Tan Li-Hua, Li Kai-Ge, Wu Yan-Ying, Lan Ying, Guo Meng-Wei, Zhu Wen-Lian, Zhang Lu-Fen, Zhao Ya-Fang, Li Xiao-Hong, Ren Xiao-Xuan
School of Acu-moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China.
Zhen Ci Yan Jiu. 2017 Apr 25;42(2):136-40.
OBJECTIVE: To observe the ethology and expression of transient receptor potential vanilloid-1(TRPV 1) in colon of irritable bowel syndrome (IBS) rats treated by electroacupuncture (EA) at "Yintang" (GV 29) and "Tianshu" (ST 25), so as to explore the different effectiveness of different acupoints and its related mechanism underlying improvement of the symptoms of somatopsychic illness. METHODS: Thirty-two neonatal Wistar rats were randomly divided into blank control group, model group, Yintang (GV 29) group, and Tianshu (ST 25) group (=8 in each group). IBS model was established by neonatal maternal separation and acetic acid enema combined with colon and rectum expansion stimulation. Rats of the GV 29 and ST 25 groups were given EA treatment at age of 9 weeks old, 20 minutes, once every other day for 5 times. Latency of the 1 time contraction wave and numbers of contractive wave in 90 s were recorded to evaluate abdominal visceral sensitivity by abdominal withdrawal reflex. Horizontal and vertical movements were observed to assess the emotional and psychological behavior of rats by open field test. TRPV 1 expression in colon was detected by immunohistochemistry method. RESULTS: Compared with the black control group, latency of the 1 time contractive wave was significantly shortened and the wave numbers in 90 s were increased significantly in the model group (<0.01), while the numbers of vertical and horizontal movements were also significantly reduced (<0.01), accompanied with increased TRPV 1 expression in the colon (<0.05). Compared with the model group, After EA intervention, the levels of the above-mentioned 5 indexes were significantly reversed in the GV 29 and ST 25 groups (<0.01,<0.05), except the number of horizontal movement in the ST 25 group (>0.05). The expression level of TRPV 1 was significantly lower in the ST 25 group than in the GV 29 group (<0.01). CONCLUSIONS: EA at GV 29 and ST 25 can alleviate the abdominal pain and improve the mental and emotional disorders in IBS rats. GV 29 has a better effect on relieving the depressive-like psychoemotional behavior of IBS rats, while ST 25 is more effective in treating abdominal pain. There is significantly different influence on TRPV 1 expression in colon between these two treatment groups, which may contribute to their different effect in pain relieving.
目的:观察电针“印堂”(GV 29)和“天枢”(ST 25)治疗肠易激综合征(IBS)大鼠的行为学变化及结肠瞬时受体电位香草酸亚型1(TRPV 1)的表达,探讨不同穴位治疗IBS身心症状的差异及相关机制。 方法:将32只新生Wistar大鼠随机分为空白对照组、模型组、印堂(GV 29)组和天枢(ST 25)组,每组8只。采用新生鼠母婴分离、醋酸灌肠并结合结肠和直肠扩张刺激建立IBS模型。GV 29组和ST 25组大鼠于9周龄时给予电针治疗,每次20分钟,隔日1次,共治疗5次。通过腹部撤回反射记录单次收缩波潜伏期及90 s内的收缩波次数,以评估腹部内脏敏感性。采用旷场试验观察大鼠水平和垂直运动,评估大鼠的情绪和心理行为。采用免疫组织化学方法检测结肠TRPV 1表达。 结果:与空白对照组比较,模型组单次收缩波潜伏期显著缩短,90 s内收缩波次数显著增加(P<0.01),水平和垂直运动次数显著减少(P<0.01),结肠TRPV 1表达增加(P<0.05)。与模型组比较,电针干预后,GV 29组和ST 25组上述5项指标均显著改善(P<0.01,P<0.05),ST 25组水平运动次数除外(P>0.05)。ST 25组TRPV 1表达水平显著低于GV 29组(P<0.01)。 结论:电针GV 29和ST 25可缓解IBS大鼠腹痛,改善精神情绪障碍。GV 29对缓解IBS大鼠抑郁样心理情绪行为效果更佳,ST 25对腹痛治疗效果更佳。两组对结肠TRPV 1表达影响差异显著,可能是其止痛效果不同的原因。
Zhongguo Zhen Jiu. 2022-12-12
Medicine (Baltimore). 2018-8