Electroacupuncture regulates ferroptosis to improve postoperative cognitive dysfunction in mice through mediating GRX1/GSK-3β/Nrf2 axis

Background: The incidence of postoperative cognitive dysfunction (POCD) is higher happening in the elderly. It has been reported electroacupuncture (EA) was beneficial to the treatment of POCD, but its specific regulatory mechanism is still unclear. Methods: Through partial hepatectomy in mice, POCD...

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Main Authors: Xiaqing Zhang, Afen Zhang, Rui Li, Mingna Jiao, Rou Wen, Rongzhi Zheng
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Brain Research Bulletin
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Online Access:http://www.sciencedirect.com/science/article/pii/S0361923025000462
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author Xiaqing Zhang
Afen Zhang
Rui Li
Mingna Jiao
Rou Wen
Rongzhi Zheng
author_facet Xiaqing Zhang
Afen Zhang
Rui Li
Mingna Jiao
Rou Wen
Rongzhi Zheng
author_sort Xiaqing Zhang
collection DOAJ
description Background: The incidence of postoperative cognitive dysfunction (POCD) is higher happening in the elderly. It has been reported electroacupuncture (EA) was beneficial to the treatment of POCD, but its specific regulatory mechanism is still unclear. Methods: Through partial hepatectomy in mice, POCD model of mice was established. Baihui acupoint (GV20) was selected for targeted point of EA therapy. Morris water maze (MWM) was applied to evaluate cognitive impairment of mice. HE staining was used to examine cell arrangement and cell morphology in hippocampus of mice. RT-qPCR, western blot and IHC were employed to detect abundance of genes and proteins. MDA, GSH and iron levels was measured by some commercial kits. Results: Our findings revealed that partial hepatectomy surgery impaired learning and memory ability of mice, promoted ferroptosis. inhibited GRX1 and inactivated GSK-3β/Nrf2 pathway. However, EA therapy abolished these effects. In addition, GRX1 silencing and erastin abolished EA-mediated alterations of improving POCD in mice. Conclusion: EA suppressed ferroptosis by regulating GRX1/GSK-3β/Nrf2 pathway to improve postoperative cognitive dysfunction of POCD mice.
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institution Kabale University
issn 1873-2747
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series Brain Research Bulletin
spelling doaj-art-d360087293bd438fb57913a1870323b12025-02-10T04:33:31ZengElsevierBrain Research Bulletin1873-27472025-03-01222111234Electroacupuncture regulates ferroptosis to improve postoperative cognitive dysfunction in mice through mediating GRX1/GSK-3β/Nrf2 axisXiaqing Zhang0Afen Zhang1Rui Li2Mingna Jiao3Rou Wen4Rongzhi Zheng5First Department of Anesthesiology, Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, No.2 Weiyang West Road, Xianyang City, Shaanxi Province 712000, PR ChinaFirst Department of Anesthesiology, Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, No.2 Weiyang West Road, Xianyang City, Shaanxi Province 712000, PR ChinaFirst Department of Anesthesiology, Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, No.2 Weiyang West Road, Xianyang City, Shaanxi Province 712000, PR ChinaFirst Department of Anesthesiology, Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, No.2 Weiyang West Road, Xianyang City, Shaanxi Province 712000, PR ChinaFirst Department of Anesthesiology, Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, No.2 Weiyang West Road, Xianyang City, Shaanxi Province 712000, PR ChinaCorresponding author.; First Department of Anesthesiology, Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, No.2 Weiyang West Road, Xianyang City, Shaanxi Province 712000, PR ChinaBackground: The incidence of postoperative cognitive dysfunction (POCD) is higher happening in the elderly. It has been reported electroacupuncture (EA) was beneficial to the treatment of POCD, but its specific regulatory mechanism is still unclear. Methods: Through partial hepatectomy in mice, POCD model of mice was established. Baihui acupoint (GV20) was selected for targeted point of EA therapy. Morris water maze (MWM) was applied to evaluate cognitive impairment of mice. HE staining was used to examine cell arrangement and cell morphology in hippocampus of mice. RT-qPCR, western blot and IHC were employed to detect abundance of genes and proteins. MDA, GSH and iron levels was measured by some commercial kits. Results: Our findings revealed that partial hepatectomy surgery impaired learning and memory ability of mice, promoted ferroptosis. inhibited GRX1 and inactivated GSK-3β/Nrf2 pathway. However, EA therapy abolished these effects. In addition, GRX1 silencing and erastin abolished EA-mediated alterations of improving POCD in mice. Conclusion: EA suppressed ferroptosis by regulating GRX1/GSK-3β/Nrf2 pathway to improve postoperative cognitive dysfunction of POCD mice.http://www.sciencedirect.com/science/article/pii/S0361923025000462ElectroacupunctureGRX1GSK-3βFerroptosisPostoperative cognitive dysfunction
spellingShingle Xiaqing Zhang
Afen Zhang
Rui Li
Mingna Jiao
Rou Wen
Rongzhi Zheng
Electroacupuncture regulates ferroptosis to improve postoperative cognitive dysfunction in mice through mediating GRX1/GSK-3β/Nrf2 axis
Brain Research Bulletin
Electroacupuncture
GRX1
GSK-3β
Ferroptosis
Postoperative cognitive dysfunction
title Electroacupuncture regulates ferroptosis to improve postoperative cognitive dysfunction in mice through mediating GRX1/GSK-3β/Nrf2 axis
title_full Electroacupuncture regulates ferroptosis to improve postoperative cognitive dysfunction in mice through mediating GRX1/GSK-3β/Nrf2 axis
title_fullStr Electroacupuncture regulates ferroptosis to improve postoperative cognitive dysfunction in mice through mediating GRX1/GSK-3β/Nrf2 axis
title_full_unstemmed Electroacupuncture regulates ferroptosis to improve postoperative cognitive dysfunction in mice through mediating GRX1/GSK-3β/Nrf2 axis
title_short Electroacupuncture regulates ferroptosis to improve postoperative cognitive dysfunction in mice through mediating GRX1/GSK-3β/Nrf2 axis
title_sort electroacupuncture regulates ferroptosis to improve postoperative cognitive dysfunction in mice through mediating grx1 gsk 3β nrf2 axis
topic Electroacupuncture
GRX1
GSK-3β
Ferroptosis
Postoperative cognitive dysfunction
url http://www.sciencedirect.com/science/article/pii/S0361923025000462
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