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1.河南中医药大学康复医学院,郑州 450046
2.河南中医药大学第一附属医院康复中心
☒郑婕,讲师。E-mail:jiezheng1119@163.com
收稿:2023-07-10,
网络首发:2023-11-15,
纸质出版:2024-06-12
移动端阅览
丁志敏, 陈婷玉, 张丽红, 等. 针刺对自发性高血压大鼠粪便短链脂肪酸及TLR4/MyD88/NF-κB信号通路的影响[J]. 中国针灸, 2024,44(6):661-668.
DING Zhimin, CHEN Tingyu, ZHANG Lihong, et al. Effects of acupuncture on fecal short-chain fatty acids and TLR4/MyD88/NF-κB signaling pathway in spontaneously hypertensive rats[J]. Chinese Acupuncture & Moxibustion, 2024, 44(6): 661-668.
丁志敏, 陈婷玉, 张丽红, 等. 针刺对自发性高血压大鼠粪便短链脂肪酸及TLR4/MyD88/NF-κB信号通路的影响[J]. 中国针灸, 2024,44(6):661-668. DOI: 10.13703/j.0255-2930.20230710-k0001.
DING Zhimin, CHEN Tingyu, ZHANG Lihong, et al. Effects of acupuncture on fecal short-chain fatty acids and TLR4/MyD88/NF-κB signaling pathway in spontaneously hypertensive rats[J]. Chinese Acupuncture & Moxibustion, 2024, 44(6): 661-668. DOI: 10.13703/j.0255-2930.20230710-k0001.
目的:
2
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,探讨针刺降压的作用机制。
方法:
2
将24只SPF级雄性SHR随机分为模型组、西药组、针刺组和假针组,每组6只;另设6只Wistar-Kyoto(WKY)大鼠为空白组。西药组予氢氯噻嗪溶液灌胃;针刺组针刺双侧“人迎”“足三里”,每次20 min;假针组针刺双侧“人迎”“足三里”附近的非经非穴点,每次20 min。均每日1次,持续4周。干预前及干预第1、2、3、4周后测量各组大鼠尾动脉收缩压(SBP);HE染色观察大鼠结肠组织形态;气相色谱-质谱联用仪检测大鼠粪便SCFAs含量;ELISA法检测大鼠血清白细胞介素(IL)-6、IL-1β和肿瘤坏死因子-α(TNF-α)含量;Western Blot法检测大鼠肠系膜动脉中TLR4、MyD88和NF-κB p65蛋白表达。
结果:
2
与空白组比较,模型组大鼠SBP升高(
P
<
0.05),结肠组织有明显病理变化,粪便SCFAs含量降低(
P
<
0.05),血清
IL-1β、IL-6和TNF-α含量升高(
P
<
0.05),肠系膜动脉中TLR4、MyD88、NF-κB p65蛋白表达升高(
P
<
0.05)。与模型组比较,针刺组和西药组大鼠干预2、3、4周后SBP降低(
P
<
0.05),血清IL-1β、IL-6和TNF-α含量降低(
P
<
0.05);针刺组大鼠结肠组织黏膜上皮完整,肠腺数量丰富,粪便SCFAs含量升高(
P
<
0.05),肠系膜动脉中TLR4、MyD88、NF-κB p65蛋白表达降低(
P
<
0.05)。与假针组比较,针刺组干预2、3、4周后SBP降低(
P
<
0.05),粪便SCFAs含量升高(
P
<
0.05),血清IL-1β、IL-6和TNF-α含量降低 (
P
<
0.05),肠系膜动脉中TLR4、MyD88、NF-κB p65蛋白表达降低(
P
<
0.05)。
结论:
2
针刺双侧“人迎”“足三里”可有效降低SHR血压,其机制可能与调节粪便SCFAs含量、抑制TLR4/MyD88/NF-κB信号通路有关。
Objective
2
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.
Methods
2
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.
Results
2
Compared with the blank group
in the model group
the SBP was increased (
P
<
0.05)
significant pathological changes could be found in the colonic tissue
the fecal SCFAs level was decreased (
P
<
0.05)
the serum levels of IL-6
IL-1β and TNF-α were increased (
P
<
0.05)
the protein expression of TLR4
MyD88 and NF-κB p65 in the mesenteric artery was increased (
P
<
0.05). Compared with the model group
the SBP after 2
3 and 4 weeks of intervention was decreased (
P
<
0.05)
the serum levels of IL-6
IL-1β and TNF-α were decreased (
P
<
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 (
P
<
0.05)
and the protein expression of TLR4
MyD88 and NF-κB p65 in the mesenteric artery was decreased (
P
<
0.05) in the acupuncture group. Compared with the sham acupuncture group
the SBP after 2
3 and 4 weeks of intervention was decreased (
P
<
0.05)
the fecal SCFAs level was increased (
P
<
0.05)
the serum levels of IL-6
IL-1β and TNF-α were decreased (
P
<
0.05)
the protein expression of TLR4
MyD88 and NF-κB p65 in the mesenteric artery was decreased (
P
<
0.05) in the acupuncture group.
Conclusion
2
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.
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