首页|基于延髓肾素-血管紧张素系统研究针刺太冲穴对自发性高血压大鼠血压调控的中枢机制

基于延髓肾素-血管紧张素系统研究针刺太冲穴对自发性高血压大鼠血压调控的中枢机制

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目的:采用具有明确降压效应的针刺手法干预自发性高血压大鼠(SHRs)28d,观察其对SHRs延髓肾素-血管紧张素系统(RAS)的调控作用,以深入阐明针刺发挥降压效应的中枢机制.方法:30只雄性SHRs等分为模型组、针刺不施手法组和针刺手法组,10只WKY大鼠作为空白组.两针刺组分别采用相应的方案干预太冲穴,空白组和模型组不做针刺处理.所有干预每天1次,2周之间休息1 d,共28 d.重复测量大鼠血压,并在实验第28天采用ELISA法和RT-qPCR技术检测延髓RAS调控轴各组分的表达.结果:自针刺第7天开始,两针刺组较模型组均可显著降低血压,其降压效应一直持续至针刺第28天(P<0.05,P<0.01),且施加针刺手法后其降压效果更显著(P<0.01);与模型组比较,针刺手法组可显著下调RAS升压轴中ACE、AngⅡ表达(P<0.05,P<0.01);同时显著上调RAS降压轴中ACE2、Ang(1-7)和MasR表达(P<0.01,P<0.05).结论:针刺太冲穴具有明确的降压效应且针刺干预时间越长降压幅度越大;同时针刺可良性调控延髓RAS各组分的表达,尤其对降压轴ACE2-Ang(1-7)-MasR调节作用更为明显,这可能是针刺发挥稳定降压效应的中枢机制之一.
Study on the central mechanism of acupuncture at Taichong(LR 3)acupoint on regulation of SHRs blood pressure based on the renin-angiotensin system of medulla oblongata
Objective:To observe the regulative effect of acupuncture manipulation with definite antihypertensive effects on the renin-angiotensin system(RAS)in the medulla oblongata of spontaneously hypertensive rats(SHRs)for 28 days,further clarifying the central mechanism of its antihypertensive effects.Methods:A total of 30 male SHRs were randomly and equally divided into a model group,an acupuncture without manipulation group and an acupuncture manipulation group,and 10 WKY rats were assigned to the control group.The according acupuncture intervention at Taichong(LR 3)acupoint were administered in the two acupuncture groups,the rats in the blank group and model groups received no treatment.All interventions were carried out once a day,with a day off between two weeks,a total of 28 days.The blood pressure of rats was measured repeatedly,and the expression of RAS regulatory axis components in medulla oblongata was detected by ELISA and RT-qPCR on the 28th day of the experiment.Results:From the 7th day of acupuncture,the blood pressure of SHRs in both acupuncture groups was significantly decreased than that in mode group,the antihypertensive effects lasted until the 28th day of acupuncture(P<0.05,P<0.01),and the hypotensive effect was more obvious after applying acupuncture manipulation(P<0.01);Compared with model group,in the acupuncture manipulation group,the expression of ACE and Ang Ⅱ in the RAS elevating-BP axis were significantly decreased(P<0.05,P<0.01);at the same time,the expression of ACE2,Ang(1-7)and MasR in the RAS lowering-BP axis were significantly up-regulated(P<0.01,P<0.05).Conclusion:Acupuncture intervention on Taichong(LR 3)point has a definite antihypertensive effect,and the longer time the acupuncture intervention is,the greater the hypotensive amplitude is,moreover,acupuncture can benignantly regulate the expression of RAS components in the medulla oblongata,especially on the lowering-BP axis ACE2-Ang(l-7)-MasR,which may be one of the central mechanisms of acupuncture on stable antihypertensive effects.

AcupunctureTaichong(LR 3)acupointEssential hypertension(EH)Medulla oblongataRennin-angiotensin system(RAS)Central mechanismAntihypertensionAngiotensin

郭秋蕾、周佳晓、石磊、张亚男、沈燕、王志杰、孙娇、吴小丽、刘清国

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天津中医药大学第一附属医院,天津 300193

国家中医针灸临床医学研究中心,天津 300193

天津中医药大学,天津 301617

北京中医药大学针灸推拿学院,北京 100029

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针刺 太冲穴 原发性高血压 延髓 肾素-血管紧张素系统 中枢机制 降压 血管紧张素

天津市教委科研计划项目

2021KJ139

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(2)
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