Pai Hui-Ching, Tzeng Chung-Yuh, Lee Yu-Chen, Chang Chin-Hsien, Lin Jaung-Geng, Cheng Juei-Tang, Chang Shih-Liang
Graduate Institute of Integrated Medicine, China Medical University, Taichung City, Taiwan.
J Acupunct Meridian Stud. 2009 Jun;2(2):147-51. doi: 10.1016/S2005-2901(09)60047-9.
Hypoglycemia induced by electroacupuncture (EA) is due to an increase of insulin secretion and/or mediation of beta-endorphin. We applied EA at the Zusanli (ST.36) acupuncture point (acupoint) in combination with rosiglitazone (TZD) administration to evaluate their effect on plasma glucose and to explore possible mechanisms of action.
Thirty six normal adult Wistar rats were randomly divided into four groups: the 0.1 mg/kg TZD group (0.1TZD), 0.1 mg/kg TZD and EA group (0.1TZD + EA), EA group, and control group. In other experiments, streptozotocin was used to induce type 2 diabetes mellitus in neonatal rats; these were then randomly divided into a 0.1TZD group, 0.1TZD + EA group, and EA group and changes in plasma glucose and insulin concentrations evaluated.
A marked hypoglycemic response was observed in the normal rat 0.1TZD, 0.1TZD + EA and EA groups, with the response more significant in the 0.1TZD + EA group than in the 0.1TZD group. Among the diabetic animals, the hypoglycemic responses in the 0.1TZD + EA and EA groups were greater than in the 0.1TZD group. In both the normal and diabetic rats, insulin secretion was increased by EA or 0.1TZD + EA treatment, but not by 0.1TZD.
The plasma glucose lowering action of rosiglitazone was increased by EA in both normal and diabetic rats, indicating that the application of EA may enhance the hypoglycemic action of this insulin sensitizer.
电针(EA)诱导的低血糖是由于胰岛素分泌增加和/或β-内啡肽介导。我们将足三里(ST.36)穴位电针与罗格列酮(TZD)联合应用,以评估其对血糖的影响并探索可能的作用机制。
36只正常成年Wistar大鼠随机分为四组:0.1mg/kg TZD组(0.1TZD)、0.1mg/kg TZD加电针组(0.1TZD + EA)、电针组和对照组。在其他实验中,用链脲佐菌素诱导新生大鼠2型糖尿病;然后将其随机分为0.1TZD组、0.1TZD + EA组和电针组,并评估血糖和胰岛素浓度的变化。
正常大鼠的0.1TZD组、0.1TZD + EA组和电针组均观察到明显的低血糖反应,0.1TZD + EA组的反应比0.1TZD组更显著。在糖尿病动物中,0.1TZD + EA组和电针组的低血糖反应大于0.1TZD组。在正常和糖尿病大鼠中,电针或0.1TZD + EA治疗均可增加胰岛素分泌,但0.1TZD不能。
在正常和糖尿病大鼠中,电针均可增强罗格列酮的降血糖作用,表明电针的应用可能增强这种胰岛素增敏剂的降血糖作用。