Guo Xinrong, Li Yufeng, Zhang Shanshan, Zhang Jialang, Liu Qinlang, Cheng Jingwei, Ma Xiaojun
College of Acupuncture-Moxibustion and Tuina, Shaanxi University of CM, Xianyang 712046, China.
Zhongguo Zhen Jiu. 2018 Aug 12;38(8):857-63. doi: 10.13703/j.0255-2930.2018.08.016.
To study the regulating effect of thyroid pathway on electroacupuncture (EA) for mammary gland hyperplasia (MGH) so as to provide new research ideas for the mechanism of EA for MGH and to provide the evidence for clinical application.
Sixty adult female SD rats were randomly divided into a blank group, a model group, an EA group, an EA with thyroidectomy group, an EA with sham operation group, 12 rats in each one. Except the blank group, the MGH model was established. Thyroid ablation was performed in the EA with thyroidectomy group, and sham operation was used in the EA with sham operation group, exposing thyroid without excision, 1 day after model establishment. EA was applied in the EA, the EA with thyroidectomy, and the EA with sham operation groups on the 4th day after model establishment, and not used in the other groups, but catching, routine disinfection and fixation were all the same as the above groups. The acupoints in the group A were bilateral "Tianzong" (SI 11), "Ganshu" (BL 18) and "Zusanli" (ST 36); and those in the group B were bilateral "Wuyi" (ST 15), "Hegu" (LI 4) and "Danzhong" (CV 17). The two groups of points were alternately used. EA, continuous wave, 2 Hz and 1 mA, was connected at "Tianzong" (SI 11) and "Ganshu" (BL 18), "Wuyi" (ST 15) and "Hegu" (LI 4) at the same side, 2 pairs EA a time, 20 min a time, once a day. All the intervention was given for 4 courses, 5 times as 1 course with 2 days between courses. After intervention, the height and diameter of the rat papilla were measured. Estrogen (E) and progestational hormone (P) in the serum were detected by enzyme linked immunosorbent assay (ELISA), and the contents and protein expression of estrogen receptor α (ERα) and progesterone receptor (PR) in the mammary glands were detected by immunofluorescence and Western-blot.
(1) The height and diameter of papilla in the model group increased compared with those in the blank group (both <0.01). The height and diameter of papilla in the EA, EA with sham operation groups reduced compared with those in the model group (all <0.01). Those in the EA with thyroidectomy group were lower than those in the model group, without statistical significance (both >0.05). (2) Compared with the blank group, E increased and P decreased in the model group (both <0.01). Compared with the model group, E decreased and P increased in the EA and EA with sham operation groups (all <0.01). The contents of E and P had no statistical significance between the model and the EA with thyroidectomy groups (both >0.05). (3) Compared with the blank group, the ERα content and protein expression increased and the PR content and protein expression decreased in the model group (all <0.01). Compared with the model group, the ERα content and protein expression decreased and the PR content and protein expression increased in the EA and EA with sham operation groups (all <0.01). The ERα and PR content and protein expression had no statistical significance between the model and the EA with thyroidectomy groups (all >0.05).
The effect of EA for MGH may be closely related to the regulation of thyroid.
研究甲状腺通路对电针治疗乳腺增生(MGH)的调节作用,为电针治疗MGH的机制提供新的研究思路,并为临床应用提供依据。
将60只成年雌性SD大鼠随机分为空白组、模型组、电针组、电针加甲状腺切除组、电针加假手术组,每组12只。除空白组外,其余各组均建立MGH模型。电针加甲状腺切除组于造模后1天进行甲状腺切除,电针加假手术组行假手术,暴露甲状腺但不切除。造模后第4天,电针组、电针加甲状腺切除组、电针加假手术组进行电针治疗,其余组不进行电针治疗,但抓取、常规消毒和固定与上述各组相同。A组穴位为双侧“天宗”(SI 11)、“肝俞”(BL 18)和“足三里”(ST 36);B组穴位为双侧“屋翳”(ST 15)、“合谷”(LI 4)和“膻中”(CV 17)。两组穴位交替使用。电针采用连续波,频率2Hz,强度1mA,连接同侧“天宗”(SI 11)与“肝俞”(BL 18)、“屋翳”(ST 15)与“合谷”(LI 4),每次2对穴位,每次20分钟,每天1次。所有干预均进行4个疗程,5次为1个疗程,疗程间间隔2天。干预后,测量大鼠乳头的高度和直径。采用酶联免疫吸附测定(ELISA)法检测血清中雌激素(E)和孕激素(P)水平,采用免疫荧光和Western-blot法检测乳腺组织中雌激素受体α(ERα)和孕激素受体(PR)的含量及蛋白表达。
(1)与空白组相比,模型组乳头高度和直径增加(均P<0.01)。与模型组相比,电针组、电针加假手术组乳头高度和直径降低(均P<0.01)。电针加甲状腺切除组乳头高度和直径低于模型组,但差异无统计学意义(均P>0.05)。(2)与空白组相比,模型组E升高、P降低(均P<0.01)。与模型组相比,电针组、电针加假手术组E降低、P升高(均P<0.01)。模型组与电针加甲状腺切除组E、P水平差异无统计学意义(均P>0.05)。(3)与空白组相比,模型组ERα含量及蛋白表达增加、PR含量及蛋白表达降低(均P<0.01)。与模型组相比,电针组、电针加假手术组ERα含量及蛋白表达降低、PR含量及蛋白表达增加(均P<0.01)。模型组与电针加甲状腺切除组ERα、PR含量及蛋白表达差异无统计学意义(均P>0.05)。
电针治疗MGH的效应可能与甲状腺的调节密切相关。