Wang Shao-Jun, Yang Hao-Yan, Wang Fang, Li Si-Ting
Institute of Acupuncture and Moxibustion China Academy of Chinese Medical Sciences, Beijing, 100700, China,
Neurochem Res. 2015 Jun;40(6):1274-82. doi: 10.1007/s11064-015-1587-0. Epub 2015 May 13.
This project was focused on the study of the effect of the different acupoints on visceral hypersensitivity and the correlation with the brain-gut axis. By using a mouse model of zymosan-induced colorectal hypersensitivity, and observing the response of hypersensitivity model to colorectal distension stimulation in acupuncture at different acupoints, we selected the specific acupoints. With immunohistochemical staining method, we observed c-fos expression, distribution and changes after acupuncture on sensory pathway, including colorectum, spinal dorsal horn and different regions of brain center in the model with colorectal distension stimulation, and evaluated the acupuncture effect on brain-gut axis. The results revealed that the effectiveness of acupuncture for alleviating visceral hypersensitivity was different at individual acupoint, meaning Tianshu (ST25), Zusanli (ST36) and Shangjuxu (ST37) > Quchi (LI11) and Dachangshu (BL25) > Ciliao (BL32). C-fos expression was concentrated in anterior cingulate cortex, hypothalamus, spinal dorsal horn and colorectum in model of zymosan-induced colorectal hypersensitivity and it was down-regulated after acupuncture. The results demonstrates that the acupoint specificity presents in acupuncture for relieving visceral hypersensitivity and the effects are more predominated at the acupoints on stomach meridian innervated by the same or adjacent spinal ganglion segments. The model of zymosan-induced colorectal hypersensitivity can be the animal model simulating brain-gut interaction.
本项目聚焦于研究不同穴位对内脏高敏感性的影响及其与脑-肠轴的相关性。通过使用酵母聚糖诱导的结肠直肠高敏性小鼠模型,观察高敏模型在针刺不同穴位时对结肠直肠扩张刺激的反应,筛选出特定穴位。采用免疫组织化学染色法,观察在结肠直肠扩张刺激模型中针刺后,感觉通路(包括结肠直肠、脊髓背角和脑中枢不同区域)中c-fos的表达、分布及变化,评估针刺对脑-肠轴的作用。结果显示,针刺缓解内脏高敏感性的效果在各个穴位存在差异,即天枢(ST25)、足三里(ST36)和上巨虚(ST37)>曲池(LI11)和大肠俞(BL25)>次髎(BL32)。在酵母聚糖诱导的结肠直肠高敏性模型中,c-fos表达集中在前扣带回皮质、下丘脑、脊髓背角和结肠直肠,针刺后其表达下调。结果表明,针刺缓解内脏高敏感性存在穴位特异性,且在由相同或相邻脊髓节段支配的胃经穴位上效果更显著。酵母聚糖诱导的结肠直肠高敏性模型可作为模拟脑-肠相互作用的动物模型。