Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (27): 4333-4338.doi: 10.3969/j.issn.2095-4344.2015.27.013

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Repetitive transcranial magnetic stimulation in a rat model of middle cerebral artery occlusion: variation of nerve regeneration microenvironment in infarcted brain areas and recovery of rat neurological function

Liu Pei1, Liu Bao-bin2   

  1. 1Department of Emergency, General Hospital of Tianjin Medical University, Tianjin 300052, China; 
    2Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin 300052, China
  • Online:2015-06-30 Published:2015-06-30
  • Contact: Liu Bao-bin, M.D., Attending physician, Department of Neurosurgery, General Hospital of Tianjin Medical University, Tianjin 300052, China
  • About author:Liu Pei, Master, Attending physician, Department of Emergency, General Hospital of Tianjin Medical University, Tianjin 300052, China

Abstract:

BACKGROUND: At home and abroad, a large number of studies have demonstrated that repetitive transcranial magnetic stimulation can evoke changes in cortical excitability that can be sustained beyond the time of stimulation, which provides a new research direction for application of magnetic stimulation in rehabilitation treatment for cerebral infarction. However, its long-term clinical efficacy and safety deserve further investigation.
OBJECTIVE: To observe the influence of repetitive transcranial magnetic stimulation on nerve regeneration microenvironment in the infarcted cerebral area and rat neurological functional recovery after cerebral infarction.
METHODS: The rats were randomly divided into model group, sham stimulation group and repetitive transcranial magnetic stimulation group (80%, 100% and 120% motor threshold subgroups). Right middle cerebral artery occlusion models were established in rats by the intraluminal suture method. At 24 hours after middle cerebral artery occlusion, 20 Hz repetitive transcranial magnetic stimulation was performed in each repetitive transcranial magnetic stimulation subgroup at the designated motor thresholds. Rats in the sham stimulation group underwent sham stimulation, while the model group rats were not given any treatment.
RESULTS AND CONCLUSION: Seven days after middle cerebral artery occlusion, cerebral infarction volume in the repetitive transcranial magnetic stimulation group was significantly less than that in the model and sham 
stimulation groups (P < 0.05). RT-PCR and Western blot assays showed that at 72 hours after middle cerebral artery occlusion, aquaporin 4/9 mRNA and protein expression in the repetitive transcranial magnetic stimulation group was significantly increased than in the model group (P < 0.05). Compared with 1 day after middle cerebral artery occlusion, neurological deficit scores at 15 days after repetitive transcranial magnetic stimulation was significantly improved (P < 0.05). Immunohistochemical detection results showed that glial fibrillary acidic protein expression in the ischemic penumbra in each repetitive transcranial magnetic stimulation subgroup was significantly lower than that in the model group (P < 0.05). The results reveal that repetitive transcranial magnetic stimulation can alleviate rat neurological deficits and improve nerve regeneration microenvironment by inducing cerebral ischemic tolerance, reducing nerve cell apoptosis and decreasing aquaporin 4/9 mRNA and protein expression.

中国组织工程研究杂志出版内容重点:肾移植肝移植移植;心脏移植;组织移植;皮肤移植;皮瓣移植;血管移植;器官移植组织工程

Key words: Tissue Engineering, Infarction, Middle Cerebral Artery, Transcranial Magnetic Stimulation (TMS)

CLC Number: