Department of Massage, The First Affiliated Hospital of Tianjin University of Chinese Medicine, Tianjin, China.
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China.
Bioengineered. 2021 Dec;12(1):6354-6363. doi: 10.1080/21655979.2021.1954134.
This study aimed to analyze the effect of lactobacillus johnsonii BS15 (isolation of homemade yogurt from Ahu Hongyuan Grassland) combined with abdominal massage on intestinal permeability in rats with nonalcoholic fatty liver disease (NAFLD) and cell biofilm repair. Forty-five rats were divided randomly into five groups, four of which were fed with high-fat diet to establish NAFLD models. According to the treatment methods, they were grouped into group A (lactic acid bacteria feeding), group B (abdominal massage), group A + B (a combination of the two methods), model group (distilled water feeding), and normal group (distilled water feeding). Then, the pathological indexes of liver and intestinal permeability were observed. FITC-Dextran content of the model group elevated markedly compared with normal group ( < 0.01), indicating that the intestinal permeability of NAFLD rats fed with high-fat diet increased. The intestinal permeability of groups A, B, and A + B was lower sharply than that of model group ( < 0.01), and the effect of group A + B was the most obvious. HE staining of liver tissues showed that combined treatment could improve structural changes in liver cells caused by modeling and restore the normal structure of intestinal cells. Lactobacillus combined with abdominal massage was better than two treatments alone, further promoting the permeability of intestinal mucosa in NAFLD rats and repair biofilm of hepatocytes. The results initially verified the intervention effect of abdominal massage on intestinal mucosal permeability, and further revealed the mechanism of abdominal massage in treatment of NAFLD by improving intestinal mucosal barrier permeability.
本研究旨在分析植物乳杆菌 BS15(自制酸奶分离自阿湖鸿源草原)联合腹部按摩对非酒精性脂肪肝病(NAFLD)大鼠肠通透性及细胞生物膜修复的影响。将 45 只大鼠随机分为 5 组,其中 4 组给予高脂饲料建立 NAFLD 模型,根据处理方法分为 A 组(乳酸杆菌喂养)、B 组(腹部按摩)、A + B 组(两种方法结合)、模型组(蒸馏水喂养)和正常组(蒸馏水喂养),观察各组大鼠的肝脏及肠通透性的病理指标变化。模型组大鼠的 FITC-Dextran 含量明显高于正常组( < 0.01),表明高脂饮食喂养的 NAFLD 大鼠肠通透性增加。A、B、A + B 组大鼠的肠通透性均明显低于模型组( < 0.01),且 A + B 组效果最明显。肝组织 HE 染色显示,联合治疗可以改善造模引起的肝细胞结构变化,恢复肠细胞的正常结构。与两种治疗方法单独使用相比,乳杆菌联合腹部按摩的效果更好,进一步促进了 NAFLD 大鼠肠黏膜通透性的改善和肝细胞生物膜的修复。该结果初步验证了腹部按摩对肠黏膜通透性的干预作用,进一步揭示了腹部按摩通过改善肠黏膜屏障通透性治疗非酒精性脂肪性肝病的机制。