首页|电针对2型糖尿病大鼠胰岛素抵抗及炎症因子表达水平的影响

电针对2型糖尿病大鼠胰岛素抵抗及炎症因子表达水平的影响

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目的:观察电针对 2 型糖尿病(Type 2 Diabetes Mellitus,T2DM)大鼠血糖、胰岛素抵抗(Insulin Resistance,IR)及炎症因子表达水平的影响,探讨电针治疗T2DM的潜在机制.方法:将雄性SD大鼠24 只随机分为空白组、模型组、电针组,每组8 只.除空白组外,各组大鼠均采用高脂高糖饲料喂养4 周后结合小剂量腹腔注射链脲佐菌素(Streptozocin,STZ)建立2 型糖尿病大鼠模型.电针干预选取足三里、三阴交、胃脘下俞,采用连续波,频率为 10 Hz,强度 1.5 mA-2 mA,留针 30 min,6 次/周,总疗程为4 周.每周观察各组大鼠体重及血糖变化(Fasting Blood Glucose,FBG);干预后检测各组大鼠血清中空腹胰岛素含量(Fasting Insulin,FINS)、胰岛素抵抗指数(Homeostasis Model Assessment,HO-MA-IR)及胰腺组织的形态学变化;使用ELISA检测各组血清中单核细胞趋化蛋白-1(MCP-1)、肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)、白介素-1β(IL-1β)、生长因子-β1(TGF-β1)、白介素-10(IL-10)等炎症因子含量.结果:与空白组相比,模型组大鼠FBG、HOMA-IR均明显增加(P<0.01),HE可见胰岛形态不规则,边缘模糊,胰岛内β细胞减少、排列紊乱,血清促炎因子MCP-1、TNF-α、IL-1β均显著增加(P<0.01);与模型组相比,电针组大鼠FBG、HOMA-IR含量有所下降(P<0.05,P<0.01),电针组大鼠HE染色胰岛边界清晰,结构较完整,胰岛面积及β细胞形态结构有所恢复,且β细胞数目较模型组增多,血清MCP-1、TNF-α、IL-6、IL-1β等促炎因子含量表达均有效减少(P<0.05);TGF-β1、IL-10 等抗炎症因子含量均明显升高(P<0.01,P<0.05).结论:电针可显著改善T2DM大鼠的一般症状,降低血糖,改善T2DM大鼠胰岛素抵抗状态及炎症因子水平的表达.
Effect of Electroacupuncture on Insulin Resistance and Inflammatory Factors in Type 2 Diabetes Mellitus Rats
Objective:To observe the effects of electroacupuncture on blood glucose,insulin resistance(IR),and inflammatory fac-tors in type 2 diabetes mellitus(T2DM)rats,and to explore the potential mechanisms of electroacupuncture in treating T2DM.Meth-ods:24 male SD rats were randomly divided into blank group,model group,and electroacupuncture(EA)group,with 8 rats in each group.Except for the blank group,all rats were fed with high-fat and high-sugar diet for 4 weeks and then injected with a small dose of streptozocin(STZ)to establish a type 2 diabetes rat model.The EA intervention selected acupoints of Zusanli,Sanyinjiao,and Xia Wanxiu,using continuous wave,frequency of 10 Hz,intensity of 1.5mA-2 mA,needle retention time of 30 minutes,6 times per week,and a total of 4 weeks of treatment.The body weight and fasting blood glucose(FBG)of each group of rats were observed week-ly.After the intervention,the fasting insulin(FINS),homeostasis model assessment-insulin resistance(HOMA-IR),and morphologi-cal changes of pancreatic tissue in each group of rats were detected.ELISA was used to detect the contents of inflammatory factors such as monocyte chemotactic protein-1(MCP-1),tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),interleukin-1β(IL-1β),TGF-β1,and interleukin-10(IL-10)in serum of each group.Results:Compared with the blank control group,the model group of rats showed a significant increase in fasting blood glucose(FBG)and Homeostasis Model Assessment of Insulin Resistance(HOMA-IR)(P<0.01).Histological examination(HE staining)revealed irregular pancreatic islet morphology with blurry edges,reduced and disorganized β-cells within the islets,and significantly increased levels of pro-inflammatory cytokines MCP-1,TNF-α,and IL-1β in the serum(P<0.01).In comparison with the model group,the electroacupuncture group of rats exhibited a decrease in FBG and HOMA-IR levels(P<0.05,P<0.01).HE staining of pancreatic tissue in the electroacupuncture group showed clear islet bounda-ries,relatively intact structure,restored islet area and β-cell morphology,and an increased number of β-cells compared to the model group.Furthermore,the expression levels of pro-inflammatory cytokines MCP-1,TNF-α,IL-6,and IL-1β in the serum were effec-tively reduced(P<0.05).Additionally,the levels of anti-inflammatory factors TGF-β1 and IL-10 were significantly elevated(P<0.01,P<0.05).Conclusion:Electroacupuncture can significantly improve the general symptoms of T2DM rats,reduce blood glucose levels,improve insulin resistance,and regulate the expression of inflammatory factors.

Type 2 diabetesElectroacupunctureInflammatory factorsBlood sugarInsulin resistance

王香、张月、陈炫宜、杨怡然、洪肖娟

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成都中医药大学, 四川 成都 610075

2型糖尿病 电针 炎症因子 血糖 胰岛素抵抗

国家自然科学基金面上项目四川省科技厅基金项目

819739612022NSFSC0857

2024

成都中医药大学学报
成都中医药大学

成都中医药大学学报

影响因子:0.572
ISSN:1004-0668
年,卷(期):2024.47(1)
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