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[电针对动脉粥样硬化家兔肝脏CYP7A1表达的影响]

[Effects of electroacupuncture on CYP7A1 expression in liver of rabbits with atherosclerosis].

作者信息

Zhang Shu-Hui, Cheng Ze-Dong

机构信息

College of Acupuncture-Moxibustion and Tuina, Liaoning University of TCM, Shenyang 110847, China.

出版信息

Zhongguo Zhen Jiu. 2019 Jan 12;39(1):59-64. doi: 10.13703/j.0255-2930.2019.01.013.

Abstract

OBJECTIVE

To observe the effects of electroacupuncture (EA) at "Neiguan" (PC 6), "Guanyuan" (CV 4) and "Zusanli" (ST 36) on CYP7A1 expression in liver of rabbits with atherosclerosis (AS), and to explore the mechanism of acupuncture for prevention and treatment of atherosclerosis.

METHODS

A total of 26 male rabbits were adaptively fed for 1 week in different cages. Seven rabbits were randomly divided into a blank group, and the remaining 19 rabbits were divided into a model group. The blank group was fed with normal diet, while the model group was fed with high-fat diet. After high-fat diet for 4 weeks, the rabbits in the model group were treated with balloon injury surgery of the common carotid artery; after surgery, the rabbits were fed with high-fat diet for 4 weeks. One rabbit was randomly selected from the blank group and model group to obtain the pathological section of carotid artery; the HE staining was used to observe the pathomorphology of atheromatous plaque to determine the success of modeling or not. After successful establishment of modeling, 18 rabbits were randomly divided into a AS model group, an EA group and a medication group, 6 rabbits in each one. The rabbits in the AS model group received no treatment; the rabbits in the medication group were treated with intragastric administration of atorvastatin calcium tablets; the rabbits in the EA group were treated with EA at "Neiguan" (PC 6), "Guanyuan" (CV 4) and "Zusanli" (ST 36), once a day, 20 min per treatment; six-day EA treatment constituted one course, and totally 4 courses were given with an interval of 1 day between courses. After treatment, vein blood was collected from rabbit ear, and cholesterol (CHO), triglyceride (TG), low-density lipoprotein (LDL) and high-density lipoprotein (HDL) were measured in each group; the CYP7A1 protein expression in rabbit liver was measured by Western blot method, and CYP7A1 mRNA expression in rabbit liver was measured by RT-PCR.

RESULTS

Compared with the blank group, the contents of CHO, TG and LDL in the AS model group were significantly increased, but HDL was significantly decreased, and the expression of CYP7A1 protein and CYP7A1 mRNA in the liver were significantly decreased (all <0.01). After treatment, compared with the model group, the contents of CHO, TG and LDL in the EA group and medication group were significantly reduced, but HDL was significantly increased, and the expression of CYP7A1 protein and CYP7A1 mRNA in the liver were significantly increased (all <0.01). The significant difference of each outcome between the EA group and medication group was not observed (all >0.05).

CONCLUSION

EA could significantly improve blood lipid and promote the expression of CYP7A1 mRNA in rabbits with atherosclerotic, which may be one of the mechanisms of EA for atherosclerosis.

摘要

目的

观察电针“内关”(PC 6)、“关元”(CV 4)和“足三里”(ST 36)对动脉粥样硬化(AS)家兔肝脏CYP7A1表达的影响,探讨针刺防治动脉粥样硬化的机制。

方法

26只雄性家兔分笼适应性喂养1周。7只家兔随机分为空白组,其余19只家兔分为模型组。空白组给予正常饮食,模型组给予高脂饮食。高脂饮食4周后,对模型组家兔行颈总动脉球囊损伤手术;术后继续高脂饮食4周。从空白组和模型组中各随机选取1只家兔获取颈动脉病理切片;采用HE染色观察动脉粥样斑块的病理形态,判断造模是否成功。造模成功后,将18只家兔随机分为AS模型组、电针组和药物组,每组6只。AS模型组家兔不做处理;药物组家兔灌胃给予阿托伐他汀钙片;电针组家兔电针“内关”(PC 6)、“关元”(CV 4)和“足三里”(ST 36),每日1次,每次20分钟;6天为1个疗程,共治疗4个疗程,疗程间间隔1天。治疗后,从兔耳采集静脉血,检测各组胆固醇(CHO)、甘油三酯(TG)、低密度脂蛋白(LDL)和高密度脂蛋白(HDL);采用Western blot法检测兔肝脏CYP7A1蛋白表达,采用RT-PCR法检测兔肝脏CYP7A1 mRNA表达。

结果

与空白组比较,AS模型组CHO、TG和LDL含量显著升高,HDL显著降低,肝脏CYP7A1蛋白和CYP7A1 mRNA表达显著降低(均P<0.01)。治疗后,与模型组比较,电针组和药物组CHO、TG和LDL含量显著降低,HDL显著升高,肝脏CYP7A1蛋白和CYP7A1 mRNA表达显著升高(均P<0.01)。电针组与药物组各观察指标比较差异均无统计学意义(均P>0.05)。

结论

电针可显著改善动脉粥样硬化家兔血脂水平,促进肝脏CYP7A1 mRNA表达,这可能是电针防治动脉粥样硬化的机制之一。

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