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[电针夹脊穴(EX - B 2)对大鼠退变颈椎间盘细胞外基质MMP - 1、MMP - 3及TIMP - 1水平的影响]

[Effects of electroacupuncture at Jiaji (EX-B 2) on extracellular matrix MMP-1, MMP-3 and TIMP-1 levels in the degenerated cervical intervertebral disc in rats].

作者信息

Wang Xue-Xin, Li Yong-Chun, Ma Xiao-Peng, Han Zhao-Cheng

机构信息

Yantai Liuhuangding Hospital, Yantai 264000, China.

出版信息

Zhen Ci Yan Jiu. 2009 Aug;34(4):248-51.

Abstract

OBJECTIVE

To observe the effect of electroacupuncture (EA) of Jiaji (EX-B 2) on the contents of extracellular matrix metalloproteinase (MMP)-1, MMP-3 and tissue inhibitor of matrix metalloproteinase (TIMP)-1 in the cervical intervertebral disc (OIVD) tissue in rats with CIVD degeneration so as to explore its mechanism in relieving intervertebral disc degeneration.

METHODS

SD rats were randomized into control (n = 15), model (n = 14), EA (n = 13) and medication (n = 14) groups. CIVO model was established according to Wang's and Shi's method. EA (10/20 Hz, 1 - 3 mA) was applied to Jiaji (EX-B 2) for 10 min, once daily for 30 days. The rats of medication group were fed with Fenbid (15 mg/kg/d) and Jingfukang (0.5 g/kg/d) for 30 days. Extracellular matrix MMP-1, MMP-3 and TIMP-1 levels of the intervertebral disc tissue (C4-6) were detected by ELISA.

RESULTS

The contents of MMP-1 and MMP-3 in model group were increased significantly compared with control group (P < 0.05), while TIMP-1 in model group was markedly lower than that of control group (P < 0.05). Compared with model group, both MMP-1 and MMP-3 levels in EA group and MMP-1 in medication group were reduced considerably (P < 0.05), while TIMP-1 of EA group increased significantly (P < 0.05). No significant differences were found between medication and model groups in MMP-3 and TIMP-1 levels (P > 0.05). Under optical microscope, the injured degrees of the fibrous ring and nucleus pulposus, and the outline of the intervertebral disc of both EA and medication groups were evidently lighter than those of model group, but the degeneration severity of the intervertebral disc of EA group was lighter than that of medication group.

CONCLUSION

EA of Jiaji (EX-B 2) can effectively relieve the degeneration degree of cervical intervertebral disc in the rat, which is probably related to its effect in regulating extracellular matrix system.

摘要

目的

观察电针夹脊穴(EX - B 2)对颈椎间盘退变(CIVD)大鼠颈椎间盘(OIVD)组织中细胞外基质金属蛋白酶(MMP)-1、MMP - 3及基质金属蛋白酶组织抑制剂(TIMP)-1含量的影响,以探讨其缓解椎间盘退变的机制。

方法

将SD大鼠随机分为对照组(n = 15)、模型组(n = 14)、电针组(n = 13)和药物组(n = 14)。参照王和施的方法建立CIVO模型。电针夹脊穴(EX - B 2)(10/20 Hz,1 - 3 mA),每次10分钟,每日1次,共30天。药物组大鼠给予芬必得(15 mg/kg/d)和颈复康(0.5 g/kg/d),连续给药30天。采用酶联免疫吸附测定(ELISA)法检测椎间盘组织(C4 - 6)中细胞外基质MMP - 1、MMP - 3和TIMP - 1水平。

结果

与对照组比较,模型组MMP - 1和MMP - 3含量显著升高(P < 0.05),而TIMP - 1含量显著降低(P < 0.05)。与模型组比较,电针组MMP - 1和MMP - 3水平及药物组MMP - 1水平均显著降低(P < 0.05),电针组TIMP - 1含量显著升高(P < 0.05)。药物组与模型组MMP - 3和TIMP - 1水平比较,差异无统计学意义(P > 0.05)。光镜下观察,电针组和药物组纤维环、髓核损伤程度及椎间盘轮廓均明显轻于模型组,但电针组椎间盘退变程度轻于药物组。

结论

电针夹脊穴(EX - B 2)可有效减轻大鼠颈椎间盘退变程度,其机制可能与调节细胞外基质系统有关。

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