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September 5, 2026Acupuncture & Electro-Therapeutics Research

Acupuncture Improves Poststroke Cognitive Impairment by Regulating the miR-18a-5p

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Authors

TLTianshi LiLWLi WanHCHongyan Chen

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Overview

Translational study demonstrates acupuncture improves cognitive function in poststroke cognitive impairment by upregulating miR-18a-5p, suggesting a promising molecular therapeutic target.

Key Points

  • To investigate whether acupuncture improves poststroke cognitive impairment and to determine whether this therapeutic effect operates through the regulation of miR-18a-5p and HIF-1α.
  • Assessed cognitive performance and activities of daily living in 107 patients with poststroke cognitive impairment and 102 healthy controls using the MMSE, Revised Hasegawa's Dementia Scale, and ADL scales.
  • Established middle cerebral artery occlusion in male Sprague–Dawley rats to evaluate cognitive deficits through the Morris water maze and novel object recognition tests following acupuncture or miR-18a-5p overexpression.
  • Investigated the direct targeting between miR-18a-5p and HIF-1α using dual-luciferase reporter and RNA immunoprecipitation assays, alongside ELISA quantification of inflammatory cytokines.
  • Serum miR-18a-5p levels were significantly lower in stroke patients than in healthy controls, but acupuncture increased its expression, which positively correlated with higher cognitive scores and daily living capacity.
  • Acupuncture and miR-18a-5p overexpression both lowered Zea-Longa neurological scores and ameliorated memory and recognition deficits in poststroke rats.
  • Acupuncture reversed the poststroke downregulation of hippocampal miR-18a-5p while concurrently reducing HIF-1α expression and inflammatory cytokine concentrations.

Cite This Study

Li et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd3e16b95aff0620eb108https://doi.org/10.1177/03601293261479861
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