背景:重复经颅磁刺激(rTMS)是卒中后运动恢复的有效疗法。然而,rTMS调节突触传递和谷氨酸受体功能(包括AMPAR或NMDAR)的持久变化的潜在机制尚不清楚.
方法:在光血栓形成性(PT)中风后的第三天,每天一次接受10-HzrTMS治疗,持续18天。运动行为和Westernblot用于评估10-HzrTMS在PT模型小鼠中的治疗效果。此外,我们使用野生型(WT)和NEX-α3-/-小鼠来进一步探索10-HzrTMS效应。
结果:我们发现10-HzrTMS改善了PT小鼠的中风后运动性能。此外,AMPAR的水平,在rTMS组中,梗死周围的vGlut1和整合素α3显着增加。相比之下,10-HzrTMS在NEX-α3-/-小鼠中不诱导这些上述作用。WT+rTMS组AMPAR介导的微小兴奋性突触后电流(EPSCs)和诱发EPSCs的幅度增加,但在NEX-α3-/-rTMS小鼠中没有变化。
结论:在这项研究中,10HzrTMS通过对整合素α3和AMPAR的影响改善了皮层周围的谷氨酸能突触传递,导致中风后运动功能恢复。
Repetitive transcranial magnetic stimulation (rTMS) is an effective therapy in post-stroke motor recovery. However, the underlying mechanisms of rTMS regulates long-lasting changes with synaptic transmission and glutamate receptors function (including AMPARs or NMDARs) remains unclear.
Mice were received 10-Hz rTMS treatment once daily on the third day after photothrombotic (PT) stroke for 18 days. Motor behaviors and the Western blot were used to evaluate the therapeutic efficacy of 10-Hz rTMS in the mice with PT model. Moreover, we used wild-type (WT) and NEX-α3-/- mice to further explore the 10-Hz rTMS effect.
We found that 10-Hz rTMS improved the post-stroke motor performance in the PT mice. Moreover, the levels of AMPAR, vGlut1, and integrin α3 in the peri-infarct were significantly increased in the rTMS group. In contrast, 10-Hz rTMS did not induce these aforementioned effects in NEX-α3-/- mice. The amplitude of AMPAR-mediated miniature excitatory postsynaptic currents (EPSCs) and evoked EPSCs was increased in the WT + rTMS group, but did not change in NEX-α3-/- mice with rTMS.
In this study, 10-Hz rTMS improved the glutamatergic synaptic transmission in the peri-infract cortex through effects on integrin α3 and AMPARs, which resulted in motor function recovery after stroke.