1. 北京中医药大学针灸推拿学院
2. 中国中医科学院针灸研究所期刊中心
3. 北京市顺义区空港医院
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[1]吴颖琦,王旒靖,薛婷,赵珈宇,王图南,李婧婷,付晨露,马佳佳,邵一轩,杨易陈,周子娴,马惠芳.针刺对应激性溃疡模型大鼠脑组织与血清中Ghrelin及血清中IL-1β、IL-4含量的影响[J].北京中医药,2020,39(10):1033-1038+1117.
WU Ying-qi, WANG Liu-jing, XUE Ting, et al. Effects of acupuncture on Ghrelin in brain tissue and serum,serum IL-1β and IL-4 of model rats with stress-induced ulcer[J]. Beijing Journal of Traditional Chinese Medicine, 2020,39(10):1033-1038.
[1]吴颖琦,王旒靖,薛婷,赵珈宇,王图南,李婧婷,付晨露,马佳佳,邵一轩,杨易陈,周子娴,马惠芳.针刺对应激性溃疡模型大鼠脑组织与血清中Ghrelin及血清中IL-1β、IL-4含量的影响[J].北京中医药,2020,39(10):1033-1038+1117. DOI: 10.16025/j.1674-1307.2020.10.006.
WU Ying-qi, WANG Liu-jing, XUE Ting, et al. Effects of acupuncture on Ghrelin in brain tissue and serum,serum IL-1β and IL-4 of model rats with stress-induced ulcer[J]. Beijing Journal of Traditional Chinese Medicine, 2020,39(10):1033-1038. DOI: 10.16025/j.1674-1307.2020.10.006.
目的观察针刺应激性溃疡模型大鼠"关元"、双侧"下巨虚"对脑组织及血清中Ghrelin含量及血清中IL-1β、IL-4含量的影响,从内分泌系统及炎性反应角度探讨针刺改善应激性溃疡的机制。方法 28只SD大鼠随机分为空白组、模型组、针刺组和药物组,每组7只。除空白组外,其余3组采用束缚-浸水应激法造模,造模后4组均每天束缚20 min,连续5 d。针刺组束缚后选用"关元"、双侧"下巨虚",每天针刺干预20 min,每5 min行针30 s,连续5 d。药物组束缚后选用奥美拉唑肠溶片溶液(0.2 mg/kg),每日灌胃给药2 mL,连续5 d。以Guth法计算胃黏膜损伤指数,HE染色观察胃黏膜的病理学改变,ELISA法检测脑组织与血清中Ghrelin的含量及血清中IL-1β、IL-4的含量。结果与空白组相比,模型组大鼠胃黏膜损伤指数明显升高(P<0.01),HE染色显示大鼠胃黏膜呈明显病理改变,脑组织与血清中Ghrelin含量显著降低(P<0.05,P<0.05),血清中IL-1β含量显著升高(P<0.01)、血清中IL-4含量显著降低(P<0.05)。与模型组相比,针刺组和药物组大鼠胃黏膜损伤指数有所降低(P<0.05,P<0.01),HE染色显示大鼠胃黏膜病理变化亦有改善,大鼠脑组织与血清中Ghrelin含量显著升高P<0.01,P<0.05),IL-1β含量显著降低(均P<0.01)、血清IL-4含量显著升高(均P<0.01)。针刺组的胃黏膜损伤指数低于药物组(P<0.05),针刺组的脑组织与血清中Ghrelin含量高于药物组(P<0.01,P<0.05),药物组的血清IL-1β含量高于针刺组(P<0.05),针刺组的血清IL-4含量高于药物组(P<0.05)。结论针刺"关元"、双侧"下巨虚",可通过上调Ghrelin、IL-4水平和下调IL-1β水平,改善应激性溃疡模型大鼠的黏膜损伤,其机制可能与恢复内分泌系统的动态平衡、维持炎性因子的相对稳态有关。
Objective To observe the effects of acupuncture on the points Guānyuán(关元CV4) and bilateral Xiàjùxū(下巨虚ST39) on the contents of Ghrelin in the brain tissue and serum,serum IL-1β and IL-4 of model rats with stress-induced ulcer(SU),and reveal its mechanism of acupuncture for improving stress-induced ulcer from the angle of endocrine system and inflammatory reaction.Methods A total of 28 SD rats were randomly divided into blank control,model,acupuncture and medication groups,with 7 rats in each group.Except the blank control group,the other three groups were established SU model by water immersion restraint stress.The blank group and model group were bound for 20 minutes every day for 5 days; the acupuncture group got acupuncture on Guānyuán(关元CV4) and bilateral Xiàjùxū(下巨虚ST39) for 20 min with the needles manipulated for 30 s every 5 min,once a day for 5 days.In the medication group,omeprazole enteric-coated tablet solution(0.2 mg/kg) was used,and 2 mL was given by gavage every day for 5 consecutive days.The gastric mucosal damage index(ulcer index,UI) was measured according to Guth’s Methods.Histopathological changes of the gastric mucosa were determined by HE staining.The content of Ghrelin in the serum and brain tissue,IL-1β and IL-4 in the serum were assayed by using ELISA.Results Compared with the blank control group,the gastric mucosal damage index of model group was increased(P<0.01);HE staining showed pathological changes in the gastric mucous; the content of Ghrelin in the serum and brain tissue was decreased(P<0.05); the content of IL-1β in the serum were significantly increased(P<0.01); the content of IL-4 in the serum were significantly decreased(P<0.05) in the model group.Compared with the model group,the gastric mucosal damage index of model group was decreased(P<0.05,P<0.01); HE staining showed the pathological changes in the gastric mucous was improved; the content of Ghrelin in the serum and brain tissue was increased(P<0.05,P<0.01); the content of IL-1β in the serum were significantly decreased(P<0.01); the content of IL-4 in the serum were significantly increased(P<0.01) in the acupuncture and medication groups.The gastric mucosal damage index of acupuncture group was lower than that of the medication group(P<0.05); the content of Ghrelin in the serum and brain tissue of acupuncture group was higher than that of the medication group(P<0.05,P<0.01);the content of IL-1β in the serum of the medication group was higher than that of the acupuncture group(P<0.05); the content of IL-4 in the serum of the acupuncture group was higher than that of the medication group(P<0.05).Conclusion Acupuncture on Guānyuán(关元CV4) and bilateral Xiàjùxū(下巨虚ST39) can relieve mucosal injury in SU rat model through up-regulating the levels of Ghrelin in the serum and brain tissue and IL-4 in serum and down-regulating the levels of IL-1βin the serum and the mechanism might be related with restoration of dynamic balance of endocrine system and maintenance of the relative steady state of inflammatory factors.
应激性溃疡针刺脑肠肽白细胞介素Ghrelin大鼠
stress ulceracupuncturebrain-gut axisinterleukinGhrelinrat
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