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电针对前额叶皮质谷氨酸能通路的作用缓解 46-三硝基苯磺酸诱导的内脏痛。

Electroacupuncture Alleviates 46-Trinitrobenzene Sulfonic Acid-Induced Visceral Pain via the Glutamatergic Pathway in the Prefrontal Cortex.

机构信息

The First School of Clinical Medicine of Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310053, China.

Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310003, China.

出版信息

Oxid Med Cell Longev. 2023 Jan 19;2023:4463063. doi: 10.1155/2023/4463063. eCollection 2023.


DOI:10.1155/2023/4463063
PMID:36713031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9879690/
Abstract

Visceral pain caused by inflammatory bowel disease (IBD) greatly diminishes the quality of life in affected patients. Yet, the mechanism of how IBD causes visceral pain is currently not fully understood. Previous studies have suggested that the central nervous system (CNS) and gut-brain axis (GBA) play an important role in IBD-inducing visceral pain. As one of the treatments for IBD, electroacupuncture (EA) has been used to treat various types of pain and gastrointestinal diseases in clinical practice. However, whether EA relieves the visceral pain of IBD through the gut-brain axis has not been confirmed. To verify the relationship between visceral pain and CNS, the following experiments were conducted. H-NMR analysis was performed on the prefrontal cortex (PFC) tissue obtained from IBD rat models to determine the link between the metabolites and their role in EA treatment against visceral pain. Western blot assay was employed for detecting the contents of glutamate transporter excitatory amino acid transporters 2 (EAAT2) and the glutamate receptor N-methyl-D-aspartate (NMDA) to verify whether EA treatment can alleviate neurotoxic symptoms induced by abnormal increases of glutamate. Study results showed that the glutamate content was significantly increased in the PFC of TNBS-induced IBD rats. This change was reversed after EA treatment. This process was associated with increased EAAT2 expression and decreased expression of NMDA receptors in the PFC. In addition, an increase in intestinal glutamic-metabolizing bacteria was observed. In conclusion, this study suggests that EA treatment can relieve visceral pain by reducing glutamine toxicity in the PFC, and serves an alternative clinical utility.

摘要

炎症性肠病(IBD)引起的内脏疼痛极大地降低了受影响患者的生活质量。然而,IBD 如何引起内脏疼痛的机制目前尚未完全了解。先前的研究表明,中枢神经系统(CNS)和肠-脑轴(GBA)在 IBD 引起的内脏疼痛中发挥重要作用。作为 IBD 的一种治疗方法,电针(EA)已在临床实践中用于治疗各种类型的疼痛和胃肠道疾病。然而,EA 是否通过肠-脑轴缓解 IBD 的内脏疼痛尚未得到证实。为了验证内脏疼痛与中枢神经系统之间的关系,进行了以下实验。对 IBD 大鼠模型的前额叶皮层(PFC)组织进行 H-NMR 分析,以确定代谢物之间的联系及其在 EA 治疗内脏疼痛中的作用。采用 Western blot 检测谷氨酸转运体兴奋性氨基酸转运体 2(EAAT2)和谷氨酸受体 N-甲基-D-天冬氨酸(NMDA)的含量,以验证 EA 治疗是否可以减轻谷氨酸异常增加引起的神经毒性症状。研究结果表明,TNBS 诱导的 IBD 大鼠 PFC 中的谷氨酸含量显著增加。EA 治疗后这种变化得到了逆转。这一过程与 PFC 中 EAAT2 表达增加和 NMDA 受体表达减少有关。此外,还观察到肠道谷氨酸代谢细菌的增加。总之,这项研究表明,EA 治疗可以通过减轻 PFC 中的谷氨酰胺毒性来缓解内脏疼痛,为临床应用提供了一种替代方案。

相似文献

[1]
Electroacupuncture Alleviates 46-Trinitrobenzene Sulfonic Acid-Induced Visceral Pain via the Glutamatergic Pathway in the Prefrontal Cortex.

Oxid Med Cell Longev. 2023

[2]
Electroacupuncture Relieves Irritable Bowel Syndrome by Regulating IL-18 and Gut Microbial Dysbiosis in a Trinitrobenzene Sulfonic Acid-Induced Post-Inflammatory Animal Model.

Am J Chin Med. 2020-1-10

[3]
Electroacupuncture inhibits visceral pain via adenosine receptors in mice with inflammatory bowel disease.

Purinergic Signal. 2019-6-11

[4]
Analgesic effects of electroacupuncture at ST25 and CV12 in a rat model of postinflammatory irritable bowel syndrome visceral pain.

Acupunct Med. 2018-5-2

[5]
Effect of electroacupuncture on P2X3 receptor regulation in the peripheral and central nervous systems of rats with visceral pain caused by irritable bowel syndrome.

Purinergic Signal. 2015-9

[6]
Electroacupuncture relieves visceral hypersensitivity through modulation of the endogenous cannabinoid system.

Acupunct Med. 2023-8

[7]
P2Y12 receptor as a new target for electroacupuncture relieving comorbidity of visceral pain and depression of inflammatory bowel disease.

Chin Med. 2021-12-20

[8]
Electroacupuncture at different frequencies improves visceral pain in IBS rats through different pathways.

Neurogastroenterol Motil. 2024-10

[9]
Effects of electroacupuncture on corticotropin-releasing hormone in rats with chronic visceral hypersensitivity.

World J Gastroenterol. 2015-6-21

[10]
Electroacupuncture Attenuated Anxiety and Depression-Like Behavior via Inhibition of Hippocampal Inflammatory Response and Metabolic Disorders in TNBS-Induced IBD Rats.

Oxid Med Cell Longev. 2022

引用本文的文献

[1]
Global trends and performances of infrared imaging technology studies on acupuncture: a bibliometric analysis.

Front Neurosci. 2024-4-19

[2]
Electro-Acupuncture Effects Measured by Functional Magnetic Resonance Imaging-A Systematic Review of Randomized Clinical Trials.

Healthcare (Basel). 2023-12-19

[3]
Modulation of visceral pain by brain nuclei and brain circuits and the role of acupuncture: a narrative review.

Front Neurosci. 2023-11-1

本文引用的文献

[1]
[Electroacupuncture of "Shangjuxu"(ST37) and "Tianshu"(ST25) reduces colonic injury by suppressing NF-κB/NLRP3 signaling in rats with ulcerative colitis].

Zhen Ci Yan Jiu. 2022-4-25

[2]
Anti-Inflammatory Effects of Acupuncture at ST36 Point: A Literature Review in Animal Studies.

Front Immunol. 2021

[3]
Electroacupuncture alleviates spatial memory deficits in METH withdrawal mice by enhancing astrocyte-mediated glutamate clearance in the dCA1.

Addict Biol. 2022-1

[4]
Influence of herb-partitioned moxibustion at Qihai (CV6) and bilateral Tianshu (ST25) and Shangjuxu (ST37) acupoints on toll-like receptors 4 signaling pathways in patients with ulcerative coliti.

J Tradit Chin Med. 2021-6

[5]
Electroacupuncture regulates inflammatory cytokines by activating the vagus nerve to enhance antitumor immunity in mice with breast tumors.

Life Sci. 2021-5-1

[6]
Impact of Microbial Metabolites on Microbiota-Gut-Brain Axis in Inflammatory Bowel Disease.

Int J Mol Sci. 2021-2-5

[7]
Abdominal Pain After Pediatric Inflammatory Bowel Disease Diagnosis: Results From the ImproveCareNow Network.

J Pediatr Gastroenterol Nutr. 2020-12

[8]
Non-steroidal anti-inflammatory drugs (NSAIDs) and organ damage: A current perspective.

Biochem Pharmacol. 2020-7-10

[9]
Effect of electrically stimulating acupoint, Zusanli (ST 36), on patient's recovery after laparoscopic colorectal cancer resection: a randomized controlled trial.

J Tradit Chin Med. 2019-6

[10]
DDS-1 and UABla-12 Improve Abdominal Pain Severity and Symptomology in Irritable Bowel Syndrome: Randomized Controlled Trial.

Nutrients. 2020-1-30

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