1. 湖北中医药大学针灸骨伤学院
2. 武汉市第一医院
3. 湖北中医药大学针灸骨伤学院武汉市第一医院
纸质出版:2019
移动端阅览
[1]潘小丽,王计雨,康朝霞,韩永丽,徐派的,周利,张红星.电针“足三里”对功能性消化不良模型大鼠胃窦Cajal间质细胞自噬的影响[J].中医杂志,2019,60(16):1407-1411.
PAN Xiaoli, WANG Jiyu, KANG Zhaoxia, et al. Effect of Electroacupuncture “Zusanli(ST36)” on Autophagy of Gastric Antrum Cajal Interstitial Cells in Functional Dyspepsia Model Rats[J]. Journal of Traditional Chinese Medicine2019, 60(16): 1407-1411.
[1]潘小丽,王计雨,康朝霞,韩永丽,徐派的,周利,张红星.电针“足三里”对功能性消化不良模型大鼠胃窦Cajal间质细胞自噬的影响[J].中医杂志,2019,60(16):1407-1411. DOI: 10.13288/j.11-2166/r.2019.16.013.
PAN Xiaoli, WANG Jiyu, KANG Zhaoxia, et al. Effect of Electroacupuncture “Zusanli(ST36)” on Autophagy of Gastric Antrum Cajal Interstitial Cells in Functional Dyspepsia Model Rats[J]. Journal of Traditional Chinese Medicine2019, 60(16): 1407-1411. DOI: 10.13288/j.11-2166/r.2019.16.013.
目的探讨电针"足三里"治疗功能性消化不良的可能机制。方法将32只SD大鼠随机分为空白组、模型组、电针组、假电针组
每组8只。除空白组外
其余大鼠均采用多因素应激干预法建立功能性消化不良大鼠模型。电针组采用毫针直刺双侧"足三里"15~20 mm
后接韩式穴位神经刺激仪。假电针组采用安慰针灸针针刺双侧"足三里"后不连接电针仪。以上两组均每次干预20 min
每日1次
连续7天。空白组不施加干预措施
模型组仅抓取固定。干预结束后检测各组大鼠胃内残留率和小肠推进率
检测胃窦组织酪氨酸激酶受体(c-kit)、微管相关蛋白1轻链3 (LC3)及自噬基因Beclin1蛋白及mRNA表达。结果与空白组比较
模型组大鼠胃内残留率升高
小肠推进率降低
胃窦组织c-kit蛋白及mRNA表达下调
微管相关蛋白1轻链3Ⅱ/微管相关蛋白1轻链3Ⅰ(LC3-Ⅱ/LC3-Ⅰ)及LC3 mRNA、Beclin1蛋白及mRNA表达增高(P <0. 01);与模型组比较
电针组胃内残留率降低
小肠推进率升高
胃窦组织c-kit蛋白及mRNA表达上调
LC3-Ⅱ/LC3-Ⅰ及LC3 mRNA、Beclin1蛋白及mRNA表达下降(P <0. 05或P <0. 01);模型组与假电针组LC3-Ⅱ/LC3-Ⅰ、LC3 mRNA指标组间比较差异有统计学意义(P <0. 05)
其余指标组间比较差异均无统计学意义(P> 0. 05)。结论电针"足三里"能够改善功能性消化不良模型大鼠胃肠动力障碍
其作用机制可能是通过抑制胃窦Cajal间质细胞过度自噬从而恢复细胞数量发挥作用的。
Objective To investigate the possible mechanism of electroacupuncture at "Zusanli( ST36) "in the treatment of functional dyspepsia( FD). Methods A total of 32 SD rats were randomly divided into a blank group
a model group
an electroacupuncture group and a sham electroacupuncture group
with 8 rats in each group.Except for the blank group
the other rats were received a multi-factor stress intervention method to establish a FD rat model. The electroacupuncture group used a fine needle to directly puncture bilateral "Zusanli( ST36) "to 15-20 mm
and connected by a Han’ s acupoint nerve stimulator. In the sham electroacupuncture group
placebo acupuncture needles were used to stimulate the bilateral "Zusanli( ST36) "and the electroacupuncture device was not connected. The above 2 groups were received intervention for 20 min
once a day for 7 consecutive days. The blank group did not impose interventions
and the model group only grabbed fixation. After the intervention
the gastric residual rate and small intestinal propulsion rate of each group were detected. The tyrosine kinase receptor( c-kit)
microtubule-associated protein 1 light chain 3( LC3) and autophagy gene Beclin1 protein and mRNA expression were detected. Results Compared with the blank group
the gastric residual rate of the model group was increased. The intestinal propulsion rate was decreased
and the expression of c-kit protein and mRNA was down-regulated in the gastric antrum. Microtubule-associated protein 1 light chain 3 II/microtubule-associated protein 1 light chain
and the expression of 3 I( LC3-Ⅱ/LC3-Ⅰ) and LC3 mRNA
Beclin1 protein and mRNA increased( P < 0. 01). Compared with the model group
the residual rate of gastric in the electroacupuncture group decreased
and the intestinal propulsion rate increased. The gastric antrum tissue c-kit protein and mRNA expression were up-regulated
and LC3-Ⅱ/LC3-Ⅰ and LC3 mRNA
Beclin1 protein and mRNA expression decreased( P < 0. 05 or P < 0. 01); Compared beteen the model group and the sham electroacupuncture group
the difference of LC3-Ⅱ/LC3-Ⅰ
LC3 mRNA index between the 2 groups was statistically significant( P < 0. 05). There was no significant difference between the other groups( P > 0. 05). Conclusion Electroacupuncture at "Zusanli( ST36) "can improve gastrointestinal motility disorder in FD rats. The mechanism may be to restore the number of cells by inhibiting excessive autophagy of gastric antrum Cajal interstitial cells.
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