Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Front Endocrinol (Lausanne). 2022 Jul 29;13:860100. doi: 10.3389/fendo.2022.860100. eCollection 2022.
To examine the effect of electroacupuncture on the urodynamics and gut microbiota of rats with stress urinary incontinence (SUI).
Thirty 2-month-old female Sprague-Dawley (SD) rats were randomly assigned to 4 groups: normal (N), model (M), nonacupoint electric acupuncture control (NAAC), and electroacupuncture (EA). An SUI rat model was established through vaginal balloon dilatation and bilateral oophorectomy. After various treatments, urodynamic tests were performed, and feces were collected. 16S rRNA sequencing analysis was used to investigate SUI-related changes in the intestinal flora.
After treatment, compared with those of the M group, the leak point pressure and maximum bladder capacity of the electroacupuncture groups increased (<0.05). The species community compositions of the N and M groups differed at the genus level, and there were 15 differentially abundant bacterial genera (<0.05). The Blautia proportion was increased by electroacupuncture treatment (<0.05) and was significantly positively correlated with the electroacupuncture treatment of SUI (according to Spearman correlation analysis).
Electroacupuncture treatment can improve signs of urine leakage in rats with SUI rats by increasing the leak point pressure and maximum bladder capacity. The enrichment of Blautia by electroacupuncture treatment enrichment may be related to SUI sign improvement.
探讨电针对压力性尿失禁(SUI)大鼠尿动力学和肠道微生物群的影响。
将 30 只 2 月龄雌性 Sprague-Dawley(SD)大鼠随机分为 4 组:正常(N)组、模型(M)组、非穴位电针对照组(NAAC)和电针(EA)组。通过阴道球囊扩张和双侧卵巢切除术建立 SUI 大鼠模型。经过各种处理后,进行尿动力学测试,并收集粪便。使用 16S rRNA 测序分析来研究与 SUI 相关的肠道菌群变化。
治疗后,与 M 组相比,电针组的漏点压和最大膀胱容量增加(<0.05)。N 组和 M 组的物种群落组成在属水平上存在差异,有 15 个差异丰度细菌属(<0.05)。电针治疗增加了布劳特氏菌的比例(<0.05),并且与电针对 SUI 的治疗效果呈显著正相关(根据 Spearman 相关分析)。
电针治疗可以通过增加漏点压和最大膀胱容量来改善 SUI 大鼠的漏尿迹象。电针治疗富集布劳特氏菌可能与改善 SUI 症状有关。