Accumulating evidence indicates that oxidative stress plays a critical role in Parkinson's disease (PD). Our previous work has shown that 100 Hz electro-acupuncture (EA) stimulation at ZUSANLI (ST36) and SANYINJIAO (SP6) protects neurons in the substantia nigra pars compacta from 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) toxicity in male C57BL/6 mice, a model of PD. In the present study we administered 100 Hz EA stimulation at the two acupoints to MPTP-lesioned mice for 12 sessions starting from the day prior to the first MPTP injection. We found that in the striatum of MPTP treated mice 100 Hz EA stimulation effectively inhibited the production of hydrogen peroxide and malonaldehyde, and increased glutathione concentration and total superoxide dismutase activity through biochemical methods. However, it decreased glutathione peroxidase activity via biochemical analysis and did not affect the level of 1-methyl-4-phenylpyridinium in the striatum revealed by high performance liquid chromatography with ultraviolet detection. These data suggest that 100 Hz EA stimulation at ST36 and SP6 has antioxidative effects in the MPTP model of PD. This data, along with our previous work, indicates that 100 Hz EA stimulation at ST36 and SP6 protects the nigrostriatal system by multiple mechanisms including antioxidation and antiapoptosis, and suggests that EA stimulation is a promising therapy for treating PD.
Accumulating evidence indicates that oxidative stress plays a critical role in Parkinson's disease (PD). Our previous work has shown that 100 Hz electro-acupuncture (EA) stimulation at ZUSANLI (ST36) and SANYINJIAO (SP6) protects neurons in the substantia nigra pars compacta from 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) toxicity in male C57BL/6 mice, a model of PD. In the present study we administered 100 Hz EA stimulation at the two acupoints to MPTP-lesioned mice for 12 sessions starting from the day prior to the first MPTP injection. We found that in the striatum of MPTP treated mice 100 Hz EA stimulation effectively inhibited the production of hydrogen peroxide and malonaldehyde, and increased glutathione concentration and total superoxide dismutase activity through biochemical methods. However, it decreased glutathione peroxidase activity via biochemical analysis and did not affect the level of 1-methyl-4-phenylpyridinium in the striatum revealed by high performance liquid chromatography with ultraviolet detection. These data suggest that 100 Hz EA stimulation at ST36 and SP6 has antioxidative effects in the MPTP model of PD. This data, along with our previous work, indicates that 100 Hz EA stimulation at ST36 and SP6 protects the nigrostriatal system by multiple mechanisms including antioxidation and antiapoptosis, and suggests that EA stimulation is a promising therapy for treating PD.
Parkinson's disease (PD) is a common neurodegenerative disease characterized by
motor disorders resulting from the profound loss of dopaminergic neurons in the
substantia nigra pars compacta (SNpc) and the subsequent depletion of dopamine (DA)
in the striatum. Though significant progress has been made in the treatment of PD,
no therapy has been proven to halt or slow disease progression or provide long-term
improvement. Numerous investigations have focused on decoding the pathogenesis of PD
in an attempt to find a therapeutic strategy. Several postmortem studies show that
markers for lipid peroxidation, oxidative DNA and protein damage are significantly
increased in the substantia nigra (SN) of PDpatients [1]–[5], indicating that oxidative
stress plays an important role in the pathogenesis of PD [6].Administration of the toxin 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)
causes neurochemical, behavioral, and histopathological alterations in human and
nonhuman primates that replicate very closely the clinical symptoms of PDpatients,
so MPTP is widely used to produce animal models of PD [7]. MPTP is highly lipophilic and
crosses the blood-brain barrier soon after systemic administration. In the brain
MPTP is metabolized to 1-methyl-4-phenylpyridinium (MPP+), the
active toxic compound. The formation and toxic production process of
MPP+ are accompanied by an increased production of free
radicals, especially superoxide [8], [9], which is poorly reactive
but can be turned into hydrogen peroxide (H2O2).
H2O2 participates in MPTP injury through forming hydroxyl
radicals [10], the
potent oxidants that attack DNA, protein and membrane lipids leading to cell death.
Previous studies have suggested that antioxidants could protect DA neurons in the
SNpc from MPTP injury [11]–[13], indicating that antioxidant therapy might be a potential
therapeutic choice for PD.Accumulating clinical evidences have demonstrated that acupuncture helps to improve
movement disabilities and reduce the dosage of drugs required by PDpatients [14]–[16]. ZUSANLI (ST36)
and SANYINJIAO (SP6) are often used by acupuncturists to treat PDpatients at their
clinics on the basis of ancient theories of Traditional Chinese Medicine. Modern
science research had shown that stimulation in these two acupoints could enhance the
immunity and improve the mobility [17]–[20]. However, the underlying mechanisms are still
unclear.In this study, we hypothesized that the acupuncture stimulation has neuroprotective
effect on DA neurons and this effect is stimulation frequency-dependent and is
related to the antioxidative effect of acupuncture. We tested this hypothesis by
evaluating the DA neuron quantity, the oxidative damage and levels of antioxidants
after different frequency EA stimulation at ST36 and SP6 in MPTP treated mice.
Materials and Methods
Ethics statement
All animal experiments were performed by Haomin Wang, whose permit number of
License for Performing Animal Experiments of Beijing, which is approved and
required by the Ethics Committee of Peking University Health Science Center (a
branch committee of the Committee on Animal Care and Usage of Peking University
Health Science) before conducting animal experiments in Peking University Health
Science Center, is 12928.
Animals
Male C57BL/6 mice weighing 22∼25 g were supplied by the Laboratory Animal
Center of Peking University, and housed in a temperature-controlled room
(23±1°C) under 12-h on/off light cycle with food and water ad
libitum in the home cage. Mice were allowed to acclimate to their
home environment for 7 days before experiments.
EA stimulation
Mice were randomly divided into five groups: saline (NS), saline plus EA
stimulation at 100 Hz (100 Hz + NS), MPTP, MPTP plus EA stimulation at 0 Hz
or 100 Hz (0 Hz + MPTP and 100 Hz + MPTP respectively). The EA
stimulation was performed from day 1 to day 13 except day 7 (Figure 1) as described before
[21] with
minor modifications. The mouse was gently restrained in a polyethylene cylinder
with its hind limbs and tail outside. Two sterilized stainless-steel needles
0.18 mm in diameter and 3 mm long were inserted in each leg, one at ST36 (2 mm
lateral to the anterior tubercle of tibia) and the other at SP6 (2 mm proximal
to the upper border of medial melleolus, at the posterior border of the tibia).
Bidirectional square wave electrical pulses (0.2 ms duration, 100 Hz) or no
electrical pluses (0 Hz), designated as EA, were given for a total of 30 min
each day. The intensity of the stimulation at 100 Hz was increased stepwise from
1 to 1.25 mA and then to 1.5 mA, with each step lasting for 10 min. The animals
remained relaxed during stimulation, so anesthesia was not performed.
Figure 1
Experimental design of the study.
Numbers represent days.
Experimental design of the study.
Numbers represent days.
MPTP treatments
Following EA stimulation mice received intraperitoneal (i.p.) injections of MPTP
from day 2 to day 6 (Figure
1) (Sigma-Aldrich, St. Louis, MO, USA, 30 mg/kg, dissolved in saline,
once a day) or an equivalent volume of saline.
Tissue collection and processing
Three mice from each group were randomly selected on day 14 for tyrosine
hydroxylase (TH) immunohistochemistry. They were deeply anesthetized with 400
mg/kg chloral hydrate, and then transcardially perfused with 25 ml saline
followed by 75 ml 4% (w/v) paraformaldehyde in phosphate buffer. Brains
were removed and post-fixed in the same fixative overnight and then
cryoprotected in 30% (w/v) sucrose for 3 ∼ 5 days. The brains were
frozen on powdered dry ice and then arranged for frontal sectioning according to
the mouse brain atlas of Burton M. Slotnick and Christina M. Leonard. Brains
were sectioned at 20 µm thickness with a cryostat at −20°C and
processed for immunohistochemistry. On day 2 (2 hr. post MPTP injection), 3 (4
hr. post MPTP injection), 6 (2 hr. post MPTP injection), 7 and 14, seven to
eight mice from each group were decapitated, and the bilateral striata and the
ventral midbrains were dissected quickly and stored at −80°C (Figure 1).
Immunohistochemistry and quantification of TH-ir neuronal profiles
All sections spanning the SN were collected for immunohistochemistry according to
the previously described method [22] with minor modifications. Every seventh section was
incubated in rabbit anti-TH antibody (1∶2000, Chemicon, Temecula, CA, USA)
at 4°C overnight. Sections treated with diluted non-immune goat serum
instead of primary antibody served as an antibody control. Sections were
incubated with biotinylated goat anti-rabbit antibody and then with the
avidin–biotin–peroxidase complex for 30 min at 37 °C. The bound
complex was visualized by incubating sections in a solution containing
0.1% (w/v) 3,3-diaminobenzidine (Sigma, St. Louis, MO, USA), 1%
(v/v) H2O2, and 8% (w/v) ammonium nickel sulfate
(Fluka Chemie GmbH, Switzerland).TH-ir neuronal profiles with distinct nuclei were counted in ten sections
throughout the entire rostrocaudal extent of the SNpc. All sections were coded
and examined blind.
HPLC analysis of dopamine and its metabolites
Striata collected on day 14 were used to detect the levels of DA and its
metabolites, dihydroxyphenylacetic acid (DOPAC) and homovanillic acid (HVA), by
HPLC with electrochemical detection (HPLC-ECD). In brief, tissues were weighed
and then homogenized in 0.4 M ice-cold perchloric acid (150 µl/tissue).
All homogenates were kept away from light in an ice bath for 60 min.
Centrifuging at 12,000 rpm and 4°C for 20 min, transferring 120 µl
supernatant from each sample to a new tube and then adding 60 µl solution
(20 mM potassium citrate, 300 mM potassium dihydrogen phosphate, and 2 mM
EDTA-2Na). Keeping the mixtures away from light in an ice bath for 60 min, and
then centrifuging at 12,000 rpm and 4°C for 20 min. Filtering the
supernatant with a 0.22 µm Millipore filter and injecting the filtrate
into the HPLC system for analysis. The mobile phase contained 110 mM citrate
buffer/100 mM EDTA/70 mM 1-octanesulfonate sodium solution and 20% (v/v)
methanol. Flow rate was 1 ml/min. Striata from six to nine animals in each group
were used.
H2O2, MDA, total SOD, GSH, and GSH-PX assay
On day 3, 7 and 14 mice were sacrificed and the striata as well as the ventral
midbrains were dissected as described above. About seven striata and ventral
midbrains from each group were homogenized in 30 vol. (wt./vol.) of 0.1 M
phosphate buffer solution and centrifuged at 3000 g and 4°C for 15 min. The
supernatant was used to determine the level of H2O2,
malonaldehyde (MDA) and activity of total superoxide dismutase (SOD). The
supernatant from the striata and the ventral midbrains diluted in 10 vol.
(wt./vol.) buffer was used for glutathione peroxidase (GSH-PX) activity assay.
H2O2, MDA, SOD and GSH-PX assays were performed
according to the procedures provided by the assay kits (Nanjing Jiancheng
Bioengineering Institute, Nanjing, PR China). The glutathione (GSH) content was
detected by a Total Glutathione Quantification Kit (Dojindo Laboratories,
Kumamoto, Japan), following the kits' instructions.
H2O2 content was determined by monitoring at the
absorbance at 412 nm of the titanium-peroxide complex [23]. MDA level was analyzed with
2-thiobarbituric acid [24]. SOD activity was analyzed by monitoring the
inhibition of the reduction of nitro blue tetrazolium by the sample at 550 nm
[25].
GSH-PX activity was detected with 5-5′-dithiobis-p-nitrobenzoic acid [26]. GSH level
was measured by DTNB-GSSG reductase recycling assay [27]. All the assays were
colorimetric methods based on biochemical reactions, and the absorbance values
of the samples were calibrated against that of the standards with known
concentration or calibrated to a standard graph generated with known content of
the standards.
MPP+ measurement
Striata collected on day 2 and 6 (2 hr. after the first and last injection of
MPTP) were used for measuring MPP+ level using HPLC with UV
detection (HPLC-UV, wavelength, 293 nm). Samples were weighed, homogenized in
200 µl ice-cold perchloric acid (0.1 M). and then centrifuged at 12,000
rpm at 4°C for 7 min. The supernatant was filtered prior to analysis by
HPLC. For HPLC analysis the mobile phase contained 85% (v/v) 0.1 M acetic
acid/75 mM triethylamine solution and 15% (v/v) acetonitrile and the flow
rate was 1 ml/min.
Statistical analysis
Values are expressed as mean ± SEM. Differences among means were analyzed
using one-way ANOVA followed by Newman–Keuls post hoc test of difference
between means. A p value <0.05 denoted a statistically
significant difference.
Results
100 Hz EA stimulation protects dopaminergic neurons from MPTP
toxicity
Profound loss of DA neurons in the SNpc is the main pathological change of PD.
Here we assessed whether EA stimulation could rescue DA neurons in the SNpc from
MPTPtoxicity by TH immunohistochemistry. We found that on day 14, TH positive
neurons in MPTP treated mice dramatically decreased (p<0.05
vs. NS group; Figure 2, E and F), in comparison with the saline group (Figure 2, A and B). However,
TH immunoreactivity could be rescued by 100 Hz EA stimulation
(p<0.05 vs. MPTP group; Figure 2, I and J). Unlike 100
Hz, EA stimulation at 0 Hz made no difference (Figure 2, G and H). Furthermore, 100 Hz EA
stimulation had no effect on saline treated control mice (Figure 2, C and D). These results suggest
that 100 Hz EA stimulation can protect DA neurons in the SNpc from MPTP
injury.
Figure 2
100 Hz EA stimulation protects dopaminergic neurons from MPTP
toxicity.
(A and B) NS. (C and D) 100 Hz + NS. (E and F) MPTP. (G and H) 0 Hz
+ MPTP. (I and J) 100 Hz + MPTP. (K) Quantification of TH
positive neuronal profiles in the SNpc. *p<0.05,
compared with NS group. n = 3. Scale bar, 200
µm (A, C, E, G and I) and 50 µm (B, D, F, H and J).
100 Hz EA stimulation protects dopaminergic neurons from MPTP
toxicity.
(A and B) NS. (C and D) 100 Hz + NS. (E and F) MPTP. (G and H) 0 Hz
+ MPTP. (I and J) 100 Hz + MPTP. (K) Quantification of TH
positive neuronal profiles in the SNpc. *p<0.05,
compared with NS group. n = 3. Scale bar, 200
µm (A, C, E, G and I) and 50 µm (B, D, F, H and J).
100 Hz EA stimulation increases the concentration of striatal DA and its
metabolites in PD mice
Because the abnormal motor function in PD is mainly caused by subthreshold levels
of DA in the striatum, we looked at the concentration of striatal DA and its
metabolites, DOPAC and HVA in our different groups. On day 14, MPTP injection
caused a significant reduction in the concentration of the three substances
(p<0.001 vs. NS group, Figure 3). However, 100 Hz EA
stimulation elevated DA levels significantly (34% increase,
p<0.05 vs. MPTP group, Figure 3A) in the MPTP treated
mice, as well as DOPAC and HVA concentrations (19.8% and 22.9%
increase respectively, p<0.05 vs. MPTP
group; Figure 3, B and C).
Consistent with the TH immunohistochemistry results, 0 Hz EA stimulation did not
affect the concentrations of DA, DOPAC and HVA in the striatum of the MPTP
treated mice.
Figure 3
100 Hz EA stimulation increases the contents of striatal DA and its
metabolites in MPTP-treated mice.
(A) DA. (B) DOPAC. (C) HVA. ***p<0.001,
compared with NS group; #p<0.05, compared with MPTP
group. n = 6∼9.
100 Hz EA stimulation increases the contents of striatal DA and its
metabolites in MPTP-treated mice.
(A) DA. (B) DOPAC. (C) HVA. ***p<0.001,
compared with NS group; #p<0.05, compared with MPTP
group. n = 6∼9.
100 Hz EA stimulation inhibits the elevation of striatal
H2O2 level in PD model mice
In our model, striatal H2O2 content increased significantly
at 2 hr. after a single MPTP injection and reached its peak at 4 hr. (Figure S1).
Measurement of striatal H2O2 level at 4 hr. after every
MPTP injection (five injections in total) show that only the first three MPTP
injections augment H2O2 levels significantly (Figure S1
and S2).
Therefore we examined striatal H2O2 level on day 3 when
mice had been given two MPTP injections. The results show that 100 Hz EA
stimulation inhibits the elevation of H2O2 in MPTP treated
mice (p<0.05 vs. MPTP group, Figure 4), while, 0 Hz EA
stimulation has no affects. Additionally, 100 Hz EA stimulation had no effect on
normal mice. Moreover, we observed there was no significant change of
H2O2 contents in the ventral midbrain of the model
mice compared with the NS group (Figure S3 and S4).
Figure 4
100 Hz EA stimulation inhibits the elevation of striatal
H2O2 level in MPTP-treated mice.
*p<0.05, compared with NS group;
#p<0.05, compared with MPTP group.
n = 5∼8.
100 Hz EA stimulation inhibits the elevation of striatal
H2O2 level in MPTP-treated mice.
*p<0.05, compared with NS group;
#p<0.05, compared with MPTP group.
n = 5∼8.Since all of our above tests show that 100 Hz EA stimulation had no adverse
effect on normal mice and 0 Hz EA stimulation did not have an effect on MPTP
treated mice, we abandoned the 100 Hz + NS and 0 Hz + MPTP groups in
order to minimize the number of animals used in the following experiments.
Effects of 100 Hz EA stimulation on the concentration/activity of striatal
GSH, GSH-PX and SOD
In the brain, major antioxidant defenses consist of antioxidant scavengers such
as GSH and enzymes such as GSH-PX and SOD. For the following experiment we
measured striatal concentration and activity of GSH, GSH-PX and total SOD on day
3, 7 and 14.On day 3 EA stimulation enhanced GSH content significantly
(p<0.001 vs. NS and
p<0.001 vs. MPTP group on day 3, Figure 5A), but the effect
disappeared on day 7 and 14. MPTP injection did not affect GSH content in the
striatum.
Figure 5
100 Hz EA stimulation effects on the content/activity of GSH, GSH-PX,
SOD and MDA in the striatum.
Saline group (gray bar), MPTP group (white bar) and 100 Hz + MPTP
group (black bar). (A) GSH content. (B) GSH-PX activity. (C) SOD
activity. (D) MDA content. **p<0.01,
***p<0.001, compared with NS group;
##p<0.01, ###p<0.001,
compared with MPTP group on the same day.
n = 6∼7 (A and B) or
n = 5∼7 (C and D).
100 Hz EA stimulation effects on the content/activity of GSH, GSH-PX,
SOD and MDA in the striatum.
Saline group (gray bar), MPTP group (white bar) and 100 Hz + MPTP
group (black bar). (A) GSH content. (B) GSH-PX activity. (C) SOD
activity. (D) MDA content. **p<0.01,
***p<0.001, compared with NS group;
##p<0.01, ###p<0.001,
compared with MPTP group on the same day.
n = 6∼7 (A and B) or
n = 5∼7 (C and D).GSH-PX activity was significantly increased on day 3 in the MPTP group
(p<0.01 vs. NS, Figure 5B). 100 Hz EA stimulation
significantly decreased GSH-PX activity at that time point
(p<0.01 vs. NS group). On day 7, high
levels of GSH-PX activity were still seen in the MPTP treated mice (13.3%
increase compared to NS group, Figure 5B) but EA stimulation normalized GSH-PX activity in model
mice. On day 14, MPTP and EA stimulation had no effect on GSH-PX activity.SOD activity was decreased in the striatum of MPTP treated mice on all of the
three time points, i.e., day 3, day 7 and day 14 (6.0% ∼ 8.3%
compared to NS group, Figure
5C). 100 Hz EA stimulation increased the SOD activity in a time
dependent manner, i.e., 3 sessions (day 3) of treatment did not affect SOD
activity, 6 sessions (day 7) significantly increased SOD activity (8.8%
increase compared to EA group on day 3, p<0.01
vs. MPTP group on day 7, Figure 5C) and 12 sessions (day 14) of
treatment also increased SOD activity too.
100 Hz EA stimulation depresses the elevation of striatal MDA content
MDA is one of the final products of polyunsaturated fatty acid peroxidation in
cells. An increase in free radicals causes overproduction of MDA. Therefore, it
is used as a lipid peroxidation marker. We detected striatal MDA content on day
7 and 14, the 1st and 8th day after the last MPTP
injection respectively. On day 7, MDA levels were significantly increased in
MPTP treated mice (155% increase, p<0.001
vs. NS group, Figure 5D) but EA stimulation reduced this increase (38%
decrease, p<0.01 vs. MPTP group on day 7).
On day 14 there were no statistic differences among the three groups. Moreover,
we found there was no significant change of MDA levels in the ventral midbrain
of the model mice compared with the NS group (Figure
S5).
100 Hz EA stimulation does not affect MPP+ metabolism
In the brain the toxicity of MPTP is due to its toxic form, MPP+,
which is selectively toxic to dopaminergic neurons. We evaluated if the
antioxidative effect of EA stimulation was related to the formation or
degradation of MPP+. On day 2 and day 6 when the 1st
and 5th MPTP injections were performed, mice were killed for the
analysis of striatal MPP+ content by HPLC-UV. Our data shows
that EA stimulation does not influence the concentration of MPP+
in the striatum of the MPTP treated mice (Figure 6), suggesting that the target of EA
stimulation at 100 Hz does not involve in the MPP+ metabolic
pathway.
Figure 6
100 Hz EA stimulation does not affect MPP+
formation.
MPTP group (white bar) and 100 Hz + MPTP group (black bar).
n = 6∼8.
100 Hz EA stimulation does not affect MPP+
formation.
MPTP group (white bar) and 100 Hz + MPTP group (black bar).
n = 6∼8.
Discussion
More and more people turn to acupuncture for the treatment of Parkinson's
disease and clinical evidence has proven the effectiveness of acupuncture in the
management of this dread disease. But the underlying mechanism still needs to be
clarified. In this study we found that 100 Hz, but not 0 Hz of EA stimulation at
ST36 and SP6 can protect dopaminergic neurons in the substantia nigra from MPTP
insult, suggesting that the response of the body to EA stimulation is
frequency-dependent. Although multiple mechanisms may be involved in this process,
our findings highlight the possibility that the antioxidative effect of EA
stimulation may be a leading mechanism. Oxidative stress is involved in dopaminergic
neuronal injury in MPTP-lesioned mice. EA at 100 Hz reverses the elevation of
striatal MDA concentration in PD model mice. This antioxidative activity of EA
partially relies on its ability to reduce H2O2 content and
elevate GSH level and total SOD activity. This activity also depends on frequency
because 0 Hz EA stimulation did not benefit PDmice. In addition, 100 Hz EA
stimulation did not adversely affect normal mice.In tissues obtained at autopsy from PDpatients the activity of SOD is increased,
while GSH-PX activity and GSH content are decreased [28]–[30]. SOD is often regarded as the
first line of defense against an upswing of reactive oxygen species (ROS) and
responsible for the conversion of superoxide to H2O2 in the
cytoplasm and mitochondria. Enhanced SOD activity may be neuroprotective since
transgenic mice with increased SOD activity are resistant to MPTP injury [31], [32], while mice
with decreased SOD activity are more susceptible to MPTPtoxicity [10], [33]. GSH is
considered to be a major antioxidant in the brain, capable of attenuating oxidative
damage [34].
Impairment of the GSH system may trigger a cascade of events leading to oxidative
stress and destruction of the nigrostriatal pathway as well as render the pathway
susceptible to a toxic insult [35]. GSH depletion is a primary event in incidental Lewy body
disease which is thought to be presymptomatic Parkinson's disease. GSH-PX is an
enzyme of major importance in the detoxification of peroxides such as
H2O2. Deficiency of GSH-PX activity leads to aggravating
MPTP lesions [10].
Ebselen, an antioxidant drug with GSH-PX-like activity, prevents both neuronal loss
and clinical symptoms in a primate MPTP model of PD [13].Our findings reveal that 100 Hz EA stimulation at ST36 and SP6 can prevent the
decrease of striatal total SOD activity, elevate striatal GSH concentration, and
consequently inhibit the increase of striatal H2O2 and MDA
level caused by MPTP. On day 3 (3 sessions of EA) the decrease of striatal GSH-PX
activity in the EA group might relate to the augmented striatal GSH content, which
helps to consume the excessive H2O2.Recently, Yu et al. claimed that acupuncture mitigated oxidative stress in the SN of
6-hydroxydopamine lesioned rats [36]. Compared with their study we used MPTPmice model, which
is the best available and the most popular animal model of PD at present [7], [9], [37]–[41]. Furthermore, we
detected the oxidative indicators in a time-course manner (on day 3, 7 and 14), and
illustrated a picture on the oxidative changes in MPTPmice model. In our model the
rapid elevation of H2O2 content and GSH-PX activity suggests
that the production of ROS is an early event in MPTPtoxicity, consistent with the
observations in other experiments [42], [43]. Also, our study suggested that oxidative stress could be
more profound in the striatum than that in the ventral midbrain, which might be due
to the fact that the DA neuron loss induced by MPTP results from molecular events
initiated in the striatum [44]–[46]. Thus, the antioxidative effect of EA at these two
acupoints on the striatum could be significant to rescue the DA neurons in the SN.
Kim et al. found that 100 Hz EA normalized the elevation of glyoxalase II, which
plays a pro-survival role in the metabolic stress response through detoxifying
methylglyoxal in MPTPmice, and they assumed that it could be due to the relief of
oxidative stress in the striatum by increasing antioxidant enzyme activities,
thereby precluding methylglyoxal accumulation [47].Motor behavioral abnormality is the cardinal characteristics of humanPD. Therefore,
therapies that can improve the abnormal behavior will significantly help PDpatients
in their daily life. In this study we found that 100 Hz EA stimulation normalized
the motor disorders of the model mice. We think that the mechanism is due to the
regulatory effect of EA on other nuclei in the basal ganglia, such as the globus
pallidus, but not the neuroprotective effect of EA on the dopaminergic neurons in
the nigrostriatal system (Wang HM et al. unpublished). It is in accordance with the
previous studies in our lab [48]–[50].MPP+ activates microglia which exaggerates its toxicity via ROS
dependent and independent mechanisms [51]. Our previous work revealed
that 100 Hz EA stimulation can suppress the activation of microglia and up-regulate
BDNF and GDNF expression in medial forebrain bundle-transected PDrats [22], [50], [52]. Therefore, 100 Hz
EA stimulation might rescue DA neurons through multiple ways besides mitigating
oxidative stress in MPTPmice. Indeed, we have discovered that 100 Hz EA stimulation
at ST36 and SP6 has an anti-apoptotic effect by elevating the Bcl-2/Bax ratio in
this model (Pan YL et al., unpublished).In its late stage PD destroys multiple regions of the brain except for the
nigrostriatal system, which leads to complex clinical symptoms such as pain and
insomnia. A clinical report demonstrated that acupuncture benefited the sleep of PDpatients and eased the patients’ subjective sufferings
from pain [53]
suggesting that acupuncture stimulation produces extensive neuroprotective and
regulative effects. Therefore, it is highly possible that the integration of several
activated signal pathways during acupuncture stimulation plays a role in alleviating
the pathological changes in the brain of PDpatients.Time course of striatal H
** p<0.01,
***p<0.001, compared with NS group.
n = 5∼7.(TIF)Click here for additional data file.Time course of H
*p<0.05, **p<0.01,
compared with NS group. n = 6.(TIF)Click here for additional data file.Time course of H Animals were
sacrificed at 2, 4, 6, 8, 10 and 12 hours post one MPTP injection (30 mg/kg,
i.p.). H2O2 contents of the ventral midbrains were
detected. n = 5∼7.(TIF)Click here for additional data file.Time course of H At 4 hours after the
2nd, 3rd, 4th and 5th MPTP
injection (30 mg/kg, i.p.), animals were decapitated. Contents of
H2O2 in the ventral midbrains were detected.
n = 6.(TIF)Click here for additional data file.Time course of MDA contents in the ventral midbrain of the subacute
MPTPmouse model. After the 2nd, 3rd,
4th and 5th MPTP injection (30 mg/kg, i.p.),
animals were decapitated. Contents of MDA in the ventral midbrains were
detected. n = 6.(TIF)Click here for additional data file.
Authors: E C Hirsch; G Höglinger; E Rousselet; T Breidert; K Parain; J Feger; M Ruberg; A Prigent; C Cohen-Salmon; J M Launay Journal: J Neural Transm Suppl Date: 2003