首页|隔药饼灸对环磷酰胺诱导免疫抑制兔共刺激分子CTLA-4、4-1BB、CD28的影响

隔药饼灸对环磷酰胺诱导免疫抑制兔共刺激分子CTLA-4、4-1BB、CD28的影响

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目的 探讨隔药饼灸对环磷酰胺诱导免疫抑制兔共刺激分子细胞毒性T淋巴细胞相关抗原4(CTLA-4)、4-1BB、CD28的影响。方法 选择大耳白兔32只,随机分为空白组、模型组、艾条灸组和隔药饼灸组,每组8只。模型组、艾条灸组和隔药饼灸组予环磷酰胺诱导免疫抑制模型。模型制备成功次日,艾条灸组和隔药饼灸组分别予艾条灸和隔药饼灸,隔日1次,共10次。空白组和模型组不予艾灸。艾条灸组和隔药饼灸组末次干预次日,空白组和模型组同时间,采集腹腔静脉血,离心留取血清,采用ELISA法检测血清CTLA-4、4-1BB、CD28;腹腔静脉取血后,摘取脾脏和肝脏,免疫组化法检测脾脏和肝脏组织CTLA-4、4-1BB蛋白表达。结果 模型组血清CTLA-4、CD28水平均高于空白组,血清4-1BB水平低于空白组(P均<0。05);与模型组比较,艾条灸组和隔药饼灸组血清CTLA-4、CD28水平均降低,血清4-1BB水平均升高(P均<0。05);与艾条灸组比较,隔药饼灸组血清CTLA-4、CD28水平均降低,血清4-1BB水平升高(P均<0。05)。模型组脾脏和肝脏组织CTLA-4阳性表达均高于空白组,4-1BB阳性表达均低于空白组(P均<0。05)。与模型组比较,艾条灸组脾脏和肝脏组织CTLA-4阳性表达均降低(P均<0。05),肝脏组织4-1BB阳性表达升高(P<0。05),而脾脏组织4-1BB阳性表达升高不明显(P>0。05);隔药饼灸组脾脏和肝脏组织CTLA-4阳性表达均降低(P均<0。05),4-1BB阳性表达均升高(P均<0。05)。艾条灸组与隔药饼灸组脾脏和肝脏组织CTLA-4、4-1BB阳性表达比较差异均无统计学意义(P均>0。05)。结论 隔药饼灸能够通过调节共刺激分子CTLA-4、4-1BB、CD28而改善环磷酰胺诱导免疫抑制兔的免疫功能,其效果优于艾条灸。
Effects of herbal-cake-separated moxibustion on co-stimulatory molecules CTLA-4,4-1BB and CD28 in immunosuppression rabbits induced by cyclophosphamide
Objective To investigate the effects of herbal-cake-separated moxibustion on co-stimulatory molecules cytotoxic T-lymphocyte-associated antigen 4(CTLA-4),4-1BB and CD28 in immunosuppressive rabbits induced by cyclo-phosphamide.Methods Thirty-two big-eared white rabbits were randomly divided into the blank group,model group,moxibustion group and herbal-cake-separated moxibustion group,with 8 rabbits in each group.Rabbits in the model group,moxibustion group and herbal cake-separated moxibustion group were given cyclophosphamide to induce the immu-nosuppression models.The intervention of moxibustion and herbal-cake-separated moxibustion started on the 2nd day after successful modeling in the moxibustion group and herbal-cake-separated moxibustion group,once every other day,a total of 10 times.No moxibustion was given in the blank group and model group.On the day after the last intervention,the abdominal venous blood was collected in the moxibustion group and moxibustion group as well as in the blank group and model group at the same time.The serum was retained by centrifugation,and serum CTLA4,4-1BB and CD28 were detected by ELISA.After abdominal vein blood collection,spleen and liver were extracted,and the expression levels of CTLA-4 and 4-1BB in spleen and liver tissues were detected by immunohistochemistry.Results The serum levels of CTLA-4 and CD28 in the model group were higher than those in the blank group,and the level of 4-1BB was lower than that in the blank group(all P<0.05).Compared with the model group,the serum levels of CTLA-4 and CD28 decreased and the serum level of 4-1BB increased in the moxibustion group and the herbal-cake-separated moxibustion group(all P<0.05).Compared with the moxibustion group,the serum CTLA-4 and CD28 levels decreased and the serum 4-1BB level increased in the herbal-cake-separated moxibustion group(all P<0.05).The positive expression of CTLA-4 in spleen and liver tissues in the model group was higher than that in the blank group,and the positive expression of 4-1BB in spleen and liver tissues was lower than that in the blank group(all P<0.05).Compared with the model group,the positive expression of CTLA-4 in spleen and liver tissues decreased in the moxibustion group(P<0.05),the positive expression of 4-1BB in liver tissue was elevated(P<0.05),and the increase of the positive expression of 4-1BB in spleen tissue was not significant(P>0.05).The positive expression of CTLA-4 in spleen and liver tissues decreased(P<0.05),and the positive expression of 4-1BB in spleen and liver tissues increased in the herbal-cake-separated moxibustion group(P<0.05).There was no sig-nificant difference in the positive expression levels of CTLA-4 or 4-1BB in spleen and liver tissues between the moxibustion group and the herbal-cake-separated moxibustion group(both P>0.05).Conclusion Herbal-cake-separated moxibus-tion can improve immune function by regulating co-stimulatory molecules CTLA-4,4-1BB and CD28 of immunosuppres-sive rabbit,and its effect is better than that of moxibustion.

herbal-cake-separated moxibustionimmunosuppressioncytotoxic T-lymphocyte-associated antigen 44-1BBCD28big-eared white rabbit

支博远、毛凯荣、田岳凤、翟春涛、李玮

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山西中医药大学第二临床学院,山西晋中 030619

隔药饼灸 免疫抑制 细胞毒性T淋巴细胞相关抗原4 4-1BB CD28 大耳白兔

国家自然科学基金资助项目国家自然科学基金资助项目

8217450481674062

2024

山东医药
山东卫生报刊社

山东医药

CSTPCD
影响因子:1.225
ISSN:1002-266X
年,卷(期):2024.64(1)
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