Chen Min, He Qi-da, Guo Jing-Jing, Wu Qi-Biao, Zhang Qi, Yau Yuen-Ming, Xie Yu-Feng, Guo Zi-Yi, Tong Zi-Yan, Yang Zong-Bao, Xiao Lu
Faculty of Chinese Medicine and State Key Laboratory of Quality Research in Chinese Medicines, Macau University of Science and Technology, Macau, Macau SAR, China.
Department of Chinese Medicine, The Fifth Affiliated Hospital of Zunyi Medical University, Zhuhai, China.
Front Endocrinol (Lausanne). 2022 Jul 25;13:882214. doi: 10.3389/fendo.2022.882214. eCollection 2022.
As per the theory of traditional Chinese medicine (TCM), the liver and kidney dysfunction are important pathogenies for premature ovarian failure (POF). POF is a common gynecological disease that reduced the pregnancy rate. Electro-acupuncture (EA) is a useful non-pharmaceutical therapy that supposedly regulates the function of the liver and kidney in the treatment of POF with TCM. However, the underlying mechanism of EA in the treatment of POF has not been adequately studied through metabonomics with reference to the theory of TCM. Accordingly, we investigated the effect of EA on the liver and kidney metabolites in POF mice through metabolomics. POF mice were established intraperitoneal injection of cisplatin. Both Sanyinjiao (SP6) and Guanyuan (CV4) were stimulated by EA for 3 weeks. The biological samples (including the serum and the ovary, liver, and kidney tissues) were evaluated by histopathology, molecular biology, and hydrogen-1 nuclear magnetic resonance (HNMR)-based metabolomics to assess the efficacy of EA. HNMR data were analyzed by the orthogonal partial least squares discriminant analysis (OPLS-DA). The results revealed that EA was beneficial to ovarian function and the menstrual cycle of POF. Both the energy metabolism and neurotransmitter metabolism in the liver and kidney were regulated by EA. Notably, EA played an important role in regulating energy-related metabolism in the kidney, and the better effect of neurotransmitter-related metabolism in the liver was regulated by EA. These findings indicated that the ovarian functions could be improved and the metabolic disorder of the liver and kidney caused by POF could be regulated by EA. Our study results thus suggested that the EA therapy, based on the results for the liver and kidney, were related to POF in TCM, as preliminarily confirmed through metabolomics.
根据中医理论,肝肾亏虚是卵巢早衰(POF)的重要发病机制。POF是一种常见的妇科疾病,会降低妊娠率。电针(EA)是一种有效的非药物疗法,据推测在中医治疗POF中可调节肝肾的功能。然而,通过代谢组学结合中医理论对EA治疗POF的潜在机制尚未进行充分研究。因此,我们通过代谢组学研究了EA对POF小鼠肝肾代谢产物的影响。通过腹腔注射顺铂建立POF小鼠模型。对三阴交(SP6)和关元(CV4)进行电针刺激3周。通过组织病理学、分子生物学以及基于氢-1核磁共振(HNMR)的代谢组学对生物样本(包括血清以及卵巢、肝脏和肾脏组织)进行评估,以评估EA的疗效。通过正交偏最小二乘法判别分析(OPLS-DA)对HNMR数据进行分析。结果显示,EA对POF的卵巢功能和月经周期有益。EA可调节肝肾中的能量代谢和神经递质代谢。值得注意的是,EA在调节肾脏中与能量相关的代谢方面发挥重要作用,并且EA对肝脏中与神经递质相关的代谢调节效果更好。这些发现表明,EA可改善卵巢功能,并调节POF引起的肝肾代谢紊乱。因此,我们的研究结果表明,基于肝肾研究结果的EA疗法与中医理论中POF相关,这通过代谢组学得到了初步证实。