机构地区:[1]Clinical College of Acupuncture-moxibustion and Orthopedic,Anhui University of Chinese Medicine,Hefei 230038,China [2]Shanghai Research Institute of Acupuncture and Meridian,Shanghai University of Traditional Chinese Medicine,Shanghai 200030,China [3]Scientific Research Center,Anhui University of Chinese Medicine,Hefei 230038,China [4]不详
出 处:《Journal of Acupuncture and Tuina Science》2017年第3期171-176,共6页针灸推拿医学(英文版)
基 金:supported by Youth Project of Anhui Provincial Natural Science Foundation,No.1508085QH160;Youth Scientific Research Fund Project of Anhui University of Chinese Medicine,No.2014qn004;2016 Undergraduate Innovation and Entrepreneurship Training Program of Anhui University of Chinese Medicine,No.2016097;Innovation Team Project of Scientific Research Platform for Universities in Anhui Province,No.2015TD033~~
摘 要:Objective: To observe the effect of moxibustion on the expressions of tumor necrosis factor-α(TNF-α) and nuclear transcription factor kappa B(NF-κB) proteins in ankle joints of rats with rheumatoid arthritis(RA), and to explore the anti-inflammatory mechanism of moxibustion in the treatment of RA. Methods: Adjuvant arthritis(AA) rat models were induced and used as rat models of RA. Rats were randomly divided into a normal group, a model group, a moxibustion group and a saline group. Rats in the normal and model groups were not treated; rats in the moxibustion group accepted treatment by moxibustion at Zusanli(ST 36) and Shenshu(BL 23) after modeling; rats in the saline group were injected with 0.15 mL saline to the bottom of the left hind paw and had no other treatments. Hematoxylin-eosin(HE) staining was used to observe the histopathological changes of rats' ankle joints under light microscope. Immunohistochemistry was used to observe the expressions of TNF-α and NF-κB in ankle joints of rats. Results: Compared with the normal group, the rats' ankle joints in the model group showed disorganization, joint surface defect, and significantly increased mean optical density(MOD) of TNF-α and NF-κB(all P〈0.05). After moxibustion treatment, rats in the moxibustion group showed repaired ankle tissues, smooth joint surface without defects, decreased MOD of TNF-α and NF-κB than those in the model group(all P〈0.05). Rats in the saline group had no damage to ankle joints, while TNF-α and NF-κB were significantly different from those in the model group(P〈0.05). Conclusion: Moxibustion could down-regulate the expressions of NF-κB and TNF-α protein in ankle joints of RA rats, and produce an anti-inflammatory effect to promote tissue repair.目的:通过观察艾灸对类风湿关节炎(RA)大鼠踝关节组织肿瘤坏死因子-α(TNF-α)和核转录因子kappa B(NF-κB)蛋白表达的影响,探讨艾灸治疗类风湿关节炎的抗炎机制。方法:以佐剂性关节炎(AA)作为类风湿关节炎大鼠模型,复制RA大鼠模型。将大鼠随机分为正常组、模型组、艾灸组和盐水组。正常组和模型组不做治疗;艾灸组造模后予以艾灸足三里、肾俞治疗;盐水组予左后足趾底部注入生理盐水0.15 m L,不做其他处理。应用苏木精-伊红(HE)染色,光镜下观察大鼠踝关节组织病理学变化;采用免疫组化法观察大鼠踝关节组织TNF-α和NF-κB蛋白表达。结果:与正常组比较,模型组大鼠踝关节组织结构破坏,关节表面有缺损,TNF-α和NF-κB平均光密度(MOD)明显增高(均P<0.05);艾灸组大鼠经艾灸治疗后,踝关节组织修复,关节表面光滑未见缺损,TNF-α和NF-κB的MOD较模型组降低(均P<0.05);盐水组大鼠踝关节组织正常无损害,TNF-α和NF-κB与模型组比较有显著性差异(P<0.05)。结论:艾灸能够下调RA大鼠踝关节组织NF-κB和TNF-α蛋白表达,以发挥抗炎作用,促进组织修复。
关 键 词:Moxibustion Therapy Moxa Stick Moxibustion ARTHRITIS RHEUMATOID Tumor Necrosis Factor-alpha NF-kappa B RATS
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