PMID- 38522660 OWN - NLM STAT- MEDLINE DCOM- 20240427 LR - 20240427 IS - 1873-7544 (Electronic) IS - 0306-4522 (Linking) VI - 545 DP - 2024 May 3 TI - Electroacupuncture Alleviates Post-stroke Cognitive Impairment Through Inhibiting miR-135a-5p/mTOR/NLRP3 Axis-mediated Autophagy. PG - 185-195 LID - S0306-4522(24)00119-2 [pii] LID - 10.1016/j.neuroscience.2024.03.008 [doi] AB - Post-stroke cognitive impairment is a significant challenge with limited treatment options. Electroacupuncture (EA) has shown promise in improving cognitive function after stroke. Our study explores the underlying mechanism of EA in alleviating cognitive impairment through the inhibition of autophagy. We utilized a rat model of stroke induced by middle cerebral artery occlusion (MCAO) to evaluate the efficacy of EA. Treatment with EA was observed to markedly improve cognitive function and reduce inflammation in MCAO rats, as evidenced by decreased neurological deficit scores, shorter latencies in the water maze test, and diminished infarct volumes. EA also attenuated tissue damage in the hippocampus and lowered the levels of pro-inflammatory cytokines and oxidative stress markers. Although autophagy was upregulated in MCAO rats, EA treatment suppressed this process, indicated by a reduction in autophagosome formation and alteration of autophagy-related protein expression. The protective effects of EA were reversed by the autophagy activator rapamycin. EA treatment elevated the levels of microRNA (miR)-135a-5p expression, and suppression of this elevation attenuated the remedial efficacy of EA in addressing cognitive impairment and inflammation. MiR-135a-5p targeted mammalian target of rapamycin (mTOR)/NOD-like receptor protein 3 (NLRP3) signaling to repress autophagy. EA treatment inhibits autophagy and alleviates cognitive impairment in post-stroke rats. It exerts its beneficial effects by upregulating miR-135a-5p and targeting the mTOR/NLRP3 axis. CI - Copyright (c) 2024 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Luo, Jianchang AU - Luo J AD - Department of Rehabilitation Medicine, Taizhou Municipal Hospital, Taizhou 318000, China. Electronic address: tz20190331@163.com. FAU - Lang, Jiawang AU - Lang J AD - Department of Rehabilitation Medicine, Taizhou Municipal Hospital, Taizhou 318000, China. Electronic address: ljw88289722@163.com. FAU - Xu, Wenbin AU - Xu W AD - Department of Rehabilitation Medicine, Taizhou Municipal Hospital, Taizhou 318000, China. Electronic address: uiyt678@126.com. FAU - Wang, Luodan AU - Wang L AD - Department of Rehabilitation Medicine, Taizhou Municipal Hospital, Taizhou 318000, China. Electronic address: fengslw@163.com. FAU - Zhao, Zhipeng AU - Zhao Z AD - Department of Rehabilitation Medicine, School of Medicine, Taizhou University, Taizhou 318000, China. Electronic address: Zhaozhipeng0129@163.com. FAU - Jia, Jie AU - Jia J AD - Department of Rehabilitation Medicine, Huashan Hospital Affiliated to Fudan University, Shanghai 200040, China. Electronic address: shannonjj@126.com. FAU - Lang, Boxu AU - Lang B AD - Department of Rehabilitation Medicine, Taizhou Municipal Hospital, Taizhou 318000, China. Electronic address: tsylbx@tzc.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240322 PL - United States TA - Neuroscience JT - Neuroscience JID - 7605074 RN - 0 (MicroRNAs) RN - 0 (NLR Family, Pyrin Domain-Containing 3 Protein) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - 0 (Nlrp3 protein, rat) RN - EC 2.7.1.1 (mTOR protein, rat) RN - 0 (MIRN135 microRNA, rat) SB - IM MH - Animals MH - *Electroacupuncture/methods MH - *MicroRNAs/metabolism MH - *Autophagy/physiology MH - *NLR Family, Pyrin Domain-Containing 3 Protein/metabolism MH - *TOR Serine-Threonine Kinases/metabolism MH - Male MH - *Cognitive Dysfunction/etiology/therapy/metabolism MH - *Rats, Sprague-Dawley MH - *Stroke/metabolism/complications/therapy MH - Rats MH - Infarction, Middle Cerebral Artery/therapy/complications/metabolism MH - Signal Transduction/physiology MH - Hippocampus/metabolism MH - Disease Models, Animal OTO - NOTNLM OT - NLRP3 OT - autophagy OT - electroacupuncture OT - mTOR OT - miR-135a-5p OT - post-stroke cognitive impairment EDAT- 2024/03/25 00:42 MHDA- 2024/04/28 07:24 CRDT- 2024/03/24 20:28 PHST- 2023/09/15 00:00 [received] PHST- 2024/03/08 00:00 [revised] PHST- 2024/03/11 00:00 [accepted] PHST- 2024/04/28 07:24 [medline] PHST- 2024/03/25 00:42 [pubmed] PHST- 2024/03/24 20:28 [entrez] AID - S0306-4522(24)00119-2 [pii] AID - 10.1016/j.neuroscience.2024.03.008 [doi] PST - ppublish SO - Neuroscience. 2024 May 3;545:185-195. doi: 10.1016/j.neuroscience.2024.03.008. Epub 2024 Mar 22.