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Original Article
USPIO-DSC MRI study on acupuncture improving cerebral blood flow of pMCAO rats by regulating levels of inflammatory cytokines
YANG Shuohui  WU Yu  ZHAN Songhua  YANG Chenyao  KONG Yingnan  ZHANG Cheng  LU Fang 

Cite this article as: Yang SH, Wu Y, Zhan SH, et al. USPIO-DSC MRI study on acupuncture improving cerebral blood flow of pMCAO rats by regulating levels of inflammatory cytokines. Chin J Magn Reson Imaging, 2020, 11(7): 557-562. DOI:10.12015/issn.1674-8034.2020.07.016.


[Abstract] Objective: To evaluate the effectiveness of acupuncture on improving CBF and CBV within infarcted areas during acute-stage by regulating serum levels of inflammatory cytokines in permanent middle cerebral artery occlusion (pMCAO) model rats with ultrasmall superparamagnetic particles of iron oxides (USPIO) dynamic susceptibility contrast (DSC) MRI.Materials and Methods: Twenty-four SD rats models were established, including sham-operation group (group A, n=6), pMCAO group without acupuncture (group B, n=10), pMCAO group with electroacupuncture (group C, n=8). Each group was further divided into 2 subgroups according to 24 h and 48 h after modeling. Rats in the group C were treated with electroacupuncture on Baihui, Shuigou and right Zusanli acupoints. Every rat in each group was scanned with USPIO-DSC on a 1.5 T MR scanner. The values of the relative cerebral blood volume (rCBV) and the relative cerebral blood flow (rCBF) on regions of infarct and contralateral in mirror areas were measured. The ratios (infarct/contralateral) of rrCBV and rrCBF were calculated. These ratios on 24 h and 48 h were compared to evaluate whether there were any statistical differences among Group A, B and C. Spearman correlation coefficients were calculated between the ratios rrCBV and rrCBF of Group B plus C and values of IL-1β, IL-6, IL-10 and TNF-α, respectively.Results: The values of rrCBV and rrCBF were significantly higher in group A than those in group B and C on 24 h and 48 h (P<0.05). The values of rrCBV and rrCBF were significantly higher in group C than those in group B on 24 h and 48 h (P <0.05). On 24 h, the values of rrCBV and rrCBF of group B plus C were significantly negatively correlated with the values of IL-1β and IL-6, and positively correlated with the values of IL-10 (P<0.05). The values of rrCBV of group B plus C were significantly positively correlated with the values of TNF-α on 24 h (P<0.05). On 48 h, the values of rrCBV and rrCBF of group B plus C were significantly negatively correlated with the values of IL-1β, and positively correlated with the values of IL-10 (P<0.05).Conclusions: The blood supply of infarct areas during acute stage in pMCAO rats is improved on acupuncture by down-regulating the serum levels of IL-1β and IL-6 to reduce the inflammatory response and up-regulating the serum levels of IL-10 and TNF-α to increase the rrCBV and rrCBF in the infarct areas.
[Keywords] ultrasmall superparamagnetic particles of iron oxides;magnetic resonance imaging;inflammatory cytokines;acupuncture;infarct

YANG Shuohui Department of Radiology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

WU Yu Department of Radiology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

ZHAN Songhua Department of Radiology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

YANG Chenyao Department of Radiology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

KONG Yingnan Department of Radiology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

ZHANG Cheng Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

LU Fang* Department of Radiology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

*Correspondence to: Lu F, E-mail: lufang800@aliyun.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This paper is supported by the Youth Program of National Natural Science Foundation of China No. 81403204 and supported by the General Program of National Natural Science Foundation of China No. 81573782
Received  2020-03-04
Accepted  2020-05-21
DOI: 10.12015/issn.1674-8034.2020.07.016
Cite this article as: Yang SH, Wu Y, Zhan SH, et al. USPIO-DSC MRI study on acupuncture improving cerebral blood flow of pMCAO rats by regulating levels of inflammatory cytokines. Chin J Magn Reson Imaging, 2020, 11(7): 557-562. DOI:10.12015/issn.1674-8034.2020.07.016.

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