. Sensory stimulation promotes normalization of postural control after stroke. Stroke. 1994;25:1176-80. https://doi.org/10.1161/01.STR.25.6.1176
  11. Jellinger KA. Principles and application of acupuncture in neurology. Wien Med Wochenschr. 2000;150:278-85.
  12. Si QM, Wu GC, Cao XD. Effects of electroacupuncture on acute cerebral infarction. Acupunct Electrother Res. 1998;23:117-24
  13. NIH consensus conference :acupuncture. JAMA.1998;280:1518-24. https://doi.org/10.1001/jama.280.17.1518
  14. Wei GW, Huang YL, Wu GC, Cao XD. Regulation of glial cell line-derived neurotrophic factor expression by electroacupuncture after transient focal ischemia. Acupunct Electrother Res. 2000;25:81-90.
  15. Stillings D. A survey ofthe history of electrical stimulation for pain to 1900. Med Instrum. 1975;9:255-9.
  16. 김재규. 전침치료의 이론과 임상. 서울:서원당. 1993;14-7, 24-6.
  17. Pang J, Itano Y, Sumitani K, Negi T, Miyamoto O. Electroacupuncture attenuates both glutamate release and hyperemia after transient ischemia in gerbils. Am J Chin. Med. 2003;31(2):295-303. https://doi.org/10.1142/S0192415X03000977
  18. Frank KS, Eric W, Kevin KH, Joseph L, Jean W. Does Acupuncture Improve Motor Recovery After Stroke?. Storke. 2002;33:2604-19.
  19. Reed JC, Miyashita T, Takayama S, Wang HG, Sato T, Krajewski S, Aime-Sempe C, Bodrug S, Kitada S, Hanada M. BCL-2 family proteins: regulators of cell death involved in the pathogenesis of cancer and resistance to therapy. J Cell Biochem. 1996;60(1):23-32. https://doi.org/10.1002/(SICI)1097-4644(19960101)60:1<23::AID-JCB5>3.0.CO;2-5
  20. LeBrun DP, Warnke RA, Cleary ML. Expression of bcl-2 in fetal tissues suggests a role in morphogenesis. Am J Pathol. 1993;142(3):743-53.
  21. Chen J, Nagayama T, Jin K, Stetler RA, Zhu RL,Graham SH, Simon RP. Induction of Caspase-3-like protease may mediate delayed neuronal death in the hippocampus after transient cerebral ischemia. J Neurosci. 1998;18(13):4914-28.
  22. Niwa M, Hara A, Iwai T, Wang S, Hotta K, Mori H, Uematsu T. Caspase activation as an apoptotic evidence in the gerbil hippocampal CA1 pyramidal cells following transient forebrain ischemia. Neurosci Lett. 2001;300:103-6. https://doi.org/10.1016/S0304-3940(01)01559-2
  23. Asahi M, Hoshimaru M, Uemura Y, Tokime T, Kojima M, Ohtsuka T, Matsuura N,Aoki T, Shibahara K, Kikuchi H. Expression of interleukin-1 beta converting enzyme gene family and BCL-2 gene family in therat brain following permanent occlusion of the middle cerebral artery. J Cereb Blood Flow Metab. 1997;17:11-8.
  24. Graham SH, Chen J. Programmed cell death cerebral ischemia. J Cereb Blood Flow Metab. 2001;21:99-109.
  25. Gillardon F, Bottiger B, Schmitz B, Zimmermann M, Hossmann KA. Activation of CPP-32 protease in hippocampal neurons following ischemia and epilepsy. Mol Brain Res. 1997;50:16-22. https://doi.org/10.1016/S0169-328X(97)00162-9
  26. Kinoshita M, Tomimoto H, Kinoshita A, Kumar S, Noda M. Up-regulation of the Nedd2 gene encoding an ICE/ Ced-3-like cysteine protease in the gerbil brain after transient global ischemia. J Cereb Blood Flow Metab. 1997;17:507-14.
  27. Yakovlev AG, Wang G, Stoica BA, Boulares AH, Spoonde AY, Yoshihara K. Smulson ME. A role of the Ca2+/ Mg2+-dependent endonuclease in apoptosis and its inhibition by poly(ADP-ribose) polymerase. J Biological Chemistry. 2000;275:21302-8. https://doi.org/10.1074/jbc.M001087200
  28. Kuge Y, Minematsu K, Hasegawa Y, Yamaguchi T, Mori H, Matsuura H, Hashimoto N, Miyake Y. Positron emission tomography for quantitative determination of glucose metabolism in normal and ischemic brains in rats: an insoluble problem by the Harderian glands. J Cereb Blood Flow Metab. 1997;17(1):116-20.
  29. 고형균. 흰쥐에서의 골도분촌에 의한 상응혈위. 대한침구학회. 1999;16:115-122
  30. Gan P, Cheng JS, Ng YK, Ling EA. Role of GABA in electro-acupuncture therapy on cerebral ischemia induced by occlusion of the middle cerebral artery in rats. Neurosci Lett. 2005;383(3):317-21. https://doi.org/10.1016/j.neulet.2005.04.032
  31. Haeberlein SL. Mitochondrial function in apoptotic neuronal cel ldeath. Neurochem Res. 2004;29:521-30.
  32. Chen J, Graham SH, Chan PH, Lan J, Zhou RL, Simon RP. BCL-2 is expressed in neurons that survive focal ischemia in the rat. Neuroreport. 1995;26;6(2):394-8.
  33. 조연희. 흰쥐 대뇌국소허혈시 BCL-2, Bax 및 ICE 유전자 발현의 변동. 전남대학교 의학대학원석사.1998
  34. 김순화. 침전극 저주파 자극이 중대뇌동맥 폐쇄된 흰쥐에서 Bax, COX-2, IL-1a, IL-6 발현에 미치는 영향. 한서대학교 대학원박사. 2005.
  35. Takemura G, Ohno M, Fujiwara H. Ischemic heart disease and apoptosis Rinsho Byori. 1997;45(7):606-13.
  36. Cregan SP, Fortin A, MacLaurin JG, Callaghan SM, Cecconi F, Yu SW, Dawson TM, Dawson VL, Park DS, Kroemer G, Slack RS. Apoptosis-inducing factor is involved in the regulation of Caspase-independent neuronal cell death. J Cell Biol. 2002;158(3):507-17. https://doi.org/10.1083/jcb.200202130
  37. Yang YJ, Kim YS, Shin MS, Chang HK, Lee TH, Sim YJ, Shin MC, Park HY, Kim S, Park HK, Kim CJ. Effects of acupuncture on the intrastriatal hemorrhage-induced Caspase-3 expression and newly cell birth inrats. Neurol Res. 2007;29:65-71. https://doi.org/10.1179/016164107X172266
  38. Cheng JH, Lee EY, Jang MH, Kim J, Kim CJ, Ha E, Park HK, Choi S, Lee H, Park SH, Leem KH, Kim EH. Acupuncture decreases ischemia-induced apoptosis and cell proliferation in dentate gyrus of gerbils. Neurol. Res. 2007;29:23-7. https://doi.org/10.1179/016164107X172239
  39. Asahi M, Hoshimaru M, Uemura Y,Tokime T, Kojima M, Ohtsuka T, Matsuura N, Aoki T, Shibahara K, Kikuchi H. Expression of interleukin-1 beta converting enzyme gene family and BCL-2 gene family in therat brain following permanent occlusion of the middle cerebral artery. J Cereb Blood Flow Metab. 1997;17:11-8.
  40. Cho NH, Lee JD, Cheong BS, Choi DY, Chang HK, Lee TH, Shin MC, Shin MS, Lee J, Kim CJ. Acupuncture suppresses ntrastriatal hemorrhage-induced apoptotic neuronal cell death in rats. Neurosci Lett. 2004;362(2):141-5. https://doi.org/10.1016/j.neulet.2004.03.027
  41. Guo J, Li R, Zhao P, Cheng J. Effect of taurine in combination with electroacupuncture on neuronal damage following transient focal cerebral ischemia in rats. Acupunct Electrother Res. 2002;27(2):129-36.
  42. Li ZR, Shen MH, Niu WM. Involvement of melatonin in the adjusting effect of electroacupuncture in resisting oxygen stress in cerebral ischemia-reperfusion injury rats. Zhen Ci Yan Jiu. 2008;33(3):164-8.
  43. Ma HF, Ren XJ, Tu Y, Lin CX. Effect of electroacupuncture on Caspase-9 expression in hippocampus and neuroethology in hyperlipemia rats with concurrent cerebral ischemia. Zhen Ci Yan Jiu. 2008;33(6):382-6.
  44. Wang SJ, Omori N, Li F, Jin G, Zhang WR, Hamakawa Y, Sato K, Nagano I, Shoji M, Abe K. Potentiation of Akt and suppression of caspase-9 activations by electroacupuncture after transient middle cerebralartery occlusion in rats. Neurosci Lett. 2002;331:115-8. https://doi.org/10.1016/S0304-3940(02)00866-2