Wang Kun, Ma Lin, Wang Hua, Tang Chun-Zhi, Huang De-Yu
Health College in Guangdong Pharmaceutical University, Guangzhou 510310, China.
Department of General Internal Medicine, Chenxinghai Hospital, Zhongshan 528415, Guangdong Province;3Clinical Medical College of Acupuncture-Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou 510405;4Foshan Renhe Hospital of Chinese Medicine, Foshan 528000, Guangdong Province.
Zhen Ci Yan Jiu. 2018 Nov 25;43(11):682-6. doi: 10.13702/j.1000-0607.180178.
To observe the impact of catgut embedding on histopathological changes and expression of phosphorylated-Janus kinase-2 (p-JAK 2), phosphorylated-signal transducer and activator of transcription 3 (p-STAT 3), Cyclin D 1, Bcl-2, and suppressor of cytokine signaling (SOCS) of the gastric mucosa in chronic atrophic gastritis (CAG) rats, so as to explore its mechanisms underlying improving CAG.
Forty-one SD rats were randomly divided into normal (=12), model (=9), natural recovery (=10) and catgut embedding (=10) groups. The CAG model was established by free drinking of N-methyl-N'-nitro-N-nitroso-guanidine (MNNG) solution (100µg/mL) and irregular diet for 24 weeks. Catgut embedding was applied at bilateral "Zusanli" (ST 36), "Pishu" (BL 20) and "Zhongwan" (CV 12), once every 10 days, 6 times altogether. The histopathological changes of the gastric mucosa were observed by naked eye and light microscope after H.E. staining. Wes-tern blot was used to detect the expression of p-JAK 2, p-STAT 3, CyclinD 1, Bcl-2 and SOCS 3 proteins in the gastric antrum tissue.
After modeling, the regional gastric tissue showed pale thinner gastric wall, and poorer elasticity with fewer plica, congestion of blood vessels, reduction of regional glands with necrosis and disordered arrangement as well as evident hyperplasia of the connective tissue, which was evidently milder in the catgut embedding group. Compared with the normal group, the expression levels of p-JAK 2, p-STAT 3, CyclinD 1, Bcl-2, SOCS 3 proteins were significantly up-regulated in both model group and natural recovery group (<0.01), without significant differences between the latter two groups (>0.05). After catgut embedding intervention, the expression levels of p-JAK 2, p-STAT 3, Cyclin D 1, Bcl-2 proteins were considerably down-regulated (<0.01), and that of SOCS 3 protein was notably further increased relevant to the natural recovery group (<0.01)..
Catgut embedding may improve pathological changes of gastric mucosa in CAG rats, which possibly associated with its effects in up-regulating gastric SOCS 3 protein expression and in inhibiting the activation of JAK 2-STAT 3 signaling pathway to reduce the expression of CyclinD 1 and Bcl-2 proteins.
观察埋线对慢性萎缩性胃炎(CAG)大鼠胃黏膜组织病理变化及磷酸化- Janus激酶2(p-JAK 2)、磷酸化-信号转导子和转录激活子3(p-STAT 3)、细胞周期蛋白D1(Cyclin D 1)、B细胞淋巴瘤/白血病-2(Bcl-2)及细胞因子信号转导抑制因子(SOCS)表达的影响,探讨其改善CAG的作用机制。
41只SD大鼠随机分为正常组(12只)、模型组(9只)、自然恢复组(10只)和埋线组(10只)。采用自由饮用N-甲基-N'-硝基-N-亚硝基胍(MNNG)溶液(100μg/mL)并结合不规则饮食的方法建立CAG模型,持续24周。于双侧“足三里”(ST 36)、“脾俞”(BL 20)和“中脘”(CV 12)进行埋线,每10天埋线1次,共6次。HE染色后,肉眼及光镜下观察胃黏膜组织病理变化。采用蛋白质免疫印迹法检测胃窦组织中p-JAK 2、p-STAT 3、CyclinD 1、Bcl-2及SOCS 3蛋白的表达。
造模后,局部胃组织胃壁变薄、苍白,弹性较差,皱襞减少,血管充血,局部腺体减少,伴有坏死及排列紊乱,结缔组织明显增生,埋线组上述变化明显减轻。与正常组比较,模型组和自然恢复组p-JAK 2、p-STAT 3、CyclinD 1、Bcl-2、SOCS 3蛋白表达水平均显著上调(P<0.01),后两组间比较差异无统计学意义(P>0.05)。埋线干预后,p-JAK 2、p-STAT 3、Cyclin D 1、Bcl-2蛋白表达水平显著下调(P<0.01),SOCS 3蛋白表达水平较自然恢复组显著进一步升高(P<0.01)。
埋线可改善CAG大鼠胃黏膜病理改变,其机制可能与上调胃组织SOCS 3蛋白表达、抑制JAK 2-STAT 3信号通路激活、降低CyclinD 1和Bcl-2蛋白表达有关。