Cerebral blood flow and apoptosis-associated factor with electroacupuncture in a traumatic brain injury rat model.
OBJECTIVE
Electroacupuncture (EA) has been widely used for treatment of stroke, but there is little information on the effect of EA on the neuroprotective function in traumatic brain injury (TBI). The aim of the present study was to investigate the protective effects and mechanisms of EA treatment in a TBI rat model.


METHODS
Male Sprague-Dawley rats were randomly divided into four groups: sham operation, TBI control, TBI+EA treated for 30 min or TBI+EA treated for 60 min. The animals were treated with EA immediately after TBI. The EA was applied at acupuncture points GV20, GV26, LI4 and KI1 with a dense-dispersed wave, frequencies of 0.2 and 1 Hz, and amplitude of 1 mA for 30 or 60 min. Regional blood flow, cell infarction volume, extent of neuronal apoptosis, expression of cell apoptosis-associated factor transforming growth-interacting factor (TGIF) were studied, and functional outcome was assessed by running speed test. All tests except regional blood flow were performed 72 h after TBI onset.


RESULTS
Immediately after TBI, compared with the TBI control groups, the regional blood flow was significantly increased by EA treatment for 60 min. Compared with the TBI controls 72 h after TBI, the TBI-induced run speed impairment, infarction volume, neuronal apoptosis and apoptosis-associated TGIF expression were significantly improved by EA treatment.


CONCLUSIONS
The treatment of TBI in the acute stage with EA for 60 min could increase the regional blood flow and attenuate the levels of TGIF in the injured cortex, might lead to a decrease in neuronal apoptosis and cell infarction volume, and might represent one mechanism by which functional recovery may occur.
Department of Chinese Medicine, Chi-Mei Medical Center, , Tainan, Taiwan.
Chih Hsiang
CH
Chuang
Yao Chin
YC
Hsu
Che Chuan
CC
Wang
ChoYa
C
Hu
Jinn Rung
JR
Kuo
D000818:Animals; D017209:Apoptosis; D001930:Brain Injuries / Q000235:genetics / Q000378:metabolism / Q000503:physiopathology* / Q000628:therapy*; D002540:Cerebral Cortex / Q000098:blood supply* / Q000166:cytology / Q000378:metabolism; D004195:Disease Models, Animal; D015671:Electroacupuncture; D008297:Male; D051381:Rats; D017207:Rats, Sprague-Dawley; D012039:Regional Blood Flow
NEUROSURGERY; TRAUMA MANAGEMENT