低频耳电针调节糖尿病胃轻瘫大鼠胃动力及共病抑郁机制的实验研究  

Experimental study on the mechanism of low⁃frequency auricular electroacupuncture regulating gastric motility and comorbid depression in diabetic gastroparesis rats

作　　者：符喆 陈欢[1] 陈琰[2] 周静珠[1] 徐万里 周帅 高岑[1] 周子钦 张朝晖[1] FU Zhe;CHEN Huan;CHEN Yan;ZHOU Jingzhu;XU Wanli;ZHOU Shuai;GAO Cen;ZHOU Ziqin;ZHANG Zhaohui(Department of Acupuncture and Moxibustion,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029;Jiangsu Key Laboratory of Neurodegeneration,Nanjing Medical University,Nanjing 211166,China)

机构地区：[1]南京医科大学第一附属医院针灸科,江苏南京210029 [2]南京医科大学江苏省神经退行性疾病重点实验室,江苏南京211166

出　　处：《南京医科大学学报（自然科学版）》2023年第6期795-801,共7页Journal of Nanjing Medical University(Natural Sciences)

基　　金：江苏省卫生健康委科研立项项目(ZD2021032);江苏省第三批省名老中医药专家传承工作室建设项目(苏中医科教[2019]10号)。

摘　　要：目的:观察耳电针对糖尿病胃轻瘫大鼠行为学、胃排空率和胃窦组织中酪氨酸激酶受体(c-Kit)和促肾上腺皮质释放激素因子(corticotropin releasing factor,CRF)表达的影响,探讨耳电针改善糖尿病胃轻瘫大鼠胃排空和抑郁样行为的作用机制。方法:将36只SPF级SD大鼠随机分为空白对照组、模型组、耳电针组和假耳针组,每组9只。空白对照组腹腔注射柠檬酸钠缓冲液,其余3组腹腔注射链脲佐菌素(streptozotocin,STZ)溶液,随后继续饲养6周后开始治疗,耳电针组电针双侧耳穴“胃”,每日1次,每周5日,连续2周;假耳针组针刺耳垂,不加电。治疗结束后,进行行为学以及胃排空率检测,qRT-PCR检测胃窦组织CRF、c-Kit m RNA表达,ELISA检测胃窦组织CRF、c-Kit蛋白表达。结果:旷场实验中模型组大鼠进入中央区域次数(CE)、进入中央区域时间百分比(CT%)和进入中央区域距离百分比(CD%)均较空白对照组明显降低(均P<0.05),耳电针组CE、CT%和CD%值均较模型组明显升高(均P<0.05);强迫游泳实验中模型组大鼠漂浮时间百分比(FT%)较空白对照组明显升高(P<0.05),耳电针组FT%值较模型组明显降低(P<0.05);与空白对照组相比,模型组大鼠胃排空率显著降低,胃窦中CRF的mRNA和蛋白表达水平明显升高(P<0.05),c-Kit的mRNA和蛋白表达水平明显降低(P<0.05);与模型组和假耳针组比较,耳针组大鼠胃排空率显著升高,胃窦中CRF的mRNA和蛋白表达水平明显降低(P<0.05),c-Kit的mRNA和蛋白表达水平明显升高(P<0.05)。结论:低频耳电针可以改善糖尿病胃轻瘫大鼠的胃动力与抑郁样行为,其机制可能与调节胃窦组织中相关因子的表达有关。Objective:The current study aims to observe the effects of auricular electroacupuncture on behavior,gastric emptying rate,expression of tyrosine kinase receptor(c⁃Kit)and corticotropin releasing factor(CRF)in gastric sinus tissues of rats with diabetic gastroparesis,and to investigate the mechanism of auricular electroacupuncture to improve gastric emptying and depression⁃like behavior in diabetic gastroparesis rats.Methods:Thirty⁃six SPF⁃grade SD rats were randomly divided into the control group,the model group,the auricular electroacupuncture group and the sham auricular acupuncture group,with 9 rats in each group.The control group was intraperitoneally injected with sodium citrate buffer solution,and the other three groups were intraperitoneally injected with streptozotocin(STZ)solution.After six weeks of treatment,the rats in the auricular electroacupuncture group were given electroacupuncture at bilateral auricular point“stomach”once a day,five days a week for two weeks.The earlobe of the sham auricular acupuncture group was needled without electricity.After the treatment,the behavioral and gastric emptying rates were measured,and the protein and mRNA levels of CRF and c⁃Kit were respectively detected by ELISA and qRT⁃PCR in gastric sinus tissue.Results:In the open field test,the entries into the central area(CE),the percentage of time entering the central area(CT%)and the percentage of distance entering the central area(CD%)were significantly lower in the model group compared with the control group(all P<0.05).CE,CT%and CD%were significantly higher in the auricular electroacupuncture group compared with the model group(all P<0.05).In the forced swimming test,the percentage of floating time(FT%)was significantly higher in the model group compared with the control group(P<0.05),and FT%were significantly lower in the auricular electroacupuncture group compared with the model group(P<0.05).Compared with the control group,the gastric emptying rate of rats in the model group was significantly lowe

关 键 词：耳针 糖尿病胃轻瘫 胃动力 抑郁 促肾上腺皮质释放激素因子 

分 类 号：R245[医药卫生—针灸推拿学]