“温脾涩肠方”隔药饼灸对克罗恩病的作用机制
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国家自然科学基金青年项目(82205110);江苏省研究生科研创新计划项目(KYCX20-15410);无锡市科技发展医疗卫生指导性计划项目(NZ2019024);无锡市“双百”中青年医疗卫生拔尖人才项目(HB2020060);.南京中医药大学自然科学基金项目(XZR2021069)


Mechanism of Herb-partitioned Moxibustion on Crohn's Disease in Rats Following Spleen-warming and Intestine-astringing Formula
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    摘要:

    目的:探讨隔药饼灸对克罗恩病(CD)模型大鼠的作用机制,为隔药饼灸的临床应用提供科学依据。方法:将18只雄性SD大鼠随机分为正常对照组、模型对照组和隔药饼灸组,每组6只。模型采用2,4,6-三硝基苯磺酸(TNBS)灌肠法建立,隔药饼灸组用天枢(双)和气海穴隔药饼灸治疗14 d。采用结直肠扩张刺激(CRD)检测内脏敏感性。采用逆转录PCR和蛋白质印迹法分别检测磷脂酰肌醇3激酶(PI3K)、蛋白激酶B(AKT)和哺乳动物雷帕霉素靶蛋白(mTOR)以及下游自噬相关16样蛋白1(Atg16L1)、免疫相关鸟苷三磷酸酶M蛋白(IRGM)的mRNA和蛋白表达水平。结果:与正常对照组比较,模型对照组和隔药饼灸组的内脏疼痛阈值均显著下降(P<0.001)。干预后,与模型对照组比较,隔药饼灸组内脏疼痛阈值均显著上升(P<0.01),与正常对照组比较,隔药饼灸组内脏疼痛阈值差异无统计学意义(P>0.05)。与正常对照组比较,模型对照组的PI3K、AKT、mTOR、Atg16L1、IRGM蛋白表达量及mRNA表达量均明显升高,差异有统计学意义(均P<0.01);与模型对照组比较,隔药饼灸组的PI3K、AKT、mTOR、Atg16L1、IRGM蛋白表达及mRNA表达均明显降低,差异有统计学意义(均P<0.001)。结论:隔药饼灸可通过P13K/AKT/mTOR信号通路调节CD模型大鼠结肠组织自噬,提高内脏疼痛阈值,促进大鼠结肠溃疡组织恢复正常。

    Abstract:

    To investigate the mechanism of herb-partitioned moxibustion(HPM) on Crohn's disease(CD) in rats to provide a scientific basis for the clinical application of HPM.Methods:Eighteen male SD rats were randomly divided into a normal control group(NC),a model control group(MC),and an HPM group,with six rats in each group.The CD model was established by enema with 2,4,6-trinitrobenzenesulfonic acid(TNBS),and the rats in the HPM group were treated with HPM at Tianshu(ST 25,bilateral) and Qihai(CV 6) for 14 days.Colorectal distension(CRD) was used to detect visceral sensitivity.Reverse transcription(RT)-PCR and Western blot were used to detect the mRNA and protein expression of phosphoinositide 3-kinase(PI3K),protein kinase B(AKT),mammalian target of rapamycin(mTOR),autophagy-related 16-like 1(Atg16L1),and immunity-related GTPase family M protein(IRGM),respectively.Results:Compared with the NC group,the MC group and the HPM group showed decreased visceral pain thresholds(P<0.001).After the intervention,compared with the MC group,the HPM group showed increased visceral pain threshold(P<0.01).There was no difference in the visceral pain threshold between the HPM group and the NC group(P>0.05).Compared with the NC group,the MC group showed increased protein and mRNA expression of PI3K,AKT,mTOR,Atg16L1,and IRGM(P<0.01).Compared with the MC group,the HPM group showed decreased protein and mRNA expression of PI3K,AKT,mTOR,Atg16L1,and IRGM(P<0.001).Conclusion:HPM can regulate the autophagy of colon tissues in CD rats and increase the visceral pain threshold by acting on the PI3K/AKT/mTOR signaling pathway.

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冯骅,丁敏,蔡彬,张雪,徐蕾,戴文君,易越,冯维琪.“温脾涩肠方”隔药饼灸对克罗恩病的作用机制[J].世界中医药,2023,(04).

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  • 收稿日期:2022-03-03
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  • 在线发布日期: 2023-04-17
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