Tu Wenzhan, Chen Xiaolong, Wu Qiaoyun, Ying Xinwang, He Rong, Lou Xinfa, Yang Guanhu, Zhou Kecheng, Jiang Songhe
1Department of Physical Medicine and Rehabilitation, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang China.
2Integrative & Optimized Medicine Research Center, China-USA Institute for Acupuncture and Rehabilitation, Wenzhou Medical University, 268 Xue Yuan Xi Road, Wenzhou City, Zhejiang 325027 People's Republic of China.
J Inflamm (Lond). 2020 Feb 10;17:4. doi: 10.1186/s12950-020-0236-9. eCollection 2020.
Acupoint application therapy (AAT) has been widely used to treat allergic inflammation induced by allergic rhinitis (AR). The therapeutic effect of acupoint application is obvious. But the underlying therapeutic mechanism is still indistinct. Nerve growth factor (NGF) expression showed a dramatic rise in nasal mucosa tissue after AR, and allergic inflammation also increased significantly. To demonstrate how AAT can improve allergic inflammation by down-regulating the expression of NGF, AR rat models were established by intraperitoneal injection of ovalbumin (OVA) and nasal drops in SD rats. The number of nasal rubbing, sneezing and the degree of runny nose were observed and the symptoms were scored by behavioral symptom scoring method within 3 min. The expression levels of NGF and its downstream key proteins, such as IL-4, IL-5, IL-13, IgE and IFN-γ were determined by q-PCR, Western blot analysis, ELISA and immunofluorescence staining. Furthermore, H&E staining and toluidine blue staining were used to observe the pathological structure of nasal mucosa and mast cells in nasal mucosa, and the ultrastructure of nasal mucosa was observed by electron microscopy.
Our data demonstrated that acupoint application significantly reduced the score of behavioral symptoms, and decreased the expression levels of NGF and its downstream key proteins, including IL-4, IL-5, IL-13, IgE, as well as promoting the expression level of IFN-γ in nasal mucosa tissue in AR rats. Thus, the activation of IgE and viability of mast cells was inhibited.
Our findings suggest that AAT can attenuate allergic inflammation by inhibiting the expression of NGF and its downstream pathway.
穴位敷贴疗法(AAT)已被广泛用于治疗变应性鼻炎(AR)引起的变应性炎症。穴位敷贴的治疗效果明显。但其潜在的治疗机制仍不明确。AR后鼻黏膜组织中神经生长因子(NGF)表达显著升高,变应性炎症也明显增加。为了证明AAT如何通过下调NGF的表达来改善变应性炎症,通过腹腔注射卵清蛋白(OVA)和滴鼻法在SD大鼠中建立AR大鼠模型。观察3分钟内鼻擦次数、喷嚏次数及流涕程度,采用行为症状评分法对症状进行评分。采用q-PCR、Western blot分析、ELISA和免疫荧光染色法检测NGF及其下游关键蛋白如IL-4、IL-5、IL-13、IgE和IFN-γ的表达水平。此外,采用苏木精-伊红(H&E)染色和甲苯胺蓝染色观察鼻黏膜的病理结构及鼻黏膜中的肥大细胞,并用电子显微镜观察鼻黏膜的超微结构。
我们的数据表明,穴位敷贴显著降低了行为症状评分,降低了AR大鼠鼻黏膜组织中NGF及其下游关键蛋白(包括IL-4、IL-5、IL-13、IgE)的表达水平,并促进了IFN-γ的表达水平。因此,抑制了IgE的激活和肥大细胞的活性。
我们的研究结果表明,AAT可通过抑制NGF及其下游通路的表达来减轻变应性炎症。