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艾灸对肺纤维化有积极作用:一种替代方法。

MOXIBUSTION HAS A POSITIVE EFFECT ON PULMONARY FIBROSIS: AN ALTERNATIVE APPROACH.

作者信息

Cheng Lin, Li Rong, Zhou Mijuan, Li Fuhong, Chang Quanying, Li Cuixia, Lu Xuejing

机构信息

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou 510060, Guangdong, P. R. China.

School of Acupuncture & Moxibustion, Chengdu University of TCM, Chengdu 610075, Sichuan, P.R. of China.

出版信息

Afr J Tradit Complement Altern Med. 2017 Jan 13;14(2):125-129. doi: 10.21010/ajtcam.v14i2.13. eCollection 2017.

Abstract

BACKGROUND

An increasing number of people suffered idiopathic fibrosis (IPF) and the current treatment was far from clinical satisfaction. Moxibustion, another effective and safe unconventional therapy, had been introduced to treat this refractory disease. The study aimed to investigate the effect of moxibustion on a bleomycin A5-induced pulmonary fibrosis model.

MATERIALS AND METHODS

Sprague-dawley (SD) rats were randomly allocated to the blank group, model group, moxibustion group, and prednisone group, for which they received no treatment, modeling, moxibustion treatment and prednisone treatment. After four-week treatment, the rats were euthanized for Hematoxylin and Eosin (H.E.) staining, and TGF-β1 and IFN-γ protein and mRNA detection in lungs.

RESULTS

In the model group, TGF-β1 was significantly increased and IFN-γ was significantly decreased at both protein and mRNA levels in comparison to the blank group. In the moxibustion and prednisone group, however, TGF-β1 was decreased and IFN-γ was increased at both protein and mRNA levels in comparison to the model groups. Compared with prednisone, moxibustion showed comparable effect in lowing TGF-β1 and better effect in up-regulating IFN-γ ().

CONCLUSION

The study concludes moxibustion protected pulmonary fibrosis by downregulating TGF-β1 and upregulating IFN-γ cytokines at both mRNA and protein levels, and the effect was comparable to prednisone. Moxibustion could be used as a therapeutic alternative treatment for pulmonary fibrosis.

摘要

背景

特发性肺纤维化(IPF)患者数量日益增多,而目前的治疗方法远不能满足临床需求。艾灸作为另一种有效且安全的非传统疗法,已被引入用于治疗这种难治性疾病。本研究旨在探讨艾灸对博来霉素A5诱导的肺纤维化模型的影响。

材料与方法

将Sprague-dawley(SD)大鼠随机分为空白组、模型组、艾灸组和泼尼松组,分别给予不治疗、造模、艾灸治疗和泼尼松治疗。治疗四周后,处死大鼠进行苏木精-伊红(H.E.)染色,并检测肺组织中转化生长因子-β1(TGF-β1)和干扰素-γ(IFN-γ)的蛋白及mRNA水平。

结果

与空白组相比,模型组TGF-β1蛋白和mRNA水平均显著升高,IFN-γ蛋白和mRNA水平均显著降低。然而,与模型组相比,艾灸组和泼尼松组TGF-β1蛋白和mRNA水平均降低,IFN-γ蛋白和mRNA水平均升高。与泼尼松相比,艾灸在降低TGF-β1方面效果相当,在上调IFN-γ方面效果更佳。

结论

本研究得出结论,艾灸通过在mRNA和蛋白水平下调TGF-β1并上调IFN-γ细胞因子来保护肺纤维化,其效果与泼尼松相当。艾灸可作为肺纤维化的一种替代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad42/5446435/5e7a449abc9a/AJTCAM-14-125-g001.jpg

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