Acupuncture alleviates hemorrhagic transformation after delayed rt-PA treatment for acute ischemic stroke by regulating the mitophagy-NLRP3 inflammasome pathway
Tao Jiang,
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Qianqian Liu,
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Huanhuan Liu
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et al.
Frontiers in Neurology,
Journal Year:
2025,
Volume and Issue:
16
Published: April 7, 2025
The
clinical
application
of
recombinant
tissue
plasminogen
activator
(rt-PA)
is
significantly
constrained
by
hemorrhagic
transformation
(HT),
a
common
and
severe
complication
following
thrombolysis
for
ischemic
stroke.
Notably,
the
mitochondrial
injury-mediated
NLRP3
inflammasome
plays
crucial
role
in
HT
after
delayed
rt-PA
acute
Although
acupuncture
has
demonstrated
antioxidant
anti-inflammatory
effects
cerebral
infarction,
its
impact
on
thrombolysis,
especially
concerning
mitophagy
inflammasome,
remains
unclear.
This
study
investigates
how
protects
against
resulting
from
damage
activation
We
selected
an
embolic
stroke
model
rats
assessed
brain
injury
using
neurological
deficit
score,
volume
infarct,
permeability
assay
blood-brain
barrier
(BBB),
HT.
Then,
levels
proteins
mRNA
involved
pathway
were
measured
western
blot
real-time
PCR.
interleukin-18
(IL-18)
interleukin-1β
(IL-1β)
enzyme-linked
immunosorbent
(ELISA).
Morphological
changes
BBB
mitochondria
neurons
observed
via
transmission
electron
microscopy.
Acupuncture
improved
scores,
destruction,
rat.
Furthermore,
induced
substantially
downregulated
activity
inflammasome.
Additionally,
use
inhibitors
reversed
suppressive
can
promote
suppress
to
decrease
therapy
Language: Английский
Effect of DU meridian acupuncture and temporal three-needle on vascular protection mechanisms in patients with acute cerebral infarction: a randomized controlled evaluator-blinded clinical trial
Ya-Wen Sun,
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Qin Zhong,
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Yunfei Hou
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et al.
Frontiers in Neurology,
Journal Year:
2025,
Volume and Issue:
16
Published: April 7, 2025
The
incidence
of
acute
ischemic
stroke
has
been
rising
steadily
in
China
and
globally,
with
its
high
mortality
disability
rates
significantly
affecting
quality
life.
As
an
important
adjunct
therapy,
acupuncture
widely
implemented
management.
Emerging
studies
have
investigated
the
effects
DU
meridian
Chong
Mai
on
hemiparesis;
however,
vascular
protective
mechanisms
electroacupuncture
therapy
targeting
these
meridians
require
further
elucidation
rehabilitation
research.
This
prospective
cohort
study
aims
to
investigate
clinical
efficacy
limitations
combined
Temporal
Triple
Needling
(Sanjian)
rehabilitation.
intervention's
therapeutic
potential
is
evaluated
through
modulatory
CD14+/CD14-
monocyte
subpopulations
within
peripheral
blood
mononuclear
cells
(PBMCs),
particular
focus
angiogenesis-mediated
protection
mechanisms.
Sixty-six
patients
will
be
randomly
assigned
1:1
control
(conventional
basal
n
=
33)
standard
care
+
acupuncture,
groups
for
10
days
intervention.
primary
outcome
NIHSS
score.
secondary
outcomes:
BMI
mRS
scores,
level
TNF-A
IL-1B
serum,
endothelial
growth
factor
(VEGF),
Endocan
ES,
CD14+
CD14-
levels
cells.
aim
this
whether
improves
cerebrovascular
function
patients,
thereby
reducing
score
preventing
disease
progression.
also
contribute
positively
development
relevant
treatment
protocols
facilitate
research
into
underlying
effects.
International
Traditional
Medicine
Clinical
Trial
Registry
ITMCTR2024000508.
Language: Английский
Acupuncture regulates astrocyte neurotoxic polarization to protect blood–brain barrier integrity in delayed thrombolysis through mediating ERK1/2/Cx43 axis
IBRO Neuroscience Reports,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 1, 2025
Language: Английский
Acupuncture in Conjunction with Modern Rehabilitation Promotes Neuroplasticity in Stroke
玮豪 柯
No information about this author
Advances in Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
15(04), P. 3322 - 3332
Published: Jan. 1, 2025
Language: Английский
Impact of acupuncture on ischemia/reperfusion injury: Unraveling the role of miR-34c-5p and autophagy activation
Xiao-Ye Lu,
No information about this author
Q. Lv,
No information about this author
Qilong Li
No information about this author
et al.
Brain Research Bulletin,
Journal Year:
2024,
Volume and Issue:
215, P. 111031 - 111031
Published: July 11, 2024
We
have
previously
reported
that
the
expression
of
miR-34c-5p
was
up-regulated
during
acupuncture
treatment
in
setting
a
cerebral
ischemia/reperfusion
injury
(CIRI),
indicating
plays
an
important
role
healing
from
CIRI-induced
brain
injury.
This
study
sought
to
evaluate
effects
on
and
autophagy
forward
reverse
directions
using
rat
focal
model.
After
120
minutes
middle
artery
occlusion
reperfusion,
rats
were
treated
with
at
"Dazhui"
(DU20),
"Baihui"
(DU26)
"Renzhong"
(DU14)
points.
Neurologic
function
deficit
score,
infarct
area
ratio,
neuronal
apoptosis
evaluated
72
hr
after
treatment.
The
agonist
RAPA
antagonist
3MA
used
neuro
protective
autophagy-mediated
acupuncture.
found
improved
tissue
CIRI
rats.
Acupuncture
reversed
negative
CIRI,
combined
further
enhanced
autophagy.
also
could
increase
hippocampal
neurons
ischemia/reperfusion.
miR-34c
agomir
able
enhance
autophagy,
improve
neurologic
deficits,
reduce
ratio
rate
by
promoting
miR-34c-5p.
Silencing
resulted
significantly
reduced
activating
effect
increased
apoptosis,
symptoms,
ratio.
confirms
can
upregulate
expression,
which
is
beneficial
CIRI.
Language: Английский