Wang Yu, Sun Jing, Jin Rong, Liang Yi, Liu Yan-yan, Yin Lei-miao, Xu Yu-dong
Laboratory of Molecular Biology, Shanghai Research Institute of Acupuncture and Meridian, Shanghai University of TCM, Shanghai 200030, China.
Zhongguo Zhen Jiu. 2012 Jun;32(6):534-40.
To observe the anti-remodeling effect of acupuncture on asthma and to explore the mechanism of T-type calcium channel protein in airway smooth muscle cell in airway remodeling effect in asthma.
Thirty-two rats were randomly divided into a normal group, a model group, an acupuncture group and a sham acupuncture group, 8 rats in each group. The rats in the latter three groups were sensitized for consecutive 14 days by single peritoneal injection of aqueous suspension 1 mL of 10 mg ovalbumin (OVA), 200 mg aluminum hydroxide and saline together with 1 mL inactivated pertussis vaccine. From the 15th day, asthma was induced for 30 minutes by ultrasonic atomizing inhalation of 1% OVA for consecutive 14 days in the model group. The acupuncture group was treated with acupuncture at "Dazhui" (GV 14), "Fengmen" (BL 12) and "Feishu" (BL 13) for 30 minutes before the ultrasonic atomizing inhalation, once every two days for consecutive 14 days. The same acupoints selection and the course of treatment as the acupuncture group were produced in the sham acupuncture group and they were treated with acupuncture at 1 mm acupoint skin without retaining needles. The normal group remained unhandled. The respiratory function and the airway remodeling were evaluated by airway resistance and pulmonary histopathology, respectively, and the T-type calcium channel protein expression of Ca(v)3.1, Ca(v) 3.2, Ca, 3.3 in airway smooth muscle cell were detected by immunohistochemistry technique.
(1) The airway resistance in the model group was higher than that in the normal group and in the acupuncture group (both P < 0.05), and the airway resistance in the acupuncture group was lower than that in the sham acupuncture group (P < 0.05). (2) The ratios of the airway wall thickness to the basement membrane perimeter (Awt/Pbm) and the airway outer perimenter to the airway internal perimeter (Po/Pi) in the model group were higher than those in the normal group and in the acupuncture group (all P < 0.05), and the ratios of Awt/Pbm and Po/Pi in the acupuncture group were lower than those in the sham acupuncture group (both P < 0.05). (3) The average optical of Ca(v) 3.1 and Ca(v) 3.2 in airway smooth muscle cell in the model group were higher than that in the normal group and in the acupuncture group (both P < 0.05), and the average optical of Ca(v) 3.3 in airway smooth muscle cell in the model group was higher than that in the normal group (P < 0.05) and it was lower than that in the sham acupuncture group (P < 0.05).
Acupuncture can inhibit the airway remodeling and the accrementition of the airway smooth muscle and can reduce the airway resistance. The mechanism may be related to the inhibition of T-type calcium channel protein in airway smooth muscle cell, especially in relation to the protein expression of Ca(v) 3.1.
观察针刺对哮喘的抗重塑作用,探讨T型钙通道蛋白在哮喘气道重塑中对气道平滑肌细胞的作用机制。
将32只大鼠随机分为正常组、模型组、针刺组和假针刺组,每组8只。后三组大鼠连续14天通过单次腹腔注射1 mL含10 mg卵清蛋白(OVA)、200 mg氢氧化铝和生理盐水的水悬液以及1 mL灭活百日咳疫苗进行致敏。从第15天起,模型组连续14天通过超声雾化吸入1% OVA诱导哮喘30分钟。针刺组在超声雾化吸入前针刺“大椎”(GV 14)、“风门”(BL 12)和“肺俞”(BL 13)30分钟,每两天1次,连续14天。假针刺组选取与针刺组相同的穴位及疗程,针刺穴位皮肤1 mm不留针。正常组不予处理。分别通过气道阻力和肺组织病理学评估呼吸功能和气道重塑,并采用免疫组织化学技术检测气道平滑肌细胞中Ca(v)3.1、Ca(v) 3.2、Ca, 3.3的T型钙通道蛋白表达。
(1)模型组气道阻力高于正常组和针刺组(均P < 0.05),针刺组气道阻力低于假针刺组(P < 0.05)。(2)模型组气道壁厚度与基底膜周长之比(Awt/Pbm)及气道外周与气道内径之比(Po/Pi)高于正常组和针刺组(均P < 0.05),针刺组Awt/Pbm和Po/Pi之比低于假针刺组(均P < 0.05)。(3)模型组气道平滑肌细胞中Ca(v) 3.1和Ca(v) 3.2的平均光密度高于正常组和针刺组(均P < 0.05),模型组气道平滑肌细胞中Ca(v) 3.3的平均光密度高于正常组(P < 0.05)且低于假针刺组(P < 0.05)。
针刺可抑制气道重塑及气道平滑肌增生,降低气道阻力。其机制可能与抑制气道平滑肌细胞中的T型钙通道蛋白有关,尤其与Ca(v) 3.1的蛋白表达有关。