中国组织工程研究2025,Vol.29Issue(18) :3775-3783.DOI:10.12307/2025.642

针刀干预后颈椎病大鼠头夹肌成纤维细胞生长因子家族及其受体的表达

Effects of acupotomy on the expression of fibroblast growth factor family and its receptor in the splenius capitis muscles of rats with cervical spondylosis

刘福水 钱嘉铭 方婷 哈留娜 赵小兰 朱金超 王小乐
中国组织工程研究2025,Vol.29Issue(18) :3775-3783.DOI:10.12307/2025.642

针刀干预后颈椎病大鼠头夹肌成纤维细胞生长因子家族及其受体的表达

Effects of acupotomy on the expression of fibroblast growth factor family and its receptor in the splenius capitis muscles of rats with cervical spondylosis

刘福水 1钱嘉铭 2方婷 1哈留娜 3赵小兰 2朱金超 2王小乐1
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作者信息

  • 1. 江西中医药大学附属医院,江西省 南昌市 330006
  • 2. 江西中医药大学,江西省 南昌市 330004
  • 3. 江西中医药大学,江西省 南昌市 330004;蒙古国传统医学技术研究院,乌兰巴托17032,蒙古国
  • 折叠

摘要

背景:针刀是治疗颈椎病的有效方法,临床疗效确切,但其关键分子机制尚不明晰.目的:观察针刀干预对颈椎病大鼠头夹肌成纤维细胞生长因子家族及其受体激酶插入域蛋白受体表达的影响,分析针刀治疗颈椎病的作用机制.方法:通过检索GEO数据库,获取符合该研究的芯片数据集GSE153761,采用生物信息学方法进行靶标初筛,然后进行动物实验.选取6月龄SPF级SD大鼠24只,随机均分为4组.模型组和针刀组大鼠采用动静力失衡性颈椎病造模方法制备颈椎病大鼠模型;假手术组不切断肌肉及韧带;针刀组造模成功后采用针刀干预,每周1次,共3次;并以正常大鼠作为对照.拍摄颈椎正侧位X射线片进行模型验证;旷场实验观察大鼠行为学变化;苏木精-伊红染色观察头夹肌病理结构;荧光定量PCR法和免疫组化法分别检测头夹肌成纤维细胞生长因子家族及其受体激酶插入域蛋白受体 mRNA及蛋白的表达情况.结果与结论:①生物信息学结果表明成纤维细胞生长因子家族/激酶插入域蛋白受体是激活磷脂酰肌醇3-激酶/蛋白激酶B上游的重要信号轴.②造模后大鼠椎间隙变窄,椎体前后缘、关节突骨质增生.③旷场实验中,造模后大鼠总距离、平均速度降低(P<0.05),总休息时间延长(P<0.05);治疗后针刀组大鼠总距离、平均速度大于模型组(P<0.05),总休息时间短于模型组(P<0.05).④头夹肌病理提示颈肌受损,而针刀可改善颈肌劳损.⑤与正常组比较,模型组大鼠头夹肌成纤维细胞生长因子7、成纤维细胞生长因子9、成纤维细胞生长因子10、成纤维细胞生长因子18和激酶插入域蛋白受体 mRNA及蛋白表达均升高(P<0.05);与模型组比较,针刀组以上指标均降低(P<0.05).⑥结果说明,针刀可能通过调节成纤维细胞生长因子7、成纤维细胞生长因子9、成纤维细胞生长因子10、成纤维细胞生长因子18及其受体激酶插入域蛋白受体的表达,修复劳损颈肌,从而改善椎间盘退变,这可能是针刀治疗颈椎病的关键靶点.

Abstract

BACKGROUND:Acupotomy is an effective method for the treatment of cervical spondylosis with definite clinical efficacy,but its key molecular mechanism is still unclear.OBJECTIVE:To observe the effect of acupotomy intervention on the expression of fibroblast growth factor family and kinase insert domain protein receptor in the splenius capitis muscles of rats with cervical spondylosis,and to study the therapeutic mechanism of acupotomy in cervical spondylosis.METHODS:The Genomics Expression Omnibus Database was searched to obtain the microarray dataset GSE153761,which was compatible with the study,and a bioinformatics approach was used for the initial screening of targets,followed by animal experiments.Twenty-four 6-month-old SPF grade Sprague-Dawley rats were randomly divided into four groups.The model of cervical spondylosis was established by unbalanced dynamic and static forces in the model and acupotomy groups.The muscles and ligaments were not cut in the sham operation group.After successful modeling,acupotomy intervention was performed in the acupotomy group,once a week,3 times in total.Normal rats were selected as controls.The posteroanterior and lateral X-rays of the cervical spine were taken for modeling verification;the open-field tests were performed in all rats to observe behavioral changes;the pathological structure of the splenius capitis muscles was observed by hematoxylin-eosin staining;the mRNA and protein expression of fibroblast growth factor family and kinase insert domain protein receptor in the splenius capitis muscles was detected by fluorescent quantitative PCR and immunohistochemical method,respectively.RESULTS AND CONCLUSION:Bioinformatics results indicated that fibroblast growth factor family/kinase insert domain protein receptor is an important signal axis for activating the phosphatidylinositol 3-kinase/protein kinase B signaling pathway.After modeling,the intervertebral space of the rats was narrowed,and the anterior and posterior borders of the vertebral body and the articular process were hyperosteogenous.In the open-field tests,the total distance and average speed in the model group were decreased after modeling(P<0.05),while the total rest time in the model group was increased(P<0.05).After treatment,the total distance and average speed in the acupotomy group were greater than those in the model group(P<0.05),while the total rest time in the acupotomy group was shorter than that in the model group(P<0.05).The pathological changes of the splenius capitis muscles indicated damage to the cervical muscle,and acupotomy improved cervical muscle strain.Compared with the normal group,The mRNA and protein expressions of fibroblast growth factor 7,fibroblast growth factor 9,fibroblast growth factor 10,fibroblast growth factor 18,and kinase insert domain protein receptor in the splenius capitis muscles were increased in the model group compared with the normal group(P<0.05).In contrast,acupotomy treatment could downregulate the above indicators(P<0.05).Thus,acupotomy may repair cervical muscle strain by regulating the expression of fibroblast growth factor 7,fibroblast growth factor 9,fibroblast growth factor 10,fibroblast growth factor 18,and kinase insert domain protein receptor,thereby improving intervertebral disc degeneration,which may be the key target for acupotomy treatment of cervical spondylosis.

关键词

针刀/颈椎病/成纤维细胞生长因子/激酶插入域蛋白受体/工程化细胞因子/工程化组织构建

Key words

acupotomy/cervical spondylosis/fibroblast growth factor/kinase insert domain protein receptor/engineered cytokine/engineered tissue construction

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出版年

2025
中国组织工程研究
中国康复医学会,《中国组织工程研究与临床康复》杂志社

中国组织工程研究

北大核心
影响因子:1.387
ISSN:2095-4344
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