Zhao Xian, Hou Mi
Shaanxi University of TCM, Xianyang 712046, China.
Yan'an City Hospital of TCM.
Zhongguo Zhen Jiu. 2017 Dec 12;37(12):1309-14. doi: 10.13703/j.0255-2930.2017.12.015.
To observe the effects of acupuncture combined with granule on breast tissue, prolactin(PRL) and prolactin receptor (PRLR) expression in rats with mammary gland hyperplasia (MGH), and to explore its action mechanism to provide reference for clinical treatment of MGH.
Fifty-five female SD rats were randomly divided into a blank group, a model group, an acupuncture group, a Rule granule group and a combination group. Except the blank group, the rats in the remaining groups were treated with combined stimulation of estrogenic and progestational hormone to establish MGH model. After model establishment, the rats in the acupuncture group were treated with acupuncture at Plan A of "Tianzong" (SI 11), "Ganshu" (BL 18), "Zusanli" (ST 36) and Plan B of "Wuyi" (ST 15), "Hegu" (LI 4), "Danzhong" (CV 17). Each plan was selected for one acupuncture treatment, and two plans were used alternately. The rats in the Rule granule group were treated with oral administration of granule, 3 mL per times. The rats in the combination group were treated with the same granule, followed by acupuncture, once a day. After consecutive 30-day treatment, blood sample was collected from abdominal aorta; ELISA method was applied to measure the contents of PRL; the HE slice of mammary gland was observed under light microscope; the SABC immunohistochemical method was applied to measure the positive expression of PRLR.
The morphology of breast tissue in the model group was consistent with MGH. Compared with the blank group, the serum PRL and the expression of PRLR were increased significantly in the model group (both <0.01). Compared with the model group, the hyperplasia of mammary gland in each treatment group was improved, and serum PRL and expression of PRLR were significantly reduced (<0.05, <0.01), which were more significant in the combination group (both <0.05).
Acupuncture, granule and its combination could effectively treat MGH, which is likely to reduce the level of serum PRL and inhibit the binding of PRL to PRLR, as a result, the level of E is indirectly inhibited, and the hyperplastic mammary gland is recovered. Compared with acupuncture or granule, the combination of both has better overall efficacy.
观察针刺联合颗粒剂对乳腺增生(MGH)大鼠乳腺组织、催乳素(PRL)及催乳素受体(PRLR)表达的影响,探讨其作用机制,为MGH的临床治疗提供参考。
将55只雌性SD大鼠随机分为空白组、模型组、针刺组、乳癖颗粒组和联合组。除空白组外,其余各组大鼠采用雌激素和孕激素联合刺激建立MGH模型。造模后,针刺组大鼠取“天宗”(SI 11)、“肝俞”(BL 18)、“足三里”(ST 36)方案A及“屋翳”(ST 15)、“合谷”(LI 4)、“膻中”(CV 17)方案B进行针刺治疗。每次选取一个方案进行针刺,两个方案交替使用。乳癖颗粒组大鼠采用颗粒剂灌胃,每次3 mL。联合组大鼠采用相同颗粒剂灌胃后针刺,每日1次。连续治疗30 d后,经腹主动脉采血;采用ELISA法检测PRL含量;光镜下观察乳腺HE切片;采用SABC免疫组化法检测PRLR阳性表达。
模型组大鼠乳腺组织形态符合MGH表现。与空白组比较,模型组大鼠血清PRL及PRLR表达均显著升高(均P<0.01)。与模型组比较,各治疗组大鼠乳腺增生均有改善,血清PRL及PRLR表达均显著降低(P<0.05,P<0.01),联合组更显著(均P<0.05)。
针刺、乳癖颗粒及其联合应用均可有效治疗MGH,可能是通过降低血清PRL水平,抑制PRL与PRLR结合,从而间接抑制E水平,使增生的乳腺组织恢复。与针刺或乳癖颗粒比较,两者联合应用整体疗效更佳。