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电针及氟西汀对抑郁大鼠行为学及海马神经元凋亡的影响
引用本文:李卫东,吴元坪,韩止荣,戴巍,马青,潘可欣,图娅.电针及氟西汀对抑郁大鼠行为学及海马神经元凋亡的影响[J].中华精神科杂志,2008,41(4).
作者姓名:李卫东  吴元坪  韩止荣  戴巍  马青  潘可欣  图娅
作者单位:北京中医药大学针灸学院,100029
摘    要:目的 探究电针及氟西汀对慢性应激抑郁大鼠行为学及海马神经元凋亡的影响.方法 65只Sprague-Dawley雄性大鼠,按随机数字表随机分为空白组、空白电针组、模型组、电针组、氟西汀组,每组13只.慢性应激后进行行为学评价;采用膜联蛋白V-异硫氰酸荧光素/碘化丙啶双染法检测海马神经元凋亡率;采用免疫组织化学方法检测海马bcl-2蛋白表达.结果 模型组大鼠旷场试验水平穿越格数(1.6±1.3)格]、竖立次数(0.4 ±0.2)次]、体质量增加量(34±18)g]均明显低于空白组分别为(51.1 ±22.3)格、(13.2±4.6)次、(128 ±21)g],P均<0.05;海马神经元细胞凋亡率(67±10)%]高于空白组(53±13)%],P<0.05;海马组织bcl-2蛋白阳性细胞计数(28±10)个/mm<'2>]低于空白组(78±22)个/mm<'2>],P<0.05.电针组分别为(39.3 ±14.3)格,(9.6 ±4.1)次,(81±43)g]、氟西汀组分别为(37.2±15.1)格,(9.3±4.6)次,(80 ±35)g]上述指标均明显高于模型组(P<0.05);海马神经元细胞凋亡率电针组(30±9)%,氟西汀组(51±13)%]均低于模型组(P<0.05);海马组织bcl-2蛋白阳性细胞计数电针组(56±18)个/mm<'2>,氟西汀组(62±24)个/mm<'2>]均高于模型组(P<0.05),而电针组与氟西汀组间的差异无统计学意义(P>0.05).结论 电针和氟西汀可改善抑郁大鼠行为学症状,这种改善与海马细胞凋亡机制有一定相关性.

关 键 词:应激  抑郁症  电针  氟西汀  行为  海马  细胞凋亡

Effects of electroacupuncture and fluoxetine on behavior and apoptosis of hippocampal cells in chronic stress rat
Abstract:Objective To study the effects of electroacupuncture and fluoxetine on apoptosis in the hippocampus in chronic stress depression rats.Methods Sixty-five Sprague-Dawley male rats were randomly divided into control group,control group combining with electroacupuncture,model group, electroacupuncture group and fluoxetine group.The model was produced by chronic unpredictable mild stress.Open-filed test was used to detect the behavior of rats.Annexin V-FITC/ PI method was used to detect the apoptotic rates in the hippecampus.Immunohistocbemical technique was used to detect the expression of bcl-2 protein.Results After stress,the model group rats' crossing numbers ( 1.6 ± 1.3 ), rearing times (0.4 ±0.2),body weight changes(34 ± 18) g were markedly less than that of control group rats'(51.1 ±22.3)times,(13.2 ±4.6)times,( 128 ±21 )g;P <0.05],and the hippocampal apoptotic rates and the expression of bcl-2 was higher in model group than control group ( P < 0.05 ).In comparison with the model group,the crossing times,rearing times,body weight changes increased in electroacupuncture group(39.3 ±14.3 ) times,( 9.6 ±4.1 ) times,( 81 ±43 ) g]and fluoxetine group(37.2 ± 15.1 ) times,(9.3 ± 4.6) times,( 80 ± 35 ) g],( P < 0.05 ),and the apoptotic rates of the electroaxupuncture group and fluoxetine group were lower ( P < 0.05 ),the expression of bcl-2 were higher ( P < 0.05 ).Those indexes have not apparently differences between electroacupuncture group and fluoxetine group ( P> 0.05).Conclusion Electroacupuncture and fluoxetine treatment could improve the behavior of depression induced by stress,which may be related to hippecampal apoptosis.
Keywords:Stress  Depression  Electroacupuneture  Fluoxetine  Behavior  Hippocampus  Apoptosis
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