PMID- 28824455 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220408 IS - 1664-042X (Print) IS - 1664-042X (Electronic) IS - 1664-042X (Linking) VI - 8 DP - 2017 TI - Repetitive Transcranial Magnetic Stimulation Ameliorates Cognitive Impairment by Enhancing Neurogenesis and Suppressing Apoptosis in the Hippocampus in Rats with Ischemic Stroke. PG - 559 LID - 10.3389/fphys.2017.00559 [doi] LID - 559 AB - Cognitive impairment is a serious mental deficit caused by stroke that can severely affect the quality of a survivor's life. Repetitive transcranial magnetic stimulation (rTMS) is a well-known rehabilitation modality that has been reported to exert neuroprotective effects after cerebral ischemic injury. In the present study, we evaluated the therapeutic efficacy of rTMS against post-stroke cognitive impairment (PSCI) and investigated the mechanisms underlying its effects in a middle cerebral artery occlusion (MCAO) rat model. The results showed that rTMS ameliorated cognitive deficits and tended to reduce the sizes of cerebral lesions. In addition, rTMS significantly improved cognitive function via a mechanism involving increased neurogenesis and decreased apoptosis in the ipsilateral hippocampus. Moreover, brain-derived neurotrophic factor (BDNF) and its receptor, tropomyosin-related kinase B (TrkB), were clearly upregulated in ischemic hippocampi after treatment with rTMS. Additionally, further studies demonstrated that rTMS markedly enhanced the expression of the apoptosis-related B cell lymphoma/leukemia gene 2 (Bcl-2) and decreased the expression of the Bcl-2-associated protein X (Bax) and the number of TUNEL-positive cells in the ischemic hippocampus. Both protein levels and mRNA levels were investigated. Our findings suggest that after ischemic stroke, treatment with rTMS promoted the functional recovery of cognitive impairments by inhibiting apoptosis and enhancing neurogenesis in the hippocampus and that this mechanism might be mediated by the BDNF signaling pathway. FAU - Guo, Feng AU - Guo F AD - Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China. FAU - Lou, Jicheng AU - Lou J AD - Department of Obstetrics and Gynecology, The Central Hospital of WuhanWuhan, China. FAU - Han, Xiaohua AU - Han X AD - Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China. FAU - Deng, Yuguo AU - Deng Y AD - Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China. FAU - Huang, Xiaolin AU - Huang X AD - Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, China. LA - eng PT - Journal Article DEP - 20170802 PL - Switzerland TA - Front Physiol JT - Frontiers in physiology JID - 101549006 PMC - PMC5539749 OTO - NOTNLM OT - BDNF signaling pathway OT - cognitive impairment OT - focal cerebral ischemia OT - hippocampal neurogenesis OT - rTMS EDAT- 2017/08/22 06:00 MHDA- 2017/08/22 06:01 PMCR- 2017/08/02 CRDT- 2017/08/22 06:00 PHST- 2017/03/07 00:00 [received] PHST- 2017/07/17 00:00 [accepted] PHST- 2017/08/22 06:00 [entrez] PHST- 2017/08/22 06:00 [pubmed] PHST- 2017/08/22 06:01 [medline] PHST- 2017/08/02 00:00 [pmc-release] AID - 10.3389/fphys.2017.00559 [doi] PST - epublish SO - Front Physiol. 2017 Aug 2;8:559. doi: 10.3389/fphys.2017.00559. eCollection 2017.