运动通过增强脑卒中大鼠神经可塑性和脊髓代偿促进神经系统恢复。

IF 1.7 4区 医学 Q4 NEUROSCIENCES
Neuroreport Pub Date : 2025-10-01 Epub Date: 2025-07-21 DOI:10.1097/WNR.0000000000002201
Xuefei Li, Jiahui Chen, Tingting Li, Ayang Zhao, Wenzhi Li
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引用次数: 0

摘要

研究目的:本研究旨在探讨运动对脑卒中后感觉运动恢复的影响、脑和脊髓神经可塑性的改变以及脊髓代偿机制。方法:采用大脑中动脉闭塞/再灌注法制备大鼠缺血性脑卒中模型。采用改良Allen方法建立T10脊髓损伤模型。实验动物随机分为:假手术组(S)、中风组(M)、中风+SCI组(MS)、中风+运动+SCI组(MSI)和中风+SCI组(MI)。脑卒中后神经功能评估采用改良神经严重程度评分(mNSS)和加西亚评分。用氯化三苯四氮唑染色评估梗死体积,用尼氏染色评估神经元损伤。采用ELISA法检测肿瘤坏死因子-α (TNF-α)、白细胞介素(IL)-10、IL-1β水平。采用WB、IHC和ELISA分析神经可塑性标志物[GAP43、PSD-95、synapsin I和脑源性神经营养因子(BDNF)]水平。结果:运动改善了脑卒中大鼠的神经功能,MS组的mNSS和Garcia评分较M组提高。运动也减轻了神经元损伤,MS组比M组神经元数量更多,尼氏体更完整。与M组相比,MS组运动可下调炎症反应(TNF-α下调,IL-10上调)。此外,运动还上调了脑和脊髓中的神经可塑性标志物和BDNF。在脊髓损伤存在时,运动对神经恢复的有益作用减弱,MSI组的恢复受损证明了这一点。结论:运动通过改善神经可塑性、减少炎症和突出脊髓在代偿中的作用来促进脑卒中的恢复。这些发现表明脊髓靶向治疗可以改善康复结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exercise promotes neurological recovery by enhancing neuroplasticity and the spinal cord compensation in stroke-affected rats.

Purpose of the research: This study aimed to explore the effects of exercise on sensorimotor recovery after stroke, neuroplasticity changes in the brain and spinal cord, and spinal cord compensation mechanisms.

Methods: A rat model of ischemic stroke was induced using the middle cerebral artery occlusion/reperfusion method. A T10 spinal cord injury (SCI) model was induced using a modified Allen procedure. The animals were randomly assigned into: Sham group (S), stroke group (M), stroke+SCI group (MS), stroke+exercise+SCI group (MSI), and stroke+SCI group (MI). Neurological function was assessed poststroke using the modified Neurological Severity Score (mNSS) and Garcia scores. Infarct volumes were evaluated using triphenyl tetrazolium chloride staining, and neuronal damage was assessed using Nissl staining. Tumor necrosis factor-α (TNF-α), interleukin (IL)-10, and IL-1β levels were measured using ELISA. Neuroplasticity markers [GAP43, PSD-95, synapsin I, and brain-derived neurotrophic factor (BDNF)] levels were analyzed using WB, IHC, and ELISA.

Results: Exercise improved neurological function in stroke rats, as evidenced by the enhanced mNSS and Garcia scores in the MS group compared to the M group. Exercise also alleviated neuronal damage, with the MS group showing higher neuron counts and more intact Nissl bodies than the M group. Exercise in the MS group downregulated inflammation (TNF-α down, IL-10 up) compared to the M group. Furthermore, exercise upregulated neuroplasticity markers and BDNF in both the brain and spinal cord. The beneficial effects of exercise on neurological recovery were diminished in the presence of SCI, as evidenced by the impaired recovery in the MSI group.

Conclusions: Exercise enhances stroke recovery by improving neuroplasticity, reducing inflammation, and highlighting the spinal cord's role in compensation. These findings suggest spinal cord-targeted therapies may improve rehabilitation outcomes.

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来源期刊
Neuroreport
Neuroreport 医学-神经科学
CiteScore
3.20
自引率
0.00%
发文量
150
审稿时长
1 months
期刊介绍: NeuroReport is a channel for rapid communication of new findings in neuroscience. It is a forum for the publication of short but complete reports of important studies that require very fast publication. Papers are accepted on the basis of the novelty of their finding, on their significance for neuroscience and on a clear need for rapid publication. Preliminary communications are not suitable for the Journal. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool. The core interest of the Journal is on studies that cast light on how the brain (and the whole of the nervous system) works. We aim to give authors a decision on their submission within 2-5 weeks, and all accepted articles appear in the next issue to press.
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