Li Yue-Jie, Yang Na-Na, Huang Jin, Lin Lu-Lu, Qi Ling-Yu, Ma Si-Ming, Hu Cheng-Xin, Wang Yu, Yang Jing-Wen, Liu Cun-Zhi
International Acupuncture and Moxibustion Innovation Institute, School of Acupuncture-Moxibustion and Tunia, Beijing University of Chinese Medicine, 11 Beisanhuan East Road, Chaoyang District, Beijing 100029, China.
School of Acupuncture-Moxibustion and Tunia, Beijing University of Chinese Medicine, Shandong 250300, China.
Evid Based Complement Alternat Med. 2022 Feb 1;2022:6548623. doi: 10.1155/2022/6548623. eCollection 2022.
Although, acupoint specificity is regarded as the core of scientific issues in electroacupuncture (EA), the difference of EA on treating functional dyspepsia (FD) at different acupoints is unclear. Therefore, this study aims to investigate the different therapeutic effects of EA at lower extremity or abdominal acupoints on the mucosal integrity and lower-inflammatory response in FD. The intragastric administration of iodoacetamide (IA) was performed in 48 rats to establish the FD model. These rats were randomly divided into the control group, the model group and the six EA groups receiving stimulation at the lower extremity (ST36, ST37, and ST39) or abdominal acupoints (ST25, CV4, and CV12) separately. The open-field test (OFT) was measured after 8 weeks of IA, and gastric emptying was evaluated after 10 days of the EA treatment. The local inflammation markers of CD45, eosinophil major basic protein (EMBP), and the tight junction proteins ZO1 and Claudin3 were assessed by immunofluorescence in all groups. Western blot analysis showed that the EMBP and Occludin1 levels in the duodenal. EA at lower extremity acupoint ST36 could improve the gastric emptying. EA at lower extremity acupoints reduced the immunoreactivity of EMBP, but the CD45 was reregulated by the ST37 and ST39 acupoints. The lower extremity acupoints also ameliorated FD-tight junction protein in the expression of Claudin3 and ZO1. However, only the ST36 suppressed the expression of EMBP and recovered the expression of Occludin1. Similarly, the effect of EA at abdominal acupoints was not obvious either in facilitating gastric motility or in improving inflammatory and mucosal injury. EA at lower extremity and abdominal acupoints with the same stimulation parameters had different therapeutic effects in gastric emptying, intestinal mucosal integrity, and inflammation response, thus proving the specificity of acupoints.
尽管穴位特异性被视为电针科学问题的核心,但电针在不同穴位治疗功能性消化不良(FD)的差异尚不清楚。因此,本研究旨在探讨电针刺激下肢或腹部穴位对FD患者黏膜完整性和低炎症反应的不同治疗效果。对48只大鼠进行胃内注射碘乙酰胺(IA)以建立FD模型。这些大鼠被随机分为对照组、模型组和六个电针组,分别接受下肢(足三里、上巨虚、下巨虚)或腹部穴位(天枢、中脘、建里)的刺激。在IA注射8周后进行旷场试验(OFT),并在电针治疗10天后评估胃排空情况。通过免疫荧光法评估所有组中CD45、嗜酸性粒细胞主要碱性蛋白(EMBP)以及紧密连接蛋白ZO1和Claudin3的局部炎症标志物。蛋白质免疫印迹分析表明,十二指肠中EMBP和闭合蛋白1的水平。下肢穴位足三里电针可改善胃排空。下肢穴位电针降低了EMBP的免疫反应性,但上巨虚和下巨虚穴位对CD45有调节作用。下肢穴位还改善了FD紧密连接蛋白Claudin3和ZO1的表达。然而,只有足三里抑制了EMBP的表达并恢复了闭合蛋白1的表达。同样,腹部穴位电针在促进胃动力或改善炎症和黏膜损伤方面的效果也不明显。具有相同刺激参数的下肢和腹部穴位电针在胃排空、肠黏膜完整性和炎症反应方面具有不同的治疗效果,从而证明了穴位的特异性。