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[整脊疗法对颈椎病大鼠椎间盘细胞外基质及代谢酶的影响]

[Effects of Chiropractics on Intervertebral Disk Extracell Matrix and Metabolic Enzymes in Rats with Cervical Spondylosis].

作者信息

Huang Li-Shan, Huang Ping-Ping, Tong Xiu-Bing, Li Zhong-Li, Fang Yan-Ping, Liao Jun

机构信息

Department of Acu-moxibustion and Tuina, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.

Department of Acu-moxibustion and Tuina, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China; Institute of Acu-moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700.

出版信息

Zhen Ci Yan Jiu. 2017 Aug 25;42(4):321-6.

Abstract

OBJECTIVE

To observe the effect of chiropractics on intervertebral disk extracell matrix metalloproteinase (MMP)-1, MMP-3, MMP-13, cellular collagen type Ⅱ (COL-Ⅱ), tissue inhibitor 1 of metalloproteinase (TIMP-1) and extracellular matrix (ECM) in the rats with cervical spondylosis, so as to explore its mechanism underlying improvement of cervical spondylosis.

METHODS

A total of 40 SD rats were randomized into a sham group, a model group, a chiropractics group and a mobic group, 8 rats in each one. The model was established by static-dynamic imbalance method. The rats in the chiropractics group were treated with chiropractic therapy for two courses, 14 times a day and 14 days as a course. The rats in the mobic group were treated with intragastric administration of mobic. The expression of MMP-1, MMP-3, MMP-13, COL-Ⅱ and TIMP-1 in the intervertebral disk tissue were detected by immunohistochemistry, and the protein expression of ECM was detected by Western blot.

RESULTS

Compared with those in the sham group, the expressions of MMP-1, MMP-3, MMP-13 in the model group increased (all <0.05), and COL-Ⅱ, TIMP-1 decreased (both <0.05).Compared with those in the model group, the expressions of MMP-1, MMP-3, MMP-13 in the chiropractics group and the mobic group decreased (all <0.05), and COL-Ⅱ, TIMP-1 increased (all <0.05). Compared with that in the sham group, the expression of ECM protein in the model group decreased (<0.05). Compared with that in the model group, the expression of ECM protein in the chiropractics group and the mobic group increased (both <0.05).

CONCLUSIONS

Chiropractics may improve the degeneration in rats with cervical spondylosis by regulating intervertebral disc ECM system and relevant metabolic enzymes.

摘要

目的

观察整脊疗法对颈椎病大鼠椎间盘细胞外基质金属蛋白酶(MMP)-1、MMP-3、MMP-13、Ⅱ型胶原(COL-Ⅱ)、金属蛋白酶组织抑制剂1(TIMP-1)及细胞外基质(ECM)的影响,以探讨其改善颈椎病的作用机制。

方法

将40只SD大鼠随机分为假手术组、模型组、整脊疗法组和莫比可组,每组8只。采用动静力失衡法建立模型。整脊疗法组大鼠接受整脊治疗两个疗程,每天1次,每次14分钟,14天为一个疗程。莫比可组大鼠灌胃给予莫比可。采用免疫组织化学法检测椎间盘组织中MMP-1、MMP-3、MMP-13、COL-Ⅱ和TIMP-1的表达,采用蛋白质印迹法检测ECM的蛋白表达。

结果

与假手术组相比,模型组MMP-1、MMP-3、MMP-13的表达升高(均P<0.05),COL-Ⅱ、TIMP-1的表达降低(均P<0.05)。与模型组相比,整脊疗法组和莫比可组MMP-1、MMP-3、MMP-13的表达降低(均P<0.05),COL-Ⅱ、TIMP-1的表达升高(均P<0.05)。与假手术组相比,模型组ECM蛋白表达降低(P<0.05)。与模型组相比,整脊疗法组和莫比可组ECM蛋白表达升高(均P<0.05)。

结论

整脊疗法可能通过调节椎间盘ECM系统及相关代谢酶来改善颈椎病大鼠的退变。

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