Accumulating evidence demonstrates that acupuncture and
electroacupuncture (EA) can exert a neuroprotective role for
cerebral ischemia, but their precise mechanism remains largely unknown. Therefore, in this study, the effects of EA stimulation on
cerebral ischemia reperfusion and its neuroprotective mechanisms were investigated. A rat model of
middle cerebral artery occlusion (MCAO) was developed, and EA stimulation (2Hz, 1mA) at Baihui and Siguan
acupoints was applied 30min after MCAO and then once daily for 7 consecutive days. The results indicated that EA stimulation significantly reduced the
cerebral infarct area and neurological deficit scores, decreased the number of apoptotic cells, up-regulated Bcl-2
protein expression, and down-regulated
Bax protein expression. EA stimulation resulted in a significant increase of proliferative cells in the cerebral tissues. Additionally, EA stimulation significantly down-regulated the expression levels of
matrix metalloproteinase -9 (MMP-9)
mRNA and
protein, and simultaneously up-regulated the expression levels of tissue inhibitor of metalloproteinases-1 (TIMP-1)
mRNA and
protein, which resulted in an imbalance of
MMP-9/TIMP-1expression, although it did not significantly change MMP-2 and
TIMP-2 expression. These findings indicate that EA stimulation at Baihui and Siguan
acupoints exerts a neuroprotective role against
cerebral ischemia-
reperfusion injury, which is probably associated with the inhibition of apoptosis and altering the balance of
MMP-9/TIMP-1 expression.