PMID- 36255337 OWN - NLM STAT- MEDLINE DCOM- 20230712 LR - 20230718 IS - 1759-9873 (Electronic) IS - 0964-5284 (Linking) VI - 41 IP - 4 DP - 2023 Aug TI - Electroacupuncture alleviates cognitive dysfunction and neuronal pyroptosis in septic mice. PG - 246-256 LID - 10.1177/09645284221117847 [doi] AB - BACKGROUND: Sepsis is defined as organ dysfunction caused by an uncontrolled response to infection and is followed by a high incidence of cognitive dysfunction, which can severely affect patients' quality of life. Previous studies have suggested that electroacupuncture (EA) is protective against sepsis-associated cognitive dysfunction and that pyroptosis plays a vital role in cognitive function. The aim of this study was to investigate the effect of EA on cognition and neuronal pyroptosis in a mouse model of sepsis. METHODS: Sepsis was induced by cecal ligation and puncture (CLP) surgery. Mice were randomly divided into three groups (control, CLP and CLP + EA). EA was performed at bilateral ST36 for three consecutive days after the surgery. The 7-day survival rate of each group was observed on the seventh day after the surgery. The Morris water maze (MWM) was used to test cognitive function from the 8th to 12th day after the surgery. We used transmission electron microscopy (TEM) and transferase dUTP nick-end labeling (TUNEL) staining to determine the structural integrity of hippocampal neuronal membranes and the number of surviving neurons in the hippocampal tissues, respectively. Expression of nucleotide-binding domain-like receptor protein 1 (NLRP1), caspase-1 and gasdermin-D (GSDM D) in hippocampal CA1 neurons was detected by Western blotting and real-time fluorescence quantitative polymerase chain reaction (RT-qPCR), and caspase-1 concentrations were measured by enzyme-linked immunosorbent assay. RESULTS: Compared with the CLP group, 7-day survival rates and cognitive function were significantly improved in the CLP + EA group. After EA treatment, the integrity of the hippocampal CA1 neuronal membrane and mortality of hippocampal neurons were significantly decreased, and expression of NLRP1, caspase-1 and GSDM D was downregulated. CONCLUSION: EA can alleviate cognitive dysfunction and neuronal pyroptosis in septic mice. FAU - Li, Yan AU - Li Y AD - Department of Anesthesiology, Guizhou Provincial People's Hospital, Guiyang, China. FAU - Li, Zhaoying AU - Li Z AD - Department of Anesthesiology, Guizhou Provincial People's Hospital, Guiyang, China. FAU - He, Fujuan AU - He F AD - Department of Anesthesiology, Guizhou Provincial People's Hospital, Guiyang, China. FAU - Qin, Chenguang AU - Qin C AD - Department of Anesthesiology, Guizhou Provincial People's Hospital, Guiyang, China. FAU - Fan, Rui AU - Fan R AD - Department of Anesthesiology, Guizhou Provincial People's Hospital, Guiyang, China. FAU - Zhang, Fangxiang AU - Zhang F AD - Department of Anesthesiology, Guizhou Provincial People's Hospital, Guiyang, China. FAU - Wang, Bin AU - Wang B AD - Department of Anesthesiology, Guizhou Provincial People's Hospital, Guiyang, China. LA - eng PT - Journal Article DEP - 20221018 PL - England TA - Acupunct Med JT - Acupuncture in medicine : journal of the British Medical Acupuncture Society JID - 9304117 RN - EC 3.4.22.- (Caspases) SB - IM MH - Mice MH - Animals MH - Pyroptosis MH - *Electroacupuncture MH - Quality of Life MH - *Cognitive Dysfunction/etiology/therapy/metabolism MH - *Sepsis/therapy/metabolism MH - Hippocampus/metabolism MH - Neurons/metabolism MH - Caspases/metabolism OTO - NOTNLM OT - cecal ligation and puncture OT - cognitive dysfunction OT - electroacupuncture OT - neuronal pyroptosis OT - sepsis EDAT- 2022/10/19 06:00 MHDA- 2023/07/12 06:42 CRDT- 2022/10/18 10:22 PHST- 2023/07/12 06:42 [medline] PHST- 2022/10/19 06:00 [pubmed] PHST- 2022/10/18 10:22 [entrez] AID - 10.1177/09645284221117847 [doi] PST - ppublish SO - Acupunct Med. 2023 Aug;41(4):246-256. doi: 10.1177/09645284221117847. Epub 2022 Oct 18.