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[电针刺激背俞穴对非酒精性脂肪性肝病大鼠肝组织肿瘤坏死因子-α表达及脂质过氧化反应的影响]

[Effect of electroacupuncture stimulation of back-shu points on expression of TNF-alpha and lipid peroxidation reaction in the liver tissue in non-alcoholic fatty liver disease rats].

作者信息

Zeng Zhi-Hua, Zeng Ming-Hui, Huang Xue-Kuan, Chen Rong, Yu Hai

出版信息

Zhen Ci Yan Jiu. 2014 Aug;39(4):288-92.

Abstract

OBJECTIVE

To observe the effect of electroacupuncture (EA) stimulation (EAS) of back-shu acupoints on expression of tumor necrosis factor-alpha (TNF-alpha) and lipid peroxidase reaction in the liver in non-alcoholic fatty liver disease (NAFLD) rats.

METHODS

Wistar rats were randomly divided into normal group (n = 1), model group (n = 10), EAS group (n = 10) and medication group (n = 10). The NAFLD model was established by feeding the animals with high fat diet for 8 weeks. EAS was applied to bilateral "Pishu" (BL 20), "Geshu" (BL 17) and "Shenshu" (BL 23) for 20 min, once daily for 4 weeks. Rats of the medication group were treated by 1% Dongbao Gantai suspension (0.28 g/kg, 20 mL/kg) once daily for 4 weeks. Pathological changes of the liver tissue were observed by microscope after H. E. staining. Hepatic free fatty acid (FFA) content was assayed by using an automatic biochemistry analyzer, malondialdehyde (MDA) content and superoxide dismutase (SOD) activity were detected by penthiobarbituric acid colorimetric method and xanthine oxidase colorimetric method, respectively. The expression of liver TNF-alpha was detected by immunohistochemistry.

RESULTS

Compared with the normal group, rats of the model group showed a moderate to severe fatty degeneration of liver cells, significant up-regulation of hepatic TNF-alpha expression, FFA and MDA contents (P < 0.01), and marked down-regulation of SOD activity (P < 0.01). Following 4 weeks' treatment, compared with the model group, liver fatty degeneration was reduced at different degrees in both EAS and medication groups; liver FFA and MDA contents and TNF-alpha expression were significantly down-regulated (P < 0.01, P < 0.05), and hepatic SOD activity was notably increased (P < 0.01, P < 0.05) in both EAS and medication groups, suggesting a reduction of hepatic lipid peroxidation. No significant differences between the EAS and medication groups in the liver FFA and MDA contents, SOD activity and TNF-alpha expression (P > 0.05).

CONCLUSION

EA intervention can improve liver fatty degeneration, inhibit high fat induced up-regulation of hepatic TNF-a expression, FFA and MDA contents and down-regulation of SOD activity in non-alcohol fatty liver model rats, which may contribute to its effect in improving NAFLD.

摘要

目的

观察电针刺激非酒精性脂肪性肝病(NAFLD)大鼠背部俞穴对肝脏肿瘤坏死因子-α(TNF-α)表达及脂质过氧化反应的影响。

方法

将Wistar大鼠随机分为正常组(n = 1)、模型组(n = 10)、电针刺激组(EAS组,n = 10)和药物治疗组(n = 10)。通过高脂饮食喂养动物8周建立NAFLD模型。电针刺激双侧“脾俞”(BL 20)、“膈俞”(BL 17)和“肾俞”(BL 23)20分钟,每日1次,共4周。药物治疗组大鼠每日给予1%东宝肝泰混悬液(0.28 g/kg,20 mL/kg),共4周。苏木精-伊红(H.E.)染色后显微镜下观察肝组织病理变化。采用自动生化分析仪检测肝游离脂肪酸(FFA)含量;分别采用硫代巴比妥酸比色法和黄嘌呤氧化酶比色法检测丙二醛(MDA)含量和超氧化物歧化酶(SOD)活性;采用免疫组织化学法检测肝脏TNF-α表达。

结果

与正常组相比,模型组大鼠肝细胞呈现中度至重度脂肪变性,肝脏TNF-α表达、FFA和MDA含量显著上调(P < 0.01),SOD活性显著下调(P < 0.01)。治疗4周后,与模型组相比,EAS组和药物治疗组肝脏脂肪变性均有不同程度减轻;EAS组和药物治疗组肝脏FFA和MDA含量及TNF-α表达均显著下调(P < 0.01,P < 0.05);肝脏SOD活性显著升高(P < 0.01, P < 0.05),提示肝脏脂质过氧化反应减轻。EAS组与药物治疗组在肝脏FFA和MDA含量、SOD活性及TNF-α表达方面差异无统计学意义(P > 0.05)。

结论

电针干预可改善非酒精性脂肪性肝病模型大鼠肝脏脂肪变性,并抑制高脂诱导的肝脏TNF-α表达上调及FFA与MDA含量增加和SOD活性下调,这可能是其改善NAFLD的作用机制之一。

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