PMID- 29888565 OWN - NLM STAT- MEDLINE DCOM- 20190405 LR - 20190405 IS - 1000-0607 (Print) IS - 1000-0607 (Linking) VI - 43 IP - 5 DP - 2018 May 25 TI - [Effect of Electroacupuncture Preconditioning on Myocardial Ischemia and Expression of TLR 4, MyD 88 and NF-kappaB mRNAs in "Neiguan" (PC 6) Area in Rats with Myocardial Ischemia-reperfusion Injury]. PG - 302-6 LID - 10.13702/j.1000-0607.170308 [doi] AB - OBJECTIVE: To observe the effect of electroacupuncture (EA) preconditioning on acute myocardial ischemia (MI) and expression of Toll-like receptor 4 (TLR 4), myeloid differentiation factor 88 (MyD 88) and nuclear factor-kappaB (NF-kappaB) mRNAs in the "Neiguan" (PC 6) area of rats with MI-reperfusion injury (MIRI), so as to explore its mechanisms underlying improvement of MIRI. METHODS: Forty-eight male Wistar rats were randomly divided into control, control + EA, sham operation, model, EA and sham EA groups (n=8). The MIRI model was established by occlusion of the descending anterior branch of the left coronary artery for 30 min, followed by reperfusion. Before modeling, EA preconditioning was respectively applied to PC 6 or sham PC 6 for 30 min, once daily for 5 days. Electrocardiogram (ECG) of the standard limb-lead Ⅱ was recorded before and after the modeling, and 0.25 h after reperfusion. The expression levels of TLR 4, MyD 88 and NF-kappaB genes in the PC 6 tissue were detected by Real-time PCR. RESULTS: Compared with the control group, the height of ECG J-point was significantly increased in the model group (P<0.01), suggesting an acute MI, and the height of J-point was significantly lower in the EA group than in the model and sham EA groups (P<0.01). In comparison with the control group, the expression levels of TLR 4, MyD 88 and NF-kappaB mRNAs were markedly up-regulated in the area of PC 6 in the model group (P<0.01). Compared with the model group, the increased expression levels of TLR 4, MyD 88 and NF-kappaB mRNAs in the EA preconditioning group were significantly inhibited (P<0.05). No significant differences were found among the control, control+EA and sham operation groups and between the model and sham EA groups in the expression levels of TLR 4, MyD 88 and NF-kappaB mRNAs (P>0.05).. CONCLUSION: EA preconditioning can improve myocardial ischemia and reduce the expression of TLR 4, MyD 88 and NF-kappaB mRNAs in PC 6 area of MIRI rats, suggesting an involvement of the regional cutaneous TLR 4/MyD 88/NF-kappaB signaling suppression in the initiation-transfer-amplification of EA stimulating signal inputs for relieving MIRI. FAU - Zhu, Yi AU - Zhu Y AD - Department of Acupuncture-moxibustion, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. FAU - Li, Yi AU - Li Y AD - Department of Acupuncture-moxibustion, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. FAU - Zhang, Nan AU - Zhang N AD - Department of Acupuncture-moxibustion, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. FAU - Dong, Gui-Rong AU - Dong GR AD - Department of Acupuncture-moxibustion, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China. LA - chi PT - Journal Article PL - China TA - Zhen Ci Yan Jiu JT - Zhen ci yan jiu = Acupuncture research JID - 8507710 RN - 0 (NF-kappa B) SB - IM MH - Acupuncture Points MH - Animals MH - *Electroacupuncture MH - Male MH - *Myocardial Ischemia MH - NF-kappa B MH - Rats MH - Rats, Wistar MH - *Reperfusion Injury OTO - NOTNLM OT - Cutaneous TLR 4/MyD 88/NF-kappaB signaling OT - Electroacupuncture OT - Myocardial ischemia-reperfusion injury OT - PC 6 area EDAT- 2018/06/12 06:00 MHDA- 2019/04/06 06:00 CRDT- 2018/06/12 06:00 PHST- 2018/06/12 06:00 [entrez] PHST- 2018/06/12 06:00 [pubmed] PHST- 2019/04/06 06:00 [medline] AID - 10.13702/j.1000-0607.170308 [doi] PST - ppublish SO - Zhen Ci Yan Jiu. 2018 May 25;43(5):302-6. doi: 10.13702/j.1000-0607.170308.