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[针灸通过调节凋亡因子Caspase-3、Caspase-8和Caspase-9改善顺铂诱导的肝损伤的机制]

[Mechanism of acupuncture and moxibustion in ameliorating liver injury induced by DDP by regulating apoptosis factors Caspase-3, Caspase-8 and Caspase-9].

作者信息

Zhuang Yu, Lu Mei, Yu Dong-Dong, Wang Yong-Xin, Teng Ying-Chun, Chao Li-Qin, Ma Tian-Tian

机构信息

College of Acu-moxibustion and Tuina, Henan University of Chinese Medicine, Zhengzhou 450046, China.

College of Acu-moxibustion and Tuina, Henan University of Chinese Medicine, Zhengzhou 450046, China; The Third Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450008.

出版信息

Zhen Ci Yan Jiu. 2022 Jul 25;47(7):587-91. doi: 10.13702/j.1000-0607.20220065.

Abstract

OBJECTIVE

To investigate the mechanism of the effect of acupuncture and moxibustion on improving liver injury by observing the changes of cysteine protease (Caspase) associated with hepatocyte apoptosis based on cisplatin (DDP) induced liver injury model mice.

METHODS

Forty KM mice were randomly divided into control group, model group, acupuncture group and moxibustion group, with 10 mice in each group. The liver injury model was replicated by intraperitoneal injection of DDP. In the acupuncture group and the moxibustion group, acupuncture and moxibustion were performed at"Dazhui"(GV14), and bilateral "Ganshu"(BL18), "Shenshu"(BL23), and "Zusanli"(ST36), respectively, once per day for 5 d. General condition of mice in each group were observed;The activities of AST, ALT and GLDH in mice serum were detected by biochemical method. ELISA and Western blot assay were used to detect Caspase-3, Caspase-8 and Caspase-9 contents and protein expression in the liver tissues of each group of mice, respectively.

RESULTS

Compared with the control group, the general condition of the mice in the model group was poorer, and the Caspase-3, Caspase-8 and Caspase-9 contents and protein expressions in liver tissues and the activities of AST, ALT and GLDH in serum were increased (<0.05). Compared with the model group, the general condition of the mice in the acupuncture and moxibustion groups improved, and the Caspase-3, Caspase-8 and Caspase-9 contents and protein expressions in liver tissues and activities of AST, ALT and GLDH in serum were decreased (<0.05).

CONCLUSION

Acupuncture and moxibustion can reduce liver injury due to DDP chemotherapy by modulating the expression of apoptotic factors Caspase-3, Caspase-8 and Caspase-9 in liver tissues of DDP model mice and improving liver function, which may be one of the mechanisms of the effect of acupuncture and moxibustion to ameliorates liver injury after DDP chemotherapy.

摘要

目的

基于顺铂(DDP)诱导的肝损伤模型小鼠,通过观察与肝细胞凋亡相关的半胱天冬酶(Caspase)变化,探讨针灸改善肝损伤的作用机制。

方法

将40只KM小鼠随机分为对照组、模型组、针刺组和艾灸组,每组10只。通过腹腔注射DDP复制肝损伤模型。针刺组和艾灸组分别针刺和艾灸“大椎”(GV14)及双侧“肝俞”(BL18)、“肾俞”(BL23)、“足三里”(ST36),每天1次,共5天。观察各组小鼠的一般情况;采用生化方法检测小鼠血清中AST、ALT和GLDH的活性。分别采用ELISA和Western blot法检测各组小鼠肝组织中Caspase-3、Caspase-8和Caspase-9的含量及蛋白表达。

结果

与对照组比较,模型组小鼠一般情况较差,肝组织中Caspase-3、Caspase-8和Caspase-9的含量及蛋白表达以及血清中AST、ALT和GLDH的活性升高(<0.05)。与模型组比较,针刺组和艾灸组小鼠一般情况改善,肝组织中Caspase-3、Caspase-8和Caspase-9的含量及蛋白表达以及血清中AST、ALT和GLDH的活性降低(<0.05)。

结论

针灸可通过调节DDP模型小鼠肝组织中凋亡因子Caspase-3、Caspase-8和Caspase-9的表达及改善肝功能,减轻DDP化疗所致的肝损伤,这可能是针灸改善DDP化疗后肝损伤作用的机制之一。

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