Effects of Electroacupuncture on Skeletal Muscle Atrophy-associated Protein in Hind Limbs of Traumatic Spinal Cord Injury Rats

  • FAN Rui ,
  • WU Zong-hui ,
  • CHEN Xiao-lin ,
  • ZOU Zuo-qiang ,
  • LONG Zai-yun ,
  • YAO Lan ,
  • LI Bin
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  • 1.Southwest University Hospital, Chongqing 400715, China;
    2.Institute of Sports Rehabilitation, Southwest University, Chongqing 400715, China;
    3.State Key Laboratory of Trauma, Burn and Combined Injury, Institute of Surgery Research, Daping Hospital, Army Medical University, Chongqing 400042, China

Online published: 2019-10-30

Supported by

Supported by Scientific and Technological Innovation Project of Social Career and People's Livelihood Guarantee of Chongqing Science and Technology Commission (No. CSTC2016SHMZX130016), The Fundamental Research Funds for the Central Universities (No. XDJK2017C090) and Southwest University Hospital Scientific Research Project (No. xdyykyjj2019xm04)

Abstract

Objective To explore the effects and mechanism of electroacupuncture (EA) on expression of myostatin (MSTN), muscle-specific ring finger protein 1 (MuRF1/Trim63), F-box only protein 32 (Atrogin-1/ Fbxo32), myogenic differentiation antigen (Myod) and myogenin (Myog) in traumatic spinal cord injury (TSCI) rats. Methods A total of 45 adult female Sprague-Dawley rats were randomly divided into sham operation group (n = 12) and operation group (n = 33). The TSCI model was established with the modified Allen's method. After modeling, there were 24 survival rats and they were randomly divided into model group (n = 12) and EA group (n = 12). EA group was electroacupunctured at Dazhui (DU 14), Mingmen (DU 4) and bilateral Zusanli (ST 36) for 10 minutes, once a day, six times a week for 28 days. Basso-Beattie-Bresnahan (BBB) score was tested before modeling, and three days, seven days, 14 days, 21 days and 28 days after modeling. The rats were measured their body mass before and 28 days after modeling. The ratio of gastrocnemius wet mass was calculated; the cross-sectional area (CSA) and fiber diameter were measured by HE staining; the expression of MSTN, Trim63, Fbxo32, Myod and Myog mRNA were tested with real-time quantitative polymerase chain reaction (qPCR). Results Three days, seven days, 14 days, 21 days, and 28 days after modeling, the score of BBB was lower in the model group than in the sham operation group (P < 0.01); seven days, 14 days, 21 days, and 28 days after modeling, the score of BBB was higher in EA group than in the model group (P < 0.01). Compared with the sham operation group, the mass of rats, the gastrocnemius wet mass, the CSA and the diameter of the muscle fiber were smaller in the model group (P < 0.05), while the expression of MSTN, Trim63, Fbxo32, Myod and Myog mRNA were higher (P < 0.05). Compared with the model group, the mass of rats, the gastrocnemius wet mass, the CSA, the expression of Myod and Myog mRNA were higher (P < 0.05) in EA group, while the expression of MSTN, Trim63 and Fbxo32 mRNA were lower (P < 0.05). Conclusion EA might delay the gastrocnemius atrophy in TSCI rats by down-regulating the expression of MSTN, Trim63, Fbxo32 mRNA and up-regulating the expression of Myod and Myog mRNA via controlling the differentiation of the muscle satellite cells and the degradation of protein in skeletal muscle cells.

Cite this article

FAN Rui , WU Zong-hui , CHEN Xiao-lin , ZOU Zuo-qiang , LONG Zai-yun , YAO Lan , LI Bin . Effects of Electroacupuncture on Skeletal Muscle Atrophy-associated Protein in Hind Limbs of Traumatic Spinal Cord Injury Rats[J]. Chinese Journal of Rehabilitation Theory and Practice, 2019 , 25(10) : 1133 -1139 . DOI: 10.3969/j.issn.1006-9771.2019.10.004

References

1 KumarR, LimJ, MekaryR A, et al. Traumatic spinal injury: global epidemiology and worldwide volume [J]. World Neurosurg, 2018, 113: e345-e363.
2 陈星月,陈栋,陈春慧,等. 中国创伤性脊髓损伤流行病学和疾病经济负担的系统评价[J]. 中国循证医学杂志, 2018, 18(2): 143-150.
3 于铁强,冯世庆. 216例外伤性脊髓损伤住院患者流行病学分析[J]. 中国骨与关节损伤杂志, 2010, 25(7): 583-585.
4 SavikjM, RubyM A, KostovskiE, et al. Retained differentiation capacity of human skeletal muscle satellite cells from spinal cord-injured individuals [J]. Physiol Rep, 2018, 6(12): e13739.
5 FanzaniA, ConraadsV M, PennaF, et al. Molecular and cellular mechanisms of skeletal muscle atrophy: an update [J]. J Cachexia Sarcopenia Muscle, 2012, 3(3): 163-179.
6 O'BrienL C, GorgeyA S. Skeletal muscle mitochondrial health and spinal cord injury [J]. World J Orthop, 2016, 7(10): 628-637.
7 Yarar-FisherC, BickelC S, KellyN A, et al. Heightened TWEAK-NF-κB signaling and in?ammation -associated ?brosis in paralyzed muscles of men with chronic spinal cord injury [J]. Am J Physiol Endocrinol Metab, 2016, 10(9): E754-E761.
8 朱斌,王策,徐青青. 药物穴位注射联合夹脊督脉电针对脊髓损伤患者运动功能障碍改善的疗效观察[J]. 中国中医急症, 2017, 26(11): 2054-2056.
9 程瑞动,朱根应,叶祥明,等. 不同时期针刺对不完全性脊髓损伤患者盆底肌及排尿功能的影响[J]. 中国康复理论与实践, 2016, 22(12): 1438-1441.
10 闵友江,程立红,高洁. 三通针法治疗脊髓损伤恢复期截瘫患者临床观察[J]. 上海针灸杂志, 2013, 32(12): 1010-1013.
11 李波霖,周宾宾,金昕,等. 督脉对比夹脊电针治疗对脊髓损伤大鼠下肢功能恢复作用的网状Meta分析[J]. 中国中医基础医学杂志, 2016, 22(12): 1676-1680, 1716.
12 马睿杰,孙连珠,张柳娟,等. 电针结合减重步行训练对急性脊髓损伤大鼠巢蛋白和神经生长因子表达的影响[J]. 中国康复医学杂志, 2015, 30(6): 532-537.
13 曾欢欢,黄英如,李子健,等. 大黄素对大鼠急性脊髓损伤后继发脊髓水肿的影响[J]. 中国康复理论与实践, 2018, 24(4): 378-384.
14 赵丹丹,唐成林,黄思琴,等. 电针干预对大鼠腓肠肌适应性肥大及肌卫星细胞增殖分化的影响[J]. 针刺研究, 2017, 42(6): 489-495.
15 吕威,莫雨平,李冰,等. 督脉电针对不同时间段脊髓损伤大鼠运动功能及p75神经营养素受体表达的影响[J]. 中国康复理论与实践, 2016, 22(8): 876-883.
16 PeiJ P, FanL H, NanK, et al. HSYA alleviates secondary neuronal death through attenuating oxidative stress, inflammatory response, and neural apoptosis in SD rat spinal cord compression injury [J]. J Neuroinflammation, 2017, 14(1): 97-110.
17 KellerA V, WainwrightG, Shum-SiuA, et al. Disruption of locomotion in response to hindlimb muscle stretch at acute and chronic time points after a spinal cord injury in rats [J]. J Neurotrauma, 2017, 34(3): 661-670.
18 ZhangY T, JinH, WangJ H, et al. Tail nerve electrical stimulation and electro-acupuncture can protect spinal motor neurons and alleviate muscle atrophy after spinal cord transection in rats [J]. Neural Plast, 2017, 2017: 7351238.
19 ZhangC, RongW, ZhangG H, et al. Early electrical field stimulation prevents the loss of spinal cord anterior horn motoneurons and muscle atrophy following spinal cord injury [J]. Neural Regen Res, 2018, 13(5): 869-876.
20 王玲洁,王子礼,杜俊龙,等. 中医对脊髓损伤的认识及治疗探析[J]. 湖北民族学院学报(医学版), 2016, 33(4): 62-64.
21 谭明生. “病证结合,从督论治”颈脊髓损伤的思考[J]. 中国中医骨伤科杂志, 2018, 26(2): 1-2.
22 蒋松鹤,林海燕,何蓉,等. 督脉、夹脊电针对脊髓损伤大鼠功能康复的影响[J]. 中华针灸电子杂志, 2015, 4(1): 7-12.
23 HoogaarsW M H, JaspersR T. Past, present, and future perspective of targeting Myostatin and related signaling pathways to counteract muscle atrophy [J].Adv Exp Med Biol, 2018, 1088: 153-206.
24 BoonH, Sj?grenR J, MassartJ, et al. MicroRNA-208b progressively declines after spinal cord injury in humans and is inversely related to myostatin expression [J]. Physiol Rep, 2015, 3(11). pii: e12622.
25 TandoT, HirayamaA, FurukawaM, et al. Smad2/3 proteins are required for immobilization-induced skeletal muscle atrophy [J]. J Biol Chem, 2016, 291(23): 12184-12194.
26 FolettaV C, WhiteL J, LarsenA E, et al. The role and regulation of MAFbx/atrogin-1 and MuRF1 in skeletal muscle atrophy [J]. Pflugers Arch, 2011, 461(3): 325-335.
27 MendiasC L, LynchE B, GumucioJ P, et al. Changes in skeletal muscle and tendon structure and function following genetic inactivation of myostatin in rats [J]. J Physiol, 2015, 593(8): 2037-2052.
28 De GasperiR, GrahamZ A, HarlowL M, et al. The signature of MicroRNA dysregulation in muscle paralyzed by spinal cord injury includes downregulation of MicroRNAs that target Myostatin signaling [J]. PLoS One, 2016, 1(12): e0166189.
29 GuitartM, LloretaJ, Ma?as-GarciaL, et al. Muscle regeneration potential and satellite cell activation profile during recovery following hindlimb immobilization in mice [J]. J Cell Physiol, 2018, 233(5): 4360-4372.
30 GanassiM, BadodiS, Ortuste QuirogaH P, et al. Myogenin promotes myocyte fusion to balance fibre number and size [J]. Nat Commun, 2018, 9(1): 4232-4248.
31 李利军,宋洁富,魏杰,等. 慢性压迫性脊髓损伤后骨骼肌形态学及相关蛋白Myogenin和myoD表达的实验研究[J]. 中华临床医师杂志(电子版), 2010, 4(9): 1691-1694.
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