Objective To investigate the effects of auricular acupuncture combined with Yueju Pills on the behavior, brain-derived neurotrophic factor (BDNF), tyrosine kinase B (TrkB), cAMP response element binding protein (CREB), soluble epoxide hydrolase (sEH) and hippocampus of depressed rats. Methods A total of 50 SD rats were selected,ten of which were used as blank control group A, and the remaining 40 rats were established as depression rat models and randomly divided into 4 groups,namely a model group (group B),an auricular acupuncture group (group C),a Yueju pill group (group E) and an auricular acupuncture combined with Yueju pill group (group E) , with 10 rats in each group . Behavioral experiments were conducted respectively after modeling and intervention to evaluate the depressive state of rats. Plasma BDNF and sEH were measured by ELISA kit. Hematoxylin-eosin staining (HE) was used to observe the morphological changes of rat hippocampus. The contents of BDNF,TrkB and CREB in hippocampus of rats were detected by real-time PCR and Western blot. Results After modeling,the body weight of group B, C, D and E significantly decreased,the sucrose preference rate significantly decreased,and the immobility time of behavioral experiment significantly increased. The results of HE staining showed that the structure of hippocampal neurons in depressed rats was damaged,and the expression of BDNF,TrkB and CREB mRNA and protein significantly decreased (P<0.05). Compared with group B,the body weight of the rats in groups C, D and E significantly increased, the sucrose preference rate of the rats significantly increased,the immobility time was significantly reduced, the structure of hippocampal neurons was significantly restored,and the expression of BDNF,TrkB,CREB mRNA and protein was increased. The differences were all statistically significant(P<0.05). Conclusion The study confirmed the antidepressant effect of auricular acupuncture and Yueju Pills,and clarified the superiority of auricular acupuncture combined with Yueju pills in improving the exercise ability,exercise willingness,learning ability and spatial memory ability of depressed rats. It provides experimental basis for the development of new diagnostic tools for depression.
Key words
auricular acupuncture /
Yueju pill /
depression rat
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Thapar A, Eyre O, Patel V, et al. Depression in young people[J]. Lancet,2022,400(10352):617-631.
[2] 朱丽君,徐莲薇,李克倩,等.围绝经期抑郁症发病机制及中医药防治研究进展[J].中国实验方剂学杂志, 2024,30(21):252-261.
[3] 何清,高圆媛,邓青,等.柴胡及其复方防治抑郁症的药理作用机制及临床应用研究进展[J].中医药导报,2024,30(9):83-87.
[4] 王元翀,邱喜龙,王博瑶.中药调控单胺类神经递质治疗抑郁症的研究进展[J].药物评价研究,2024,47(9):2182-2196.
[5] 李昱帅,栾毅峰,刘凯莉,等.中医药通过调控不同信号通路治疗围绝经期抑郁症机制研究进展[J].江苏中医药,2024,56(5):77-81.
[6] 冯婿洋,王秋烜,韩景献,等.针灸治疗抑郁症作用机制研究进展[J].陕西中医,2024,45(4):566-569.
[7] 杨海永. 针刺抗抑郁症作用的神经生物学机制研究进展[J].针灸临床杂志,2024,40(1):97-101.
[8] 孙继飞,陈丽梅,王智,等.抑郁症的针灸作用机制及疗效研究进展[J].世界中医药,2023,18(2):291-295.
[9] 牟秋杰,黄金模妮,郭郁,等.针灸治疗抑郁症的作用机制研究进展[J].针灸临床杂志,2023,39(10):101-106.
[10] Carreno F R,Frazer A.Vagal nerve stimulation for treatment resistant depression[J].Neurotherapeutics, 2017,14(3):716-727.
[11] Conway C R,Kumar A,Xiong W,,et al.Chronic vagus nerve stimulation significantly improves quality of life in treatment-resistant major depression[J].J Clin Psychiatry.Chronic vagus nerve stimulation significantly improves quality of life in treatment-resistant major depression[J].J Clin Psychiatry, 2018,79(5):18m12178.
[12] Vickers J A,Cronin M A,Maschino C A, et al.Acupuncture for chronic pain: individual patient data meta-analysis[J].Arch Int Med,2012,172(19):1-10.
[13] Bondi C O,Rodriguez G,Gould G G,et al.Chronic unpredictable stress induces a cognitive deficit and anxiety-like behavior in rats that is prevented by chronic antidepressant drug treatment[J]. Neuropsychopharmacology, 2008,33(2):320-331.
[14] Tartt A N,Mariani M B,Hen R, et al.Dysregulation of adult hippocampal neuroplasticity in major depression: pathogenesis and therapeutic implications[J]. Mol Psychiatry, 2022,27(6):2689-2699.
[15] Teng T,Gerard C,Michael M, et al.Biogeography of the large intestinal mucosal and luminal microbiome in cynomolgus macaques with depressive-like behavior.[J].Mol Psychiatry,2021,27(2):1059-1067.
[16] Rana T,Behl T,Sehgal A,et al.Unfolding the role of BDNF as a biomarker for treatment of depression[J].J Mol Neuro,2020(5):1-14.
[17] Leal G,Comprido D,Duarte C B.BDNF-induced local protein synthesis and synaptic plasticity[J].Neuropharmacology,2014,76:639-656.
[18] Gong G,Ganesan K,Wang Y,et al. Ononin ameliorates depression-like behaviors by regulating BDNF-TrkB-CREB signaling invitro and in vivo[J].J Ethnopharmacol,2024, 320:117375
[19] Mo F,Tang Y,Du P,et al.GPR39 protects against corticosterone-induced neuronal injury in hippocampal cells through the CREB-BDNF signaling pathway[J].J Affect Disord,2020,272:474-484
[20] 李智勇,陈玉兴,赵自明,等.柴芍安神解郁颗粒对脑卒中后抑郁症大鼠JAK1/STATA3和cAMP/PKA/CREB信号通路调控机制研究[J]. 中华中医药学刊, 2019, 37(12):3013-3017.
[21] 李亚慧,王佳楣,石玥,等.天心解郁方对抑郁模型大鼠的作用及大脑内CAMP/PKA/CREB/BDNF信号通路的影响[J].中医药信息, 2023, 40(7):15-22, 52.
[22] 赵迪克,牛君,杜志欣,等.基于cAMP/PKA/CREB/BDNF信号通路探讨柴胡加龙骨牡蛎汤抗抑郁的作用机制[J].中国实验方剂学杂志, 2023, 29(3):17-25.
[23] Ren Q,Ma M,Ishima T,et al.Gene deficiency and pharmacological inhibition of soluble epoxide hydrolase confers resilience to repeated social defeat stress[J]. Proc Natl Acad Sci USA, 2016,113(13):1944-1952.
[24] Zhang J, Tan Y, Chang L, et al. Increased expression of soluble epoxide hydrolase in the brain and liver from patients with major psychiatric disorders: A role of brain - liver axis[J].J Affect Disord,2020,270:131-134.
[25] Ribeiro B, Chaves Filho A, Costa D,et al.N-3 polyunsaturated fatty acids and clozapine abrogates poly I: C-induced immune alterations in primary hippocampal neurons[J].Prog Neuropsychopharmacol Biol Psychiatry, 2019,90:186-196.
[26] 饶茜,朱媛媛,林艺婷,等.日光性皮炎模型小鼠瘙痒及伴发负性情绪的行为学及形态学研究[J].空军军医大学学报,2024,45(2):1420-1426.