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电针对功能性消化不良大鼠十二指肠CRHR2、NLRP6表达的影响

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目的 观察电针对功能性消化不良(functional dyspepsia,FD)大鼠十二指肠促肾上腺皮质激素释放激素受体 2(corticotropin-releasing hormone receptor 2,CRHR2)及 NOD 样受体家族 pyrin 结构域蛋白 6(NOD-like recep-tor family pyrin domain containing 6,NLRP6)表达水平的影响.方法 将40只雄性SD大鼠随机分为空白组、模型组和电针组,每组10只.模型组和电针组均选用多因素干预法复制FD大鼠模型,空白组进行常规饲养.模型复制结束后,电针组大鼠电针"印堂""内关""足三里",每次30 min,每 日1次,连续14 d.观察各组大鼠干预前后的一般状态及体质量变化;干预结束后,采用半固体糊灌胃法检测各组大鼠胃排空率及小肠推进率;苏木精—伊红染色法观察大鼠胃窦组织形态变化;蛋白免疫印迹法检测大鼠十二指肠CRHR2、NLRP6蛋白表达水平;阿利新蓝染色法观察大鼠十二指肠形态变化.结果 与空白组比较,模型组大鼠精神欠佳,体质量、胃排空率及小肠推进率明显降低(P<0.05);与模型组比较,电针组大鼠活泼好动,体质量、胃排空率及小肠推进率明显增加(P<0.05).模型组大鼠胃窦黏膜排列疏松,有轻度水肿,存在少量淋巴细胞,十二指肠绒毛上皮细胞间隙增宽,肠绒毛结构破碎,可见散在分布的上皮细胞;电针组大鼠胃窦组织结构完整,固有层排列紧密,无明显炎症反应及病理改变,十二指肠绒毛上皮细胞间隙清晰,排列紧密,组织结构完整.与空白组比较,模型组大鼠十二指肠CRHR2、NLRP6蛋白表达水平明显降低(P<0.05);与模型组比较,电针组CRHR2、NLRP6蛋白表达水平明显升高(P<0.05).结论 电针可改善FD大鼠消化不良症状,提高FD大鼠胃肠动力,降低FD大鼠十二指肠黏膜通透性,减轻大鼠胃肠炎症反应,其机制可能与提升十二指肠CRHR2、NLRP6蛋白表达水平有关.
Effect of Electroacupuncture on the Expression of Corticotropin-releasing Hormone Receptor 2 and NOD-like Receptor Family Pyrin Domain Containing 6 in the Duodenum of Rats with Func-tional Dyspepsia
Objective To investigate the effect of electroacupuncture(EA)on the expression of corticotropin-releasing hormone receptor 2(CRHR2)and NOD-like receptor family pyrin domain containing 6(NLRP6)in the duodenum of rats with function-al dyspepsia(FD).Methods A total of 40 male Sprague-Dawley rats were randomly divided into blank group,model group,and EA group,with 10 rats in each group.The rats in the model group and EA group were used to establish a model of FD by multi-factor intervention,and those in the blank group were given conventional feeding.After modeling,the rats in the EA group were given EA at Yintang,Neiguan,and Zusanli points for 30 minutes each time,once a day for 14 consecutive days.General status and body weight were observed before and after intervention;after intervention,semisolid paste was given by gavage to observe gastric emptying rate and small intestine propulsion rate;HE staining was used to observe the histomorphological chan-ges of the gastric antrum;Western blotting was used to measure the protein expression levels of CRHR2 and NLRP6 in the du-odenum;Alcian blue staining was used to observe the morphological changes of the duodenum.Results Compared with the blank group,the model group had a poor general state and significant reductions in bogy weight,gastric emptying rate,and small intestinal propulsion rate(P<0.05);compared with the model group,the EA group had a lively and active state and significant increases in bogy weight,gastric emptying rate,and small intestinal propulsion rate(P<0.05).The rats in the model group had loose arrangement of antral mucosa with mild edema and a small amount of lymphocyte infiltration,widened intercellular spaces between duodenal epithelial cells,a fragmented structure of the intestinal villi,and sporadic epithelial cells,while those in the EA group had a complete structure of the gastric antrum,dense arrangement of the lamina propria without significant in-flammatory response or pathological changes,and clear intercellular spaces between duodenal epithelial cells with dense arrange-ment and a complete structure.Compared with the blank group,the model group had significant reductions in the protein expression levels of CRHR2 and NLRP6 in the duodenum(P<0.05),and compared with the model group,the EA group had significant increases in the protein expression levels of CRHR2 and NLRP6(P<0.05).Conclusion EA can improve dyspepsia symp-toms,increase gastrointestinal motility,reduce duodenal mucosal permeability,and alleviate gastrointestinal inflammatory re-sponse in FD rats,possibly by increasing the protein expression levels of CRHR2 and NLRP6 in the duodenum.

Functional dyspepsiaDuodenumElectroacupunctureCorticotropin-releasing hormone receptor 2NOD-like recep-tor family pyrin domain containing 6

乐薇、姚函伶、范建超、徐派的、吴贻森、杨格格

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武汉市中西医结合医院针灸科,湖北武汉 430022

湖北中医药大学针灸骨伤学院,湖北武汉 430061

功能性消化不良 十二指肠 电针 CRHR2 NLRP6

国家自然科学基金项目湖北省自然科学基金项目武汉市卫生和计划生育委员会科研基金项目

817041782021CFB548WZ18Q01

2024

安徽中医药大学学报
安徽中医学院

安徽中医药大学学报

CSTPCD
影响因子:0.796
ISSN:2095-7246
年,卷(期):2024.43(1)
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