Ding Zhimin, Chen Tingyu, Zhang Lihong, Jin Xiaoqin, Liu Bin, Feng Xiaodong, Zheng Jie
School of Rehabilitation Medicine, Henan University of CM, Zhengzhou 450046, China.
School of Rehabilitation Medicine, Henan University of CM, Zhengzhou 450046, China; Rehabilitation Center, First Affiliated Hospital of Henan University of CM.
Zhongguo Zhen Jiu. 2024 Jun 12;44(6):661-8. doi: 10.13703/j.0255-2930.20230710-k0001.
To observe the effects of acupuncture on blood pressure, fecal short-chain fatty acids (SCFAs) and toll-like receptor 4 (TLR4)/myeloid differentiation factor 88 (MyD88)/nuclear factor-κB (NF-κB) signaling pathway in spontaneously hypertensive rats (SHR), and to explore the mechanism of acupuncture for anti-hypertension.
Twenty-four male SHR of SPF grade were randomly divided into a model group, a western medication group, an acupuncture group and a sham acupuncture group, with 6 rats in each group, and 6 male Wistar-Kyoto rats were selected as the blank group additionally. Hydrochlorothiazide solution was given by gavage in the western medication group; acupuncture was applied at bilateral "Renying" (ST 9) and "Zusanli" (ST 36) in the acupuncture group, 20 min a time; acupuncture was applied at the non-meridian and non-acupoint points close to bilateral "Renying" (ST 9) and "Zusanli" (ST 36) in the sham acupuncture group, 20 min a time. The intervention was adopted once a day for 4 weeks continuously in each group. The systolic blood pressure (SBP) of the caudal artery was measured before intervention and after 1, 2, 3 and 4 weeks of intervention. After intervention, the morphology of colonic tissue was observed by HE staining; the fecal level of SCFAs was detected by gas chromatography; the serum levels of interleukin (IL)-6, IL-1βand tumor necrosis factor-α (TNF-α) were detected by ELISA; the protein expression of TLR4, MyD88 and NF-κB p65 in the mesenteric artery was detected by Western blot.
Compared with the blank group, in the model group, the SBP was increased (<0.05), significant pathological changes could be found in the colonic tissue, the fecal SCFAs level was decreased (<0.05), the serum levels of IL-6, IL-1β and TNF-α were increased (<0.05), the protein expression of TLR4, MyD88 and NF-κB p65 in the mesenteric artery was increased (<0.05). Compared with the model group, the SBP after 2, 3 and 4 weeks of intervention was decreased (<0.05), the serum levels of IL-6, IL-1β and TNF-α were decreased (<0.05) in the acupuncture group and the western medication group; the mucosal epithelium of colonic tissue was intact, the number of intestinal glands was abundant, the fecal SCFAs level was increased (<0.05), and the protein expression of TLR4, MyD88 and NF-κB p65 in the mesenteric artery was decreased (<0.05) in the acupuncture group. Compared with the sham acupuncture group, the SBP after 2, 3 and 4 weeks of intervention was decreased (<0.05), the fecal SCFAs level was increased (<0.05), the serum levels of IL-6, IL-1β and TNF-α were decreased (<0.05), the protein expression of TLR4, MyD88 and NF-κB p65 in the mesenteric artery was decreased (<0.05) in the acupuncture group.
Acupuncture at bilateral "Renying" (ST 9) and "Zusanli" (ST 36) can effectively play an anti-hypertensive role in SHR. Its mechanism may be related to regulating fecal SCFAs level and inhibiting the TLR4/MyD88/NF-κB signaling pathway.
观察针刺对自发性高血压大鼠(SHR)血压、粪便短链脂肪酸(SCFAs)及Toll样受体4(TLR4)/髓样分化因子88(MyD88)/核因子κB(NF-κB)信号通路的影响,探讨针刺抗高血压的作用机制。
将24只SPF级雄性SHR随机分为模型组、西药组、针刺组和假针刺组,每组6只,另选6只雄性Wistar-Kyoto大鼠作为空白组。西药组给予氢氯噻嗪溶液灌胃;针刺组针刺双侧“人迎”(ST 9)和“足三里”(ST 36),每次20分钟;假针刺组针刺双侧“人迎”(ST 9)和“足三里”(ST 36)附近的非经非穴点,每次20分钟。每组每天干预1次,连续干预4周。干预前及干预1、2、3、4周后测量尾动脉收缩压(SBP)。干预后,采用HE染色观察结肠组织形态;采用气相色谱法检测粪便SCFAs水平;采用酶联免疫吸附测定法(ELISA)检测血清白细胞介素(IL)-6、IL-1β和肿瘤坏死因子-α(TNF-α)水平;采用蛋白质印迹法检测肠系膜动脉中TLR4、MyD88和NF-κB p65的蛋白表达。
与空白组比较,模型组SBP升高(P<0.05),结肠组织出现明显病理改变,粪便SCFAs水平降低(P<0.05),血清IL-6、IL-1β和TNF-α水平升高(P<0.05),肠系膜动脉中TLR4、MyD88和NF-κB p65蛋白表达升高(P<0.05)。与模型组比较,针刺组和西药组干预2、3、4周后SBP降低(P<0.05),血清IL-6、IL-1β和TNF-α水平降低(P<0.05);针刺组结肠组织黏膜上皮完整,肠腺数量丰富,粪便SCFAs水平升高(P<0.05),肠系膜动脉中TLR4、MyD88和NF-κB p65蛋白表达降低(P<0.05)。与假针刺组比较,针刺组干预2、3、4周后SBP降低(P<0.05),粪便SCFAs水平升高(P<0.05),血清IL-6、IL-1β和TNF-α水平降低(P<0.05),肠系膜动脉中TLR4、MyD88和NF-κB p65蛋白表达降低(P<0.05)。
针刺双侧“人迎”(ST 9)和“足三里”(ST 36)对SHR具有明显的降压作用,其机制可能与调节粪便SCFAs水平、抑制TLR4/MyD88/NF-κB信号通路有关。