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  4. Electroacupuncture Relieves HuR/KLF9-Mediated Inflammation to Enhance Neurological Repair after Spinal Cord Injury

Electroacupuncture Relieves HuR/KLF9-Mediated Inflammation to Enhance Neurological Repair after Spinal Cord Injury

ENEURO, 2023 · DOI: 10.1523/ENEURO.0190-23.2023 · Published: November 8, 2023

Spinal Cord InjuryAlternative MedicineNeurology

Simple Explanation

Electroacupuncture (EA) is a potential treatment for spinal cord injury (SCI), but how it works is not fully understood. This study explores the molecular mechanisms behind EA's benefits in SCI. The study found that EA helps improve nerve function recovery in SCI rats by reducing neuron death and inflammation. EA appears to lower the levels of a protein called HuR, which can bind to and stabilize KLF9 mRNA. By using a HuR inhibitor, the study showed that blocking HuR enhances the positive effects of EA on pain thresholds and motor function in SCI rats, suggesting a key role for the HuR/KLF9 pathway in EA's therapeutic action.

Study Duration
1 week
Participants
Male adult Sprague Dawley rats (age range, 7–8weeks; weight range, 250–300 g)
Evidence Level
Not specified

Key Findings

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    EA facilitates the recovery of neuronal function in SCI rats by reducing apoptosis and inflammation of neurons.
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    EA significantly diminished the SCI-mediated upregulation of HuR, and HuR could bind to the 39 untranslated region of KLF9 mRNA to protect its decay.
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    CMLD-2 administration increased EA-mediated pain thresholds and motor function in SCI rats.

Research Summary

The study investigates the molecular mechanism of electroacupuncture (EA) in neurologic repair after spinal cord injury (SCI) using a rat model. Results indicate that EA facilitates recovery by reducing apoptosis and inflammation, diminishing SCI-mediated upregulation of HuR, which binds to KLF9 mRNA. In vivo experiments confirm that a HuR inhibitor (CMLD-2) enhances EA-mediated improvements in pain thresholds and motor function, suggesting that EA improves these outcomes by impairing HuR-mediated KLF9 mRNA stabilization.

Practical Implications

Therapeutic Potential

Electroacupuncture can be further explored as a therapeutic intervention for spinal cord injury.

Molecular Target

The HuR/KLF9 pathway can be further explored as a therapeutic target for spinal cord injury.

Clinical Application

Electroacupuncture can be combined with HuR inhibitors to enhance the effectiveness of spinal cord injury treatment.

Study Limitations

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