1. 湖北省中医院
2. 湖北省中医药研究院
3. 湖北省中西医结合医院康复医学中心
4. 湖北中医药大学针灸骨伤学院
纸质出版:2020
移动端阅览
[1]宋爱群,张阳普,姚敏,梁凤霞.电针对胰岛素抵抗肥胖模型大鼠脑肠肽瘦素中枢敏感性的影响[J].中医杂志,2020,61(17):1547-1552.
SONG Aiqun, ZHANG Yangpu, YAO Min, et al. Influence of Electroacupuncture on Central Sensitivity of Brain-Gut Peptide Leptin in Insulin Resistance Obesity Model Rats[J]. Journal of Traditional Chinese Medicine2020, 61(17): 1547-1552.
[1]宋爱群,张阳普,姚敏,梁凤霞.电针对胰岛素抵抗肥胖模型大鼠脑肠肽瘦素中枢敏感性的影响[J].中医杂志,2020,61(17):1547-1552. DOI: 10.13288/j.11-2166/r.2020.17.017.
SONG Aiqun, ZHANG Yangpu, YAO Min, et al. Influence of Electroacupuncture on Central Sensitivity of Brain-Gut Peptide Leptin in Insulin Resistance Obesity Model Rats[J]. Journal of Traditional Chinese Medicine2020, 61(17): 1547-1552. DOI: 10.13288/j.11-2166/r.2020.17.017.
目的探讨电针改善胰岛素抵抗肥胖的可能机制。方法 48只健康Wistar雄性大鼠
随机挑选8只喂以普通饲料作为正常组
其余40只喂以高脂饲料建立胰岛素抵抗肥胖模型。8周后
造模成功的大鼠随机分为模型组、电针组和假电针组
每组8只。电针组取穴"丰隆""中脘""关元""足三里"
采用电针治疗仪2Hz、1mA、连续波
每次30min
隔日1次;假电针组给予穴旁5mm处浅针刺
夹持电极不通电。各组均干预8周
分别在干预0、2、4、6、8周测量大鼠体质量和24h进食量;实验结束后检测各组大鼠血清胰岛素、瘦素水平和葡萄糖输注速率(GIR)
免疫组化法检测大鼠迷走运动背核及疑核中瘦素诱导的磷酸化信号转导因子和转录激活因子3(p-STAT3)的相对表达;并采用免疫印迹法测定节状神经节和弓状核中p-STAT3蛋白表达。结果与正常组相比
模型组大鼠在0、2、4、6、8周时24h进食量、体质量均升高
血清胰岛素、瘦素水平均升高
GIR降低;迷走运动背核及疑核中p-STAT3表达降低
结状神经节和弓状核中的p-STAT3蛋白表达也降低(P<0.01)。与模型组和假电针组比较
电针组大鼠在6、8周时24h进食量、体质量降低
血清胰岛素、瘦素水平降低
GIR升高;迷走运动背核及疑核中p-STAT3表达显著升高
结状神经节和弓状核中的p-STAT3蛋白表达也显著升高(P<0.05或P<0.01)。结论电针可以有效调控中枢对瘦素的敏感性
可能是其改善胰岛素抵抗肥胖的机制之一。
Objective To explore the possible mechanism of electroacupuncture improving insulin resistance obesity. Methods Of 48 healthy Wistar male rats
8 were randomly selected to be fed with normal diet as the normal group
and the remaining 40 were fed with high-fat diet to establish an insulin resistance obesity model. After 8 weeks
the successfully modeled rats were randomly divided into a model group
an electroacupuncture group and a sham electroacupuncture group
with 8 rats in each group. In the electroacupuncture group
the points "Fenglong(ST40)"
"Zhongwan(CV12)"
"Guanyuan(CV4)"
and "Zusanli(S36)" were selected
and the electroacupuncture device was used for 2 Hz
1 mA
continuous wave
30 min each time
once every other day; the sham electroacupuncture group was given 5 mm shallow acupuncture 5 mm beside above-mentioned acupoints
and the clamping electrode is not energized. All groups were intervened for 8 weeks. The body weight and 24 h food intake of rats were measured at 0
2
4
6
and 8 weeks of intervention. After the experiment
the levels of serum insulin
leptin and glucose infusion rate(GIR) of rats in each group were measured
immunohistochemical method was used to detect the relative expression of leptin-induced phosphorylation signal transducer and activator of transcription 3(p-STAT3). Western blotting was used to determine the expression of p-STAT3 protein in nodose ganglion and arcuate nucleus. Results Compared with the normal group
24 h food intake and body weight at 0
2
4
6
and 8 weeks of the rats in the model group increased
while the serum insulin and leptin levels increased
and the GIR decreased; the expression of p-STAT3 in the dorsal nucleus and ambiguous nucleus decreased
and the expression of p-STAT3 protein in the nodose ganglion and arcuate nucleus also decreased(P<0.01). Compared with the model group and the sham electroacupuncture group
24 h food intake and body weight at 6 weeks and 8 weeks decreased in the electroacupuncture group
serum insulin and leptin levels decreased
and GIR increased; the expression of p-STAT3 in the vagus motor dorsal nucleus and the ambiguous nucleus increased
and the expression of p-STAT3 protein in the nodose ganglia and arcuate nucleus also increased significantly(P<0.05 or P<0.01). Conclusion Electroacupuncture can effectively regulate the sensitivity of the central nervous system to leptin
which may be one of the mechanisms for improving insulin resistance and obesity.
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