Journal of Traditional Chinese Medicine ›› 2025, Vol. 45 ›› Issue (1): 13-21.DOI: 10.19852/j.cnki.jtcm.2025.01.002
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WU Jiaman1,2(
), TANG Meng2, LUO Yu2, ZHU Haimin3, ZHAO Tianqi3, MA Fei1,2, NING Yan1,2(
)
Received:2023-11-22
Accepted:2024-04-25
Online:2025-02-15
Published:2025-01-10
Contact:
WU Jiaman, Department of Chinese Medicine, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China; Guangzhou University of Chinese Medicine, Guangzhou, China. Supported by:WU Jiaman, TANG Meng, LUO Yu, ZHU Haimin, ZHAO Tianqi, MA Fei, NING Yan. Electroacupuncture enhances the mitophagy of granulosa cells in premature ovarian insufficiency model mice by inactivating the hippo-yes-associated protein/transcriptional co-activator with postsynaptic density protein, drosophila disc large tumor suppressor, and zonula occludens-1 protein binding motif pathway[J]. Journal of Traditional Chinese Medicine, 2025, 45(1): 13-21.
Figure 1 EA affects apoptosis of ovarian granulosa cells A: the TUNEL fluorescence staining assay was used to analyze apoptosis of granulosa cells. A1: DAPI stained ovarian granulosa cells in control group; A2: DAPI stained ovarian granulosa cells in POI group; A3: DAPI stained ovarian granulosa cells in POI + EA group; A4: TUNEL stained ovarian granulosa cells in control group; A5: TUNEL stained ovarian granulosa cells in POI group; A6: TUNEL stained ovarian granulosa cells in POI + EA group; A7: merge of DAPI and TUNEL stained ovarian granulosa cells in control group; A8: merge of DAPI and TUNEL stained ovarian granulosa cells in POI group; A9: merge of DAPI and TUNEL stained ovarian granulosa cells in POI + EA group. B: quantitative analysis of the TUNEL stained positive granulosa cells. Ctrl group: injected with normal saline. POI group: single intraperitoneally injection with 12 mg/kg busulfan and 120 mg/kg cyclophosphamide. POI + EA group: single intraperitoneally injection with 12 mg/kg busulfan and 120 mg/kg cyclophosphamide and the disposable sterile acupuncture needles were inserted into the Guanyuan (CV4) acupoint to a depth of 2 mm. The acupuncture needles were retained for 30 min per day for three weeks. EA: electroacupuncture; TUNEL: terminal deoxynucleotidyl transferase dUTP nick end labeling; DAPI: 4',6-diamidino-2-phenylindole; Ctrl: control; POI: premature ovarian insufficiency. Statistical analyses were measured using one-way analysis of variance followed by Tukey's post hoc test. Data were presented as mean±standard deviation (n = 6). Compared with the control group, aP < 0.001; compared with the POI group, bP < 0.01.
Figure 2 EA affects mitochondrial morphology and mitophagy of ovarian granulosa cells A: the mitochondrial morphology was observed under a transmission electron microscope. A1: control group; A2: POI group; A3: POI + EA group; B: the Western blotting assay was performed to access protein expression related to mitophagy; C: quantitative analysis of Pink1 protein levels. D: quantitative analysis of Parkin protein levels; E: quantitative analysis of LC3Ⅱ/Ⅰ protein levels. Control group: injected with normal saline. POI group: single intraperitoneally injection with 12 mg/kg busulfan and 120 mg/kg cyclophosphamide. POI + EA group: single intraperitoneally injection with 12 mg/kg busulfan and 120 mg/kg cyclophosphamide and the disposable sterile acupuncture needles were inserted into the Guanyuan (CV4) acupoint to a depth of 2 mm. The acupuncture needles were retained for 30 min per day for three weeks. Ctrl: control; EA: electroacupuncture; POI: premature ovarian insufficiency; LC3: microtubule-associated protein 1 light chain 3. Statistical analyses were measured using one-way analysis of variance followed by Tukey's post hoc test. Data were presented as mean ± standard deviation (n = 6). Compared with the control group, aP < 0.001; compared with the POI group, bP < 0.01.
Figure 3 Representative photos of the key protein of JAK2/STAT3, Hippo-YAP/TAZ, and JNK/MAPK pathways were obtained by Western blotting assay A: representative protein bands of key protein of JAK2/STAT3 pathways in granulose cells; B: quantitative analysis of protein levels of p-JAK2/JAK2; C: quantitative analysis of protein levels of p-STAT3/STAT3; D: representative protein bands of key protein of Hippo-YAP/TAZ pathway in granulose cells; E: quantitative analysis of protein levels of p-YAP/YAP; F: quantitative analysis of protein levels of TAZ; G: quantitative analysis of protein levels of TEAD1; H: quantitative analysis of protein levels of MST1; I: representative protein bands of key protein of JNK/MAPK pathway in granulose cells; J: quantitative analysis of protein levels of p-JNK/JNK; K: quantitative analysis of protein levels of p-MAPK/MAPK. Control group: injected with normal saline. POI group: single intraperitoneally injection with 12 mg/kg busulfan and 120 mg/kg cyclophosphamide. POI + EA group: single intraperitoneally injection with 12 mg/kg busulfan and 120 mg/kg cyclophosphamide and the disposable sterile acupuncture needles were inserted into the Guanyuan (CV4) acupoint to a depth of 2 mm. The acupuncture needles were retained for 30 min per day for three weeks. EA: electroacupuncture; POI: premature ovarian insufficiency; JAK2: janus kinase 2; STAT3: signal transducer and activator of transcription 3; YAP1: yes-associated protein 1; TAZ: transcriptional co-activator with PDZ-binding motif; TEAD1: T-cell factor/enhancer of split and activator of transcription domain family member 1; MST1: mammalian sterile twenty-like kinase 1; JNK: c-jun n-terminal kinase 1; MAPK: mitogen-activated protein kinase. Statistical analyses were measured using one-way analysis of variance followed by Tukey's post hoc test. Data were presented as mean ± standard deviation (n = 6). Compared with the control group, aP < 0.001; compared with the POI group, bP < 0.01.
| Group | n | FSH (U/L) | LH (ng/mL) | E2 (ng/L) | AMH (ng/L) |
|---|---|---|---|---|---|
| Ctrl | 6 | 2.79±0.34 | 2.12±0.24 | 23.00±1.50 | 67.46±5.57 |
| POI | 6 | 4.24±0.16a | 2.74±0.30a | 14.10±1.74a | 52.61±4.16a |
| POI + EA | 6 | 3.12±0.26b | 1.76±0.14b | 21.85±2.20b | 66.50±3.46b |
| POI + EA + VP | 6 | 3.74±0.40c | 2.53±0.16c | 16.37±1.31c | 55.74±4.31c |
Table 1 Comparisons of the FSH, LH, E2, and AMH in the serum sample ($\bar{x}±s$)
| Group | n | FSH (U/L) | LH (ng/mL) | E2 (ng/L) | AMH (ng/L) |
|---|---|---|---|---|---|
| Ctrl | 6 | 2.79±0.34 | 2.12±0.24 | 23.00±1.50 | 67.46±5.57 |
| POI | 6 | 4.24±0.16a | 2.74±0.30a | 14.10±1.74a | 52.61±4.16a |
| POI + EA | 6 | 3.12±0.26b | 1.76±0.14b | 21.85±2.20b | 66.50±3.46b |
| POI + EA + VP | 6 | 3.74±0.40c | 2.53±0.16c | 16.37±1.31c | 55.74±4.31c |
Figure 4 Verteporfin affects apoptosis, mitochondrial morphology and mitophagy of ovarian granulosa cells A: the TUNEL fluorescence staining assay was used to analyze apoptosis of granulosa cells. A1: DAPI stained ovarian granulosa cells in control group; A2: DAPI stained ovarian granulosa cells in POI group; A3: DAPI stained ovarian granulosa cells in POI + EA group; A4: DAPI stained ovarian granulosa cells in POI + EA + VP group; A5: TUNEL stained ovarian granulosa cells in control group; A6: TUNEL stained ovarian granulosa cells in POI group; A7: TUNEL stained ovarian granulosa cells in POI + EA group; A8: TUNEL stained ovarian granulosa cells in POI + EA + VP group; A9: merge of DAPI and TUNEL stained ovarian granulosa cells in control group; A10: merge of DAPI and TUNEL stained ovarian granulosa cells in POI group; A11: merge of DAPI and TUNEL stained ovarian granulosa cells in POI + EA group. A12: merge of DAPI and TUNEL stained ovarian granulosa cells in POI + EA + VP group. B: quantitative analysis of the TUNEL stained positive granulosa cells. C: the mitochondrial morphology was observed under a transmission electron microscope. C1: control group; C2: POI group; C3: POI + EA group; C4: POI + EA + VP group. D: the Western blotting assay was performed to access protein expression related to mitophagy. E: quantitative analysis of Pink1 protein levels. F: quantitative analysis of Parkin protein levels. G: quantitative analysis of LC3Ⅱ/Ⅰ protein levels. Control group: injected with normal saline. POI group: single intraperitoneally injection with 12 mg/kg busulfan and 120 mg/kg cyclophosphamide. POI + EA group: single intraperitoneally injection with 12 mg/kg busulfan and 120 mg/kg cyclophosphamide and the disposable sterile acupuncture needles were inserted into the Guanyuan (CV4) acupoint to a depth of 2 mm. The acupuncture needles were retained for 30 min per day for three weeks. POI + EA + VP group: single intraperitoneally injection with 12 mg/kg busulfan and 120 mg/kg cyclophosphamide and the disposable sterile acupuncture needles were inserted into the Guanyuan (CV4) acupoint to a depth of 2 mm. The acupuncture needles were retained for 30 min per day for three weeks. During the acupuncture treatment, the mice were intraperitoneally injected with verteporfin (100 mg/kg body weight) every two days for three weeks. EA: electroacupuncture; TUNEL: terminal deoxynucleotidyl transferase dUTP nick end labeling; DAPI: 4',6-diamidino-2-phenylindole; POI: premature ovarian insufficiency; VP: verteporfin; LC3: microtubule-associated protein 1 light chain 3. Statistical analyses were measured using one-way analysis of variance followed by Tukey's post hoc test. Data were presented as mean ± standard deviation (n = 6). Compared with the control group aP < 0.001; compared with the POI group, bP < 0.001; compared with the POI + EA group, cP < 0.01.
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