Yang Ji-Jun, Wang Li-Na, Xiao Hong-Ling, Zhang Shuan-Cheng, She Yan-Fen, Bian Wen-Jing, Guo Shuai
Department of Acu-moxibustion, Hebei College of Chinese Medicine, Hebei Medical University, Shijiazhuang 050091, China.
Zhen Ci Yan Jiu. 2012 Jun;37(3):173-8.
To observe the effect of encircled needling plus electroacupuncture (EA) of the second pair of nipples on hyperplastic mammary glands, serum estradiol (E2), progesterone (P), prolactin (PRL) and testosterone (T) contents, estrogen receptor (ER) expression of the mammary glands in mammary hyperplasia rats.
Forty Wistar rats were equally randomized into normal control, model, acupuncture and medication groups. Mammary gland hyperplasia model was established by intramuscular injection of diethylstilbestrol (0.5 mg/kg, once daily for 25 days) and progesterone (4 mg/kg, once daily for 5 days). For rats of the acupuncture group, 4 filiform needles were inserted into the surrounding tissues of the second pair of breasts, respectively, followed by giving the animal with EA stimulation for 30 min. Another one acupuncture needle was inserted into "Danzhong" (CV 17) and retained for 30 min. For rats of the medication group, tamoxifen solution (1.8 mg/kg) was given by gavage. Both medication and EA intervention were given once daily for 30 days. The diameter and height of the second pair of nipples were measured before and on the 10th, 20th and 30th days of the treatment. Serum E2, P, PRL and T levels were assayed by radioimmunoassay, and the tissues of the second pair of nipples were stained with H. E. method. Estrogen receptor immunoactivity of the breast tissue was detected by immunohistochemistry.
The diameter and height of the second pair of nipples, serum E2, PRL and T contents, and breast ER protein expression level were significantly higher in the model group than in the normal control group (P<0.05), while serum P content was remarkably lower in the model group than in the normal control group (P<0.05). In comparison with the model group, the diameter and height of the second pair of nipples, serum E2, PRL and T contents, and breast ER protein expression level were considerably lower in both acupuncture and medication groups (P<0.05), and serum P contents were significantly higher in the latter two groups (P<0.05). In addition, H.E. staining showed that the numbers of the lobule, alveolus and ducts of mammary glands were significantly increased, and the expansion of the acinar lumina and ducts was found in the model group. These pathological changes were relatively milder in both acupuncture and medication groups.
Encircled needling plus EA stimulation of the surrounding tissues of the nipples can improve the hyperplasic nipples and pathological changes of the breast tissue in mammary gland hyperplasia rats, which is closely associated with its functions in lowering serum estradiol, prolactin, testosterone contents and estrogen receptor protein expression of the breast, and in increasing serum progesterone level.
观察围刺加电针双侧乳根穴对乳腺增生大鼠乳腺组织、血清雌二醇(E2)、孕酮(P)、催乳素(PRL)及睾酮(T)含量、雌激素受体(ER)表达的影响。
将40只Wistar大鼠随机分为正常对照组、模型组、针刺组和药物组,每组10只。采用肌肉注射己烯雌酚(0.5mg/kg,每日1次,连续25天)和黄体酮(4mg/kg,每日1次,连续5天)的方法制备大鼠乳腺增生模型。针刺组大鼠分别于双侧乳根穴周围进针4针,行电针刺激30分钟,另取1针针刺膻中穴,留针30分钟。药物组大鼠灌胃给予他莫昔芬溶液(1.8mg/kg)。药物干预和电针干预均每日1次,连续30天。于干预前及干预第10、20、30天测量双侧乳头直径及高度。采用放射免疫法检测血清E2、P、PRL及T水平,取双侧乳头组织行苏木精-伊红(H.E.)染色,采用免疫组织化学法检测乳腺组织雌激素受体免疫活性。
与正常对照组比较,模型组大鼠双侧乳头直径及高度、血清E2、PRL及T含量、乳腺组织ER蛋白表达水平均显著升高(P<0.05),血清P含量显著降低(P<0.05)。与模型组比较,针刺组和药物组大鼠双侧乳头直径及高度、血清E2、PRL及T含量、乳腺组织ER蛋白表达水平均显著降低(P<0.05),血清P含量显著升高(P<0.05)。H.E.染色结果显示,模型组大鼠乳腺小叶、腺泡及导管数量显著增多,腺泡腔及导管扩张;针刺组和药物组大鼠上述病理改变相对较轻。
围刺加电针双侧乳根穴周围组织可改善乳腺增生大鼠乳头增生及乳腺组织病理改变,其机制可能与降低血清雌二醇、催乳素、睾酮含量及乳腺组织雌激素受体蛋白表达,升高血清孕酮水平有关。