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Research ArticleResearch Article: New Research, Neuronal Excitability

The Role of Perineuronal Nets in the Contralateral Hemisphere in the Electroacupuncture-Mediated Rehabilitation of Poststroke Dysphagia Mice

Si Yuan, Jiahui Shi, Xiaorong Tang, Bing Deng, Zhennan Wu, Bo Qiu, Shumin Lin, Chang Ji, Lin Wang, Shuai Cui, Nenggui Xu and Lulu Yao
eNeuro 17 November 2023, 10 (12) ENEURO.0234-23.2023; https://doi.org/10.1523/ENEURO.0234-23.2023
Si Yuan
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510006, China
2Department of Rehabilitation of Traditional Chinese Medicine, Hunan University of Chinese Medicine, 410208, Changsha, Hunan Province, China
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Jiahui Shi
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510006, China
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Xiaorong Tang
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510006, China
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Bing Deng
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510006, China
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Zhennan Wu
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510006, China
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Bo Qiu
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510006, China
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Shumin Lin
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510006, China
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Chang Ji
3The First Affiliated Hospital, Jinan University, Guangzhou, Guangdong Province 510630, China
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Lin Wang
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510006, China
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Shuai Cui
4Research Institute of Acupuncture and Meridian, College of Acupuncture and Moxibustion, Anhui University of Chinese Medicine, Hefei, Anhui Province 230012, China
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Nenggui Xu
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510006, China
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Lulu Yao
1South China Research Center for Acupuncture and Moxibustion, Medical College of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province 510006, China
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  • Figure 1.
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    Figure 1.

    sEPSCs in the GABAergic neurons and tonic inhibition in the excitatory neurons in the contralateral M1 were recorded by in vitro slice electrophysiological recording. A, Sample traces showing sEPSCs (clamped at −60 mV) recorded in the GABAergic neurons fromGAD67-GFP transgenic mice in the Sham, Stroke, and Stroke + EA groups. Scale bars: 2 s, 5 pA. B, C, Quantifications of amplitude (Amp) and frequency (Freq) in the contralateral M1 from the Sham, Stroke, and Stroke + EA groups. The amplitude of sEPSCs was not affected by stroke or EA treatment (B). While there is a significant decrease in the frequency of sEPSCs in the Stroke group compared with that in the Sham group, and this impairment could be improved by EA treatment (C). N (cells) = 8–9 per group. N (mice) = 7, 5, and 5 for the Sham, Stroke, and Stroke + EA groups, respectively. Compared with Sham group, *p < 0.05; compared with Stroke group, #p <0.05. D, Sample traces showing sIPSCs (clamped at +10 mV) recorded in the GABAergic neurons from GAD67-GFP transgenic mice in the Sham, Stroke, and Stroke + EA groups. Scale bars: 1 s, 20 pA. E, F, Quantifications of amplitude (Amp) and frequency (Freq) in the contralateral M1 from the Sham, Stroke, and Stroke + EA groups. The amplitude and frequency of sIPSCs was not affected by stroke or EA treatment. N (cells) = 13–17 per group. N (mice) = 7, 5, and 5 for the Sham, Stroke, and Stroke + EA groups, respectively. G, Sample traces showing the recorded tonic inhibition by changes of holding current induced by picrotoxin (PTX; 100 μm) in the excitatory neurons clamped at +10 mV. Scale bars: 4 s,10 pA. H, The tonic inhibition, calculated as the change of holding current after PTX application divided by the capacitance, showed no significant difference among three groups. N (cells) = 6 per group. N (mice) = 3 per group. Data are shown as mean ± SEM. One-way ANOVA.

  • Figure 2.
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    Figure 2.

    Expression of PNNs was significantly decreased at 1 and 3 d postinjection of ChABC. A, Representative confocal images of PNNs in the Sham, Stroke, and Stroke + EA group. Scale bars: 100 μm. B, Quantification of the density of PNNs in the different groups. The expression of WFA-positive PNNs was significantly increased in the Stroke group, and reduced in the Stroke + EA group. N (slices) = 6–7 per group. N (mice) = 3 per group. Compared with the Sham group, *p < 0.05; Compared with the Stroke group, ^p < 0.05. C, Left, The atlas of the mouse brain to show the tip points of injection needles. Right, Representative confocal images showed the injection site of the ChABC or P-nase in the M1. The dashed line was drawn at the site where the drug was injected and the ablation of the PNNs was shown in the ChABC-injected mice. Scale bars: 200 μm. D, Representative confocal images of PNNs in the Sham and ChABC-injected (300 nl, 40 U/ml) group. Scale bars: 100 μm. E, Quantification of the density of PNNs in the Sham and the ChABC-injected group. A significant decrease in the expression of WFA-positive PNNs was significantly decreased in the first day postinjected ChABC group (1 d) compared with the Sham group and the third day postinjected ChABC group (3 d), while the expression of PNNs was still less than that in the Sham group. N (slices) = 6 per group. N (mice) = 3 per group, respectively. Compared with the Sham group, **p < 0.01, ##p < 0.01; compared with the 1 d group, ^^p < 0.01. F, Representative confocal images of PNNs in the Sham and P-nase (as a control for ChABC)- injected (300 nl, 40 U/ml) group. Scale bars: 100 μm. G, Quantification of the density of PNNs in the Sham and the P-nase-injected group. The density of PNNs was affected in the P-nase-injected mice at neither first nor third postinjection. N (slices) = 6–10 per group. N (mice) = 4, 3, and 3 for the Sham, 1 d, and 3 d groups, respectively. Data are shown as mean ± SEM. One-way ANOVA.

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    Figure 3.

    Removal of PNNs in the contralateral M1 affected the expression of c-Fos. A, Schematics of experimental design. B, Representative images showing the expression of c-Fos after P-nase injection or ChABC injection into the contralateral M1 of mice in the Sham, Stroke, and Stroke + EA treatment. Scale bars: 50 μm. C, Quantification of the density of c-Fos expression among three groups after P-nase or ChABC injection into the contralateral M1. The results showed that stroke induction and EA stimulation can induce an enhancement of c-Fos expression in the P-nase-injected group. However, the expression of c-Fos showed no change in the ChABC-injected group. The expression of c-Fos showed a significant decrease in the ChABC-injected mice with stroke induction compared with that in the P-nase-injected mice with stroke induction, and this is the case between the ChABC-injected and P-nase-injected mice with stroke induction and EA treatment. N (slices) = 8–10 per group. N (mice) = 3 per group. Compared with the Sham group, *p < 0.05; Compared with the Stroke group, ##p < 0.01, ^^^p < 0.001; compared with the Stroke + EA group, &&&&p < 0.0001. Data are shown as mean ± SEM. Two-way ANOVA.

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    Figure 4.

    Effects of removal of PNNs to neuronal activity in the contralateral M1 in vivo. A1, Example raster and spectrum for spike firing displaying activity at three different conditions in the P-nase-injected mice. The total time of represented raster and spectrum is 300 s. A2, Example raster and spectrum for spike firing displaying activity at three different conditions in the ChABC-injected mice. The total time of represented raster and spectrum is 300 s. B, The spike frequency was impaired in the stroke condition but was rescued by EA treatment in the P-nase-injected mice. There was no significant decrease in spike frequency among the groups after PNNs ablation by ChABC. The spike frequency showed a significant increase in the ChABC-injected mice with stroke induction compared with that in the P-nase-injected mice with stroke induction, but there is no effect between the ChABC-injected and P-nase-injected mice with stroke induction and EA treatment. P-nase-injected group: N (units) = 23, 12, and 10 for the Sham, Stroke, and Stroke + EA groups, respectively. ChABC-injected group: N (units) = 17, 26, and 26 for the Sham, Stroke, and Stroke + EA groups, respectively. N (mice) = 4, 3, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. Compared with the Sham group, *p < 0.05; compared with the Stroke group, #p < 0.05, ^p < 0.05. C, The representative action potential waveforms of the putative excitatory and inhibitory neurons. D, The frequency of putative inhibitory neurons was impaired in the stroke condition in the P-nase-injected mice, and there was no significant decrease in the frequency of putative inhibitory neurons among the groups after PNNs ablation by ChABC. The frequency of putative inhibitory neurons showed a significant increase in the ChABC-injected mice with stroke induction and EA treatment compared with that in the P-nase-injected mice with stroke induction and EA treatment. P-nase-injected group: N (units) = 14, 10, and 11 for the Sham, Stroke, and Stroke + EA groups, respectively. ChABC-injected group: N (units) = 8, 9, and 12 for the Sham, Stroke, and Stroke + EA groups, respectively. N (mice) = 4, 3, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. Compared with the Sham group, **p < 0.01; compared with the Stroke + EA group, &p < 0.05. E, The frequency of putative excitatory neurons was impaired in the stroke condition but was rescued by EA treatment in the contralateral M1 in the P-nase-injected mice. However, there was no significant decrease of frequency in putative excitatory neurons among the groups after PNNs ablation by ChABC. The frequency showed a significant increase in the ChABC-injected mice with stroke induction compared with that in the P-nase-injected mice with stroke induction, but there was a similar effect between the ChABC-injected and P-nase-injected mice with stroke induction and EA treatment. P-nase-injected group: N (units) = 17, 15, and 13 for the Sham, Stroke, and Stroke + EA groups, respectively. ChABC-injected group: N (units) = 9, 16, and 12 for the Sham, Stroke, and Stroke + EA groups, respectively. N (mice) = 4, 3, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. Compared with the Sham group, ****p < 0.0001; Compared with the Stroke group, #p < 0.05, ^^p < 0.01, ###p < 0.001; compared with the Stroke + EA group, &p < 0.05. Data are shown as mean ± SEM. Two-way ANOVA.

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    Figure 5.

    Effects of removal of PNNs to sEPSCs in the excitatory neurons in vitro. A1, Sample traces showing sEPSCs recorded in the excitatory neurons clamped at −60 mV in the P-nase-injected mice. Scale bars: 1 s, 20 pA. A2, Sample traces showing sEPSCs recorded in the excitatory neurons clamped at −60 mV in the ChABC-injected mice. Scale bars: 1 s, 20 pA. B, Quantifications of amplitude (Amp) in the contralateral M1 from Sham, Stroke, and Stroke + EA groups in the P-nase or ChABC-injected mice. The results showed that the amplitude of sEPSCs were no altered in the P-nase-treated or ChABC-treated mice. N (cells) = 10–14 per group. P-nase-injected group: N (mice) = 6, 4, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. ChABC-injected group: N (mice) = 6, 3, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. C, Quantifications of frequency (Freq) in the contralateral M1 from Sham, Stroke, and Stroke + EA groups in the P-nase-injected or ChABC-injected mice. The results showed that stroke affected the frequency of sEPSCs, and this impairment could be improved by EA treatment in the P-nase-injected mice, while the frequency of sEPSCs in the excitatory neurons showed no difference in the ChABC-injected mice. N (cells) = 10–14 per group. P-nase-injected group: N (mice) = 6, 4, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. ChABC-injected group: N (mice) = 6, 3, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. Compared with the Sham group, *p < 0.05; compared with the Stroke group, #p < 0.05. D1, Sample traces showing sIPSCs recorded in the excitatory neurons clamped at +10 mV in the P-nase-injected mice. Scale bars: 1 s, 20 pA. D2, Sample traces showing sIPSCs recorded in the excitatory neurons clamped at +10 mV in the ChABC-injected mice. Scale bars: 1 s, 20 pA. E, Quantifications of amplitude (Amp) in the contralateral M1 from Sham, and Stroke, and Stroke + EA groups in the P-nase or ChABC-injected mice. The results showed that the amplitude of sIPSCs were no longer influenced in the P-nase-treated or ChABC-treated mice. N (cells) = 8–15 per group. P-nase-injected group: N (mice) = 6, 4, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. ChABC-injected group: N (mice) = 6, 3, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. F, Quantifications of frequency (Freq) in the contralateral M1 from Sham, Stroke, and Stroke + EA groups in the P-nase or ChABC-injected mice. The results showed that the frequency of sIPSCs were no longer influenced in the P-nase-treated or ChABC-treated mice. N (cells) = 8–15 per group. P-nase-injected group: N (mice) = 6, 4, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. ChABC-injected group: N (mice) = 6, 3, and 3 for the Sham, Stroke, and Stroke + EA groups, respectively. Data are shown as mean ± SEM. Two-way ANOVA.

  • Figure 6.
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    Figure 6.

    The dysfunction of swallowing function in stroke or the effect of EA disappeared after the removal of PNNs. A1, The representative traces of EMG at the mylohyoid in the P-nase-injected mice in the Sham, Stroke, and Stroke + EA groups, respectively. Scale bars: 2 s, 0.1 mV. A2, The representative traces of EMG at the mylohyoid in the ChABC-injected mice in the Sham, Stroke, and Stroke + EA groups, respectively. Scale bars: 2 s, 0.1 mV. B, Quantification of the area under the curve of EMG from every group. N (mice) = 5–6 per group. The results showed that EA could rescue the impaired swallowing function induced by stroke, and the phenomenon disappeared when PNNs were removed by ChABC, while a significant increase in the ChABC-injected mice with stroke induction compared with that in the P-nase-injected mice with stroke induction. Compared with the Sham group, *p < 0.05; compared with the Stroke group, #p < 0.05, ^p < 0.05. Data are shown as mean ± SEM. Two-way ANOVA.

Tables

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    Table 1

    Experimental list

    FiguresPurposeExperimentsNumber of mice
    Figure 1A–FTo assess the effect of stroke and EA treatment on the synaptic activityElectrophysiological recording in slicesGAD67-GFP mice: Sham group (N = 7), Stroke group (N = 5), and Stroke + EA group (N = 5)
    Figure 1G,HTo validated whether the tonic inhibition was changedElectrophysiological recording in slices9/3*
    Figure 2A–GTo explore the expressions of PNNs in different conditions and show the injection sites of PNNs degradation and test the efficacy of injection of P-nase or ChABC(1) Injection of P-nase or ChABC
    (2) Immunofluorescence
    P-nase-injected group (N = 2)
    ChABC-injected group (N = 2)
    27/3*
    Figure 3A–CTo explore the role of PNNs in the regulation of neuronal activity in the stroke or EA treatment(1) Injection of P-nase or ChABC
    (2) Immunofluorescence
    18/3*
    Figure 4A–ETo explore the role of PNNs in the regulation of neuronal activity in the stroke or EA treatment(1) Injection of P-nase or ChABC
    (2) In vivo electrophysiological recording
    24/4*
    Figure 5A–FTo record the sEPSCs and sIPSCs(1) Injection of P-nase
    (2) Electrophysiological recording in slices
    Sham group (N = 6), Stroke group (N = 4), and Stroke + EA group (N = 3)
    Figure 5A–FTo record the sEPSCs and sIPSCs(1) Injection of ChABC
    (2) Electrophysiological recording in slices
    Sham group (N = 6), Stroke group (N = 3) and Stroke + EA group (N = 3)
    Figure 6A,BTo validate the function of PNNs in the EA-mediated improvement of swallowing function(1) Injection of P-nase or ChABC
    (2) Electromyography recording in the mylohyoid in vivo
    36/6*
    Total = 160 mice, GAD67-GFP = 17 mice, C57 = 143 mice
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    Table 2

    Abbreviations

    Full nameAbbreviation
    Analysis of varianceANOVA
    ChondroitinaseABCChABC
    Central nervous systemCNS
    Chondroitin sulfate proteoglycansCSPGs
    LianquanCV23
    ElectroacupunctureEA
    Extracellular matrixECM
    ElectromyographyEMG
    Interspike intervalISI
    Primary motor cortexM1
    Neuronal activity-regulated pentraxinNarp
    Nogo receptorNgR
    Optimal cutting temperatureOCT
    Orthodenticle homeobox protein 2OTX2
    Phosphate bufferPB
    Phosphate buffered salinePBS
    ParaformaldehydePFA
    PenicillinaseP-nase
    Perineuronal netsPNNs
    Poststroke dysphagiaPSD
    Parvalbumin neuronsPV+
    Semaphorin3ASema3A
    Excitatory postsynaptic currentssEPSCs
    Inhibitory postsynaptic currentssIPSCs
    2,3,5-Triphenyltetrazolium chlorideTTC
    Wisteria floribunda agglutininWFA
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The Role of Perineuronal Nets in the Contralateral Hemisphere in the Electroacupuncture-Mediated Rehabilitation of Poststroke Dysphagia Mice
Si Yuan, Jiahui Shi, Xiaorong Tang, Bing Deng, Zhennan Wu, Bo Qiu, Shumin Lin, Chang Ji, Lin Wang, Shuai Cui, Nenggui Xu, Lulu Yao
eNeuro 17 November 2023, 10 (12) ENEURO.0234-23.2023; DOI: 10.1523/ENEURO.0234-23.2023

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The Role of Perineuronal Nets in the Contralateral Hemisphere in the Electroacupuncture-Mediated Rehabilitation of Poststroke Dysphagia Mice
Si Yuan, Jiahui Shi, Xiaorong Tang, Bing Deng, Zhennan Wu, Bo Qiu, Shumin Lin, Chang Ji, Lin Wang, Shuai Cui, Nenggui Xu, Lulu Yao
eNeuro 17 November 2023, 10 (12) ENEURO.0234-23.2023; DOI: 10.1523/ENEURO.0234-23.2023
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Keywords

  • PNNs
  • post-stroke dysphagia
  • contralateral primary motor cortex
  • electroacupuncture
  • swallowing function

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