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[电针对心肌缺血小鼠心肌组织中交感神经相关物质的影响]

[Effects of electroacupuncture on sympathetic nerve-related substance in myocardial tissue in mice with myocardial ischemia].

作者信息

Yuan Jing, Wang Jun-Meng, Cai Yun, Fu Shu-Ping, Zhu Bing-Mei, Lu Sheng-Feng

机构信息

Key Laboratory of Acupuncture and Medicine of Ministry of Education, Nanjing University of CM, Nanjing 210023, Jiangsu Province, China.

Regenerative Medicine Research Center, West China Hospital, Affiliated to Sichuan University.

出版信息

Zhongguo Zhen Jiu. 2019 May 12;39(5):501-6. doi: 10.13703/j.0255-2930.2019.05.011.

Abstract

OBJECTIVE

To observe the effects of electroacupuncture (EA) on sympathetic nerve-related substance in myocardial tissue in mice with myocardial ischemia (MI), and to explore its possible mechanism.

METHODS

Thirty adult male C57BL/6 mice were randomly divided into a sham operation group, a model group and an EA group, 10 mice in each one. The model of MI was established in the model group and EA group by ligating the left anterior descending branch of coronary artery. The mice in the sham operation group were not treated with ligating at left anterior descending branch of coronary artery, but the remaining procedure was similar with the model group. The mice in the EA group were treated with EA at "Neiguan" (PC 6) with 2 Hz/100 Hz of frequency and 2 mA of intensity, 20 min per treatment, once a day for totally 5 days. No EA was given for model group and sham operation group. The electrocardiogram was recorded and △ST value was calculated to evaluate the model. TTC staining was applied to evaluate the infarct size. Immunohistochemical (IHC) method was applied to evaluate the positive nerve fiber density in myocardial tissue. Western blot method was applied to test the protein expression levels of neuregulin-1 (NRG-1), tyrosine hydroxylase (TH), growth associated protein-43 (GAP-43).

RESULTS

The electrocardiogram (lead II) results indicated compared with the sham operation group, the S-T segments in the model group and EA group were increased obviously (both <0.01), indicating the MI model was established successfully. The TTC staining results indicated compared with sham operation group, the infarction size was significantly increased in the model group (<0.01); compared with the model group, the infarction size in the EA group was significantly reduced (<0.01). The IHC results indicated compared with the sham operation group, the positive nerve fiber density in myocardial was increased in the model group (<0.01); compared with the model group, the positive nerve fiber density in myocardial was reduced in the EA group (<0.05). The Western blot results indicated compared with the sham operation group, the expression levels of TH, NRG-1 and GAP-43 were significantly increased in the model group (<0.01); compared with the model group, the expression level of TH and GAP-43 were significantly reduced (<0.01) and that of NRG-1 was increased in the EA group (<0.05).

CONCLUSION

EA could increase the expression of NRG-1 and reduce the expression of TH and GAP-43 in myocardial tissues in MI mice, which could suppress sympathetic nerve hyperexcitability after infarction to achieve myocardial protection effect.

摘要

目的

观察电针(EA)对心肌缺血(MI)小鼠心肌组织中交感神经相关物质的影响,并探讨其可能机制。

方法

30只成年雄性C57BL/6小鼠随机分为假手术组、模型组和电针组,每组10只。模型组和电针组通过结扎冠状动脉左前降支建立MI模型。假手术组小鼠不进行冠状动脉左前降支结扎处理,其余操作同模型组。电针组小鼠于“内关”(PC 6)穴采用频率2 Hz/100 Hz、强度2 mA进行电针治疗,每次治疗20 min,每天1次,共5天。模型组和假手术组不给予电针治疗。记录心电图并计算△ST值以评估模型。采用TTC染色评估梗死面积。采用免疫组织化学(IHC)方法评估心肌组织中阳性神经纤维密度。采用蛋白质免疫印迹法检测神经调节蛋白-1(NRG-1)、酪氨酸羟化酶(TH)、生长相关蛋白-43(GAP-43)的蛋白表达水平。

结果

心电图(Ⅱ导联)结果显示,与假手术组比较,模型组和电针组S-T段明显抬高(均P<0.01),提示MI模型成功建立。TTC染色结果显示,与假手术组比较,模型组梗死面积显著增大(P<0.01);与模型组比较,电针组梗死面积显著减小(P<0.01)。IHC结果显示,与假手术组比较,模型组心肌中阳性神经纤维密度增加(P<0.01);与模型组比较,电针组心肌中阳性神经纤维密度降低(P<0.05)。蛋白质免疫印迹结果显示,与假手术组比较,模型组TH、NRG-1和GAP-43表达水平显著升高(P<0.01);与模型组比较,电针组TH和GAP-43表达水平显著降低(P<0.01),NRG-1表达水平升高(P<0.05)。

结论

电针可增加MI小鼠心肌组织中NRG-1的表达,降低TH和GAP-43的表达,抑制梗死后交感神经的过度兴奋,从而发挥心肌保护作用。

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