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[预防性针灸和艾灸对去卵巢大鼠子宫保护作用的观察]

[Observation on the protective effect of preventive acupuncture and moxibustion on uterus in ovariectomized rats].

作者信息

Li Xiao-hong, Zheng Ling, Zhai Jing-hui, Xie Jie-ping, Zhang Lu-fen, Zhou Jun, Zhou Deng-fang, He Yu-wei, Qu Li-min, Tian Yang-chun

机构信息

College of Acu-moxibustion, Beijing University of Chinese Medicine, Beijing 100029, China.

出版信息

Zhen Ci Yan Jiu. 2008 Aug;33(4):229-34.

Abstract

OBJECTIVE

To observe the effect of preventive acupuncture and moxibustion of "Guanyuan" (CV 4) on uterus in ovariectomized (OVX) rats.

METHODS

A total of 80 female SD rats were randomly divided into 5 groups: normal control, sham-operation (sham), model, preventive acupuncture (PA) and preventive moxibustion (PM) groups, with 16 cases in each. PA (with the needle retained for 20 min after insertion) and PM (one moxa-cone/rat) were applied to "Guanyuan" (CV 4) separately before ovariectomy, two times a week, 4 weeks altogether. Then, ovariectomy was performed on rats of model, PA and PM groups. Uterus tissue was taken under anesthesia for homogenate (10 rats/group) or sectioning (5-6 microm, 6 rats/group). Uterus estradiol (E2), progestone (P) were detected with radioimmunoassay; superoxide dismutase (SOD), nitric oxide synthase (NOS), and malondialdehyde (MDA) were assayed with immunoturdidimetry. Partial uterus slices were stained with H & E method for observing morphological changes, or stained with immunohistochemical method or with in situ hybridization method for displaying estrogen receptor (ER)-alpha and ER-alpha mRNA expression separately.

RESULTS

After ovariectomy, the rat's uterus presented obvious squamous metaplasia, hyperplasy, and thickening of the endomembrane, decrease in glands and blood vessels and increase in fibrous connective tissue, etc; while the situation was evidently better in PA and PM groups. In comparison with normal control group, E2, P contents and SOD, NOS activities of uterus tissue in model group decreased significantly (P < 0.01), while MDA in model group increased evidently (P < 0.01). Compared with model group, uterus P content in PA and PM groups increased obviously (P < 0.05), while uterus MDA decreased apparently (P < 0.01). Compared with normal control group, the expression of ER-alpha and ER-alpha mRNA in model group was downregulated markedly (P < 0.01); after PA and PM, both ER-alpha and ER-alpha mRNA expression increased obviously (P < 0.01). No significant differences were found between PA and PM groups in the above mentioned 7 indexes (P > 0.05).

CONCLUSION

Preventive acupuncture and moxibustion of CV4 can postpone the structural degeneration of uterus in OVX rats, which may be related to their effects in modulating the secretion of uterus E2 and P, upregulating the expression of ER-a and ER-alpha mRNA, and improving the anti-oxidative ability.

摘要

目的

观察预防性针刺和艾灸“关元”(CV 4)对去卵巢(OVX)大鼠子宫的影响。

方法

80只雌性SD大鼠随机分为5组:正常对照组、假手术组、模型组、预防性针刺组(PA)和预防性艾灸组(PM),每组16只。在去卵巢术前分别对PA组(进针后留针20分钟)和PM组(每只大鼠1壮)进行“关元”(CV 4)针刺和艾灸,每周2次,共4周。然后对模型组、PA组和PM组大鼠进行去卵巢手术。麻醉下取子宫组织进行匀浆(每组10只大鼠)或切片(5 - 6微米,每组6只大鼠)。采用放射免疫法检测子宫组织雌二醇(E2)、孕酮(P);采用免疫比浊法检测超氧化物歧化酶(SOD)、一氧化氮合酶(NOS)和丙二醛(MDA)。部分子宫切片采用苏木精 - 伊红(H & E)染色法观察形态学变化,或分别采用免疫组织化学法或原位杂交法检测雌激素受体(ER)-α和ER-α mRNA表达。

结果

去卵巢后,大鼠子宫出现明显的鳞状化生、内膜增生和增厚,腺体和血管减少,纤维结缔组织增多等;而PA组和PM组情况明显较好。与正常对照组相比,模型组子宫组织E2、P含量及SOD、NOS活性显著降低(P < 0.01),而模型组MDA明显升高(P < 0.01)。与模型组相比,PA组和PM组子宫P含量明显升高(P < 0.05),而子宫MDA明显降低(P < 0.01)。与正常对照组相比,模型组ER-α和ER-α mRNA表达明显下调(P < 0.01);PA组和PM组干预后,ER-α和ER-α mRNA表达均明显增加(P < 0.01)。上述7项指标PA组和PM组之间无显著差异(P > 0.05)。

结论

预防性针刺和艾灸关元可延缓OVX大鼠子宫结构退变,可能与其调节子宫E2和P分泌、上调ER-α和ER-α mRNA表达及提高抗氧化能力有关。

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