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[电针“天枢”(ST25)通过激活小鼠盆神经节的骶副交感节后神经元减轻溃疡性结肠炎]

[Electroacupuncture of "Tianshu" (ST25) alleviates ulcerative colitis by activating sacral parasympathetic postganglionic neurons of the pelvic ganglion in mice].

作者信息

Luo Min, Qu Zheng-Yang, Li Tong, Liu Xiao-Yu, Li Ya-Jing, Su Yang-Shuai, Jing Xiang-Hong

机构信息

Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.

出版信息

Zhen Ci Yan Jiu. 2025 Aug 25;50(8):872-879. doi: 10.13702/j.1000-0607.20250151.

Abstract

OBJECTIVES

To observe the effect of electroacupuncture (EA) of bilateral "Tianshu" (ST25) on ulcerative colitis (UC) in mice, and further investigate its related neural circuits including colonic-associated sympathetic and sacral parasympathetic postganglionic components.

METHODS

Thirty C57BL/6J male mice were randomly divided into normal control, model and EA groups, with 10 mice in each group. The UC model was established by free access to 3% dextran sulfate sodium (DSS) solution for 7 consecutive days. Under isoflurane inhalation anesthesia on day 1, 3, 5, and 7 of modeling, mice of the EA group received EA stimulation of bilateral ST25 (2 mA, 10 Hz) for 30 min each time. The colonic histopathological changes were assessed by HE staining, and the body weight of mice was recorded. The relative abundance values of acetylcholine (ACh) and norepinephrine (NE) in the distal colon tissues were detected by using high performance liquid chromatography-mass spectrometry. In addition, six male C57BL/6J mice were randomly and equally divided into model and EA groups. On the fifth day of modeling, mice in the EA group received once EA stimulation with the same operations above, while mice in the model group were only anesthestized without EA. Immunofluorescence staining was used to examine the expression of c-Fos protein of the tyrosine hydroxylase-positive (TH) neurons in the superior mesenteric ganglion (SMG), inferior mesenteric ganglion (IMG), and vesicular acetylcholine transporter-positive (VAChT) neurons in the pelvic ganglion (PG).

RESULTS

From day 7 to 9 of DSS modeling, the model group showed significant decrease of body weight compared to the normal control group (<0.001), and the EA group showed a significantly lower reduction in body weight in contrast to the model group (<0.01, <0.05). The histopathological score (thickening of the colon wall, injury of the lamina propria structure, submucosal edema, and inflammatory cell infiltration) was significantly increased after modeling (<0.000 1) and obviously improved after EA (<0.001). Compared with the normal group, the relative abundance of ACh in the distal colon of the model group decreased significantly (<0.05), which increased significantly in the EA group (<0.05) when compared with the model group. No significant differences were found among the 3 groups in the relative abundance value of NE in the distal colonic tissues. Results of immunofluorescence staining showed that, compared with the model group, there were no statistically significant differences in the expression of c-Fos in TH neurons of SMG and IMG (sympathetic postganglionic component innervating the colon tissue) in the EA group. However, compared with the model group, the number of VAChT neurons that express c-Fos in PG of the EA group increased significantly (<0.05).

CONCLUSIONS

EA of bilateral ST25 can ameliorate the inflammatory response and histopathological injury in UC mice, which may be achieved by activating the sacral parasympathetic postganglionic neurons in the PG instead of sympathetic postganglionic components.

摘要

目的

观察电针双侧“天枢”(ST25)对小鼠溃疡性结肠炎(UC)的影响,并进一步探究其相关神经回路,包括结肠相关的交感神经和骶副交感神经节后成分。

方法

将30只C57BL/6J雄性小鼠随机分为正常对照组、模型组和电针组,每组10只。通过连续7天自由饮用3%葡聚糖硫酸钠(DSS)溶液建立UC模型。在建模的第1、3、5和7天,于异氟烷吸入麻醉下,电针组小鼠每次接受双侧ST25电针刺激(2 mA,10 Hz),持续30分钟。通过HE染色评估结肠组织病理学变化,并记录小鼠体重。采用高效液相色谱 - 质谱法检测远端结肠组织中乙酰胆碱(ACh)和去甲肾上腺素(NE)的相对丰度值。此外,将6只雄性C57BL/6J小鼠随机等分为模型组和电针组。在建模的第5天,电针组小鼠接受一次上述相同操作的电针刺激,而模型组小鼠仅接受麻醉但无电针刺激。采用免疫荧光染色检测肠系膜上神经节(SMG)中酪氨酸羟化酶阳性(TH)神经元、肠系膜下神经节(IMG)以及盆神经节(PG)中囊泡乙酰胆碱转运体阳性(VAChT)神经元的c-Fos蛋白表达。

结果

在DSS建模的第7至9天,模型组小鼠体重与正常对照组相比显著下降(<0.001),电针组小鼠体重下降幅度与模型组相比显著降低(<0.01,<0.05)。建模后组织病理学评分(结肠壁增厚、固有层结构损伤、黏膜下水肿和炎症细胞浸润)显著升高(<0.000 1),电针后明显改善(<0.001)。与正常组相比,模型组远端结肠中ACh的相对丰度显著降低(<0.05),电针组与模型组相比显著升高(<0.05)。3组远端结肠组织中NE的相对丰度值无显著差异。免疫荧光染色结果显示,与模型组相比,电针组SMG和IMG中TH神经元(支配结肠组织的交感神经节后成分)的c-Fos表达无统计学显著差异。然而,与模型组相比,电针组PG中表达c-Fos的VAChT神经元数量显著增加(<0.05)。

结论

双侧ST25电针可改善UC小鼠的炎症反应和组织病理学损伤,这可能是通过激活PG中的骶副交感神经节后神经元而非交感神经节后成分实现的。

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