Cognitive impairment is a serious mental deficit following stroke that severely affects the quality of life of stroke survivors. Nuclear factor‑κB (NF-κB)-mediated neuronal cell apoptosis is involved in the development of post-stroke cognitive impairment; therefore, it has become a promising target for the treatment of impaired cognition. Acupuncture at the Baihui (DU20) and Shenting (DU24) acupoints is commonly used in China to clinically treat post‑stroke cognitive impairment; however, the precise mechanism of its action is largely unknown. In the present study, we evaluated the therapeutic efficacy of electroacupuncture against post-stroke cognitive impairment and investigated the underlying molecular mechanisms using a rat model of focal cerebral ischemia-reperfusion (I/R) injury. Electroacupuncture at Baihui and Shenting was identified to significantly ameliorate neurological deficits and reduce cerebral infarct volume. Additionally, electroacupuncture improved learning and memory ability in cerebral I/R injured rats, demonstrating its therapeutic efficacy against post-stroke cognitive impairment. Furthermore, electroacupuncture significantly suppressed the I/R-induced activation of NF-κB signaling in ischemic cerebral tissues. The inhibitory effect of electroacupuncture on NF-κB activation led to the inhibition of cerebral cell apoptosis. Finally, electroacupuncture markedly downregulated the expression of pro-apoptotic Bax and Fas, two critical downstream target genes of the NF-κB pathway. Collectively, our findings suggest that inhibition of NF-κB‑mediated neuronal cell apoptosis may be one mechanism via which electroacupuncture at Baihui and Shenting exerts a therapeutic effect on post-stroke cognitive impairment.
A novel electrochemiluminescence (ECL) sensor based on carbon quantum dots (CQDs) immobilized on graphene (GR) has been first developed for the determination of chlorinated phenols (CPs) in water. The detection is based on the ECL signals from the interaction between the analytes and the excited CQDs (C(*+)) using S2O8(2-) as coreactant. GR facilitates both C(•-) and SO4(•-) production, resulting in a high yield of C(*+), and the multistage amplification effect leads to a nearly 48-fold ECL amplification. Pentachlorophenol (PCP) is often monitored as an important indicator for CPs in real environmental samples, but its ultratrace and real-time analysis is an intractable issue in environmental monitoring. The resulting ECL sensor enables the real-time detection of PCP with unprecedented sensitivity reaching 1.0 × 10(-12) M concentration in a wide linear range from 1.0 × 10(-12) to 1.0 × 10(-8) M. The ECL sensor showed high selectivity to CPs, especially to PCP. The practicability of the sensing platform in real water samples showed ideal recovery rates. It is envisaged that the eco-friendly and recyclable sensor could be employed in the identification of key CPs in the environment.
There is an interaction effect in the treatment of stroke patients using ACR. The use of acupuncture in combination with RehaCom training has better therapeutic effects on the functional statuses of poststroke patients than the use of either treatment alone, demonstrating the clinical significance of this combination therapy.
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