Key Laboratory of Acupuncture and Immunological Effects, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China.
2 Shanghai Research Institute of Acupuncture and Meridian, Shanghai 200030, China.
J Tradit Chin Med. 2024 Oct;44(5):981-990. doi: 10.19852/j.cnki.jtcm.2024.05.005.
OBJECTIVE: To investigate the role of satellite glial cells in irritable bowel syndrome (IBS) and the effect of electroacupuncture (EA) at the Tianshu (ST25) and Shangjuxu (ST37) combination. METHODS: A model for visceral hypersensitivity in IBS was induced through colorectal distension (CRD) stimulation. Clean-grade male Sprague-Dawley (SD) rats were randomly divided into four groups: a normal group (NG), a model group (MG), an electroacupuncture group (EA), and a glial cell inhibitor group (FCA). Bilateral EA (2/100 Hz, 1 mA, 30 min) was administered at the Tianshu (ST25) and Shangjuxu (ST37) in week 6. Abdominal withdrawal reflex (AWR) scores were used to assess the behavioral response associated with visceral hyperalgesia, while hematoxylin-eosin staining was employed to evaluate pathological changes in the colon. The protein and mRNA levels of glial fibrillary acidic protein (GFAP) in the colon and colon-related dorsal root ganglion (DRG) were analyzed using immun-ofluorescence, immun-ohistochemistry, Western blotting, real-time polymerase chain reaction. The impact of EA on electrophysiological properties of colon-related DRG neurons was observed through whole-cell patch clamp analysis. RESULTS: EA significantly reduced the visceral pain behavior scores in rats with IBS in response to graded (20, 40, 60, 80 mm Hg) CRD stimulation. Additionally, EA downregulated the protein and mRNA expression levels of GFAP in the colon and colon-related DRG of rats with IBS. EA also regulated the resting membrane potential, rheobase and action potential of colon-related DRG neurons in rats with IBS. CONCLUSIONS: EA can regulate the excitatory properties of colon-related DRG neurons by downregulating the protein and mRNA expression of GFAP in the colon and colon-related DRG, indicating a potential neurobiological mechanism by which EA relieves visceral hypersensitivity in rats with IBS.
目的:探讨卫星胶质细胞在肠易激综合征(IBS)中的作用及天枢(ST25)和上巨虚(ST37)电针组合的效应。
方法:通过结直肠扩张(CRD)刺激诱导 IBS 内脏高敏模型。将清洁级雄性 Sprague-Dawley(SD)大鼠随机分为 4 组:正常组(NG)、模型组(MG)、电针组(EA)和神经胶质细胞抑制剂组(FCA)。第 6 周时,双侧天枢(ST25)和上巨虚(ST37)给予电针(2/100 Hz,1 mA,30 min)。采用腹壁退缩反射(AWR)评分评估与内脏痛觉过敏相关的行为反应,同时采用苏木精-伊红染色评估结肠的病理变化。采用免疫荧光、免疫组化、Western blot、实时聚合酶链反应分析结肠和相关背根神经节(DRG)中胶质纤维酸性蛋白(GFAP)的蛋白和 mRNA 水平。通过全细胞膜片钳分析观察电针对与结肠相关的 DRG 神经元电生理特性的影响。
结果:电针显著降低了 IBS 大鼠对分级(20、40、60、80 mmHg)CRD 刺激的内脏疼痛行为评分。此外,电针还下调了 IBS 大鼠结肠和相关 DRG 中 GFAP 的蛋白和 mRNA 表达水平。电针还调节了 IBS 大鼠与结肠相关的 DRG 神经元的静息膜电位、基强度和动作电位。
结论:电针通过下调结肠和相关 DRG 中 GFAP 的蛋白和 mRNA 表达,调节与结肠相关的 DRG 神经元的兴奋性,提示电针对缓解 IBS 大鼠内脏高敏的潜在神经生物学机制。
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