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1. 江西中医药大学附属医院
2. 江西中医药大学
Published:2017
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ZHANG Wei, YAO Bin, CHENG Hui-ming, et al. Study on Cellular Immunity Mechanisms of Suspended Moxibustion for Treating Neutrophilic Asthma in Rats[J]. Acupuncture research, 2017, 42(5): 384-390.
ZHANG Wei, YAO Bin, CHENG Hui-ming, et al. Study on Cellular Immunity Mechanisms of Suspended Moxibustion for Treating Neutrophilic Asthma in Rats[J]. Acupuncture research, 2017, 42(5): 384-390. DOI: 10.13702/j.1000-0607.2017.05.002.
目的:探讨悬灸对中性粒细胞哮喘相关信号因子的影响。方法:SD大鼠随机分为正常组、模型组、地塞米松组与悬灸组
每组8只。用鼻腔滴入脂多糖、腹腔注射卵白蛋白及雾化吸入卵白蛋白引喘制备中性粒细胞哮喘模型。造模成功后
地塞米松组按0.5mg/kg予以腹腔注射地塞米松
悬灸组悬灸"肺俞""脾俞""肾俞""膻中"
40min/次
均每日1次
共14d。治疗结束后
统计各组支气管肺泡灌洗液(BALF)白细胞计数与分类
流式细胞术检测脾及外周血辅助性T淋巴细胞17(Th 17)含量
酶联免疫法检测BALF中的白介素17(IL-17)含量
免疫组化法及免疫印迹法检测右肺下叶维甲酸相关孤儿受体γ的胸腺异构体(ROR-γt)蛋白的表达水平
real-time PCR法检测ROR-γt mRNA的表达水平。结果:模型组与正常组比较
气道有大量炎性细胞浸润
中性粒细胞显著升高(P<0.01)
BALF中IL-17含量显著增高(P<0.01)
脾与外周血中Th 17含量显著增多(P<0.01)
肺组织中ROR-γt蛋白与mRNA的表达水平显著升高(P<0.01)。地塞米松组与模型组比较
上述指标皆显著降低(P<0.01);悬灸组与模型组比较
上述指标亦显著降低(P<0.05
P<0.01)。与悬灸组比较
地塞米松组外周血Th 17含量更低(P<0.05)。结论:悬灸可以通过抑制ROR-γt转录因子表达
下调炎性反应因子IL-17含量
降低气道内中性粒细胞水平
从而达到减轻中性粒细胞哮喘炎性反应的作用
其疗效与地塞米松相当。
Objective To observe the influence of suspended moxibustion on neutrophilic asthma related signal factors in asthma rats.Methods Thirty-two SD rats were randomly divided into normal control
model
dexamethasone(DEX)and suspended moxibustion(MOX)groups
with 8 rats in each group.The neutrophil granulocyte asthma model was made by intranasal instillation of lipopolysaccharide(LPS)
intraperitoneal injection of ovalbumin(OVA)and inhalation of OVA
once a day for 14 d.After modeling
rats of the DEX group received intraperitoneal injection of DEX(0.5 mg/kg)
once daily for 14 d
and those of the MOX group treated by suspended MOX at"Danzhong"(CV 17)
and bilateral"Feishu"(BL 13)
"Pishu"(BL 20)
and"Shenshu"(BL 23)for 40 min
once a day
for 14 d.The total number of leukocytes and Wright's stain-displayed differential counts in the bronchoalveolar lavage fluid(BALF)were counted
and the content of IL-17 in the BALF was assayed by ELISA.The contents of T-helper 17(Th 17)cells in the spleen and peripheral blood were detected using flow cytometry
and the expression of retinoic acid-related orphan receptor gamma t(ROR-γt)mRNA and protein in the inferior lobe of the right lung were detected by quantitative real-time PCR
immunohistochemical stain and Western blot
respectively.Results Compared with the normal control group
the total number of leukocytes
the percentages of neutrophils
eosinophilis and lymphcytes and IL-17 content in the BALF
and Th 17 contents in the peripheral blood and spleen tissue were significantly increased in the model group(P<0.01).After the treatment
the total numbers of leukocytes
the percentages of neutrophils
eosinophils and lymphocytes and IL-17 contents in the BALF
and Th 17 contents in the peripheral blood and spleen tissues were down-regulated considerably in both the DEX and MOX groups(P<0.05
P <0.01).Immunohistochemical stain
real-time PCR and Western blot measurements showed that the expression levels of ROR-γt protein and mRNA in the lung tissues were notably higher in the model group than in the normal control group(P<0.01)
and significantly down-regulated in both DEX and MOX groups relevant to the model group(P<0.05
P<0.01).No significant differences were found between the DEX and MOX groups in all the aforementioned indexes(P>0.05)
except plasma Th 17(P<0.05).Conclusion Suspended moxibustion
being comparable to DEX treatment
can reduce the inflammatory reactions of neutrophilic asthma rats by down-regulating the expression of ROR-γt in the lung
and lowering IL-17 and neutrophils levels in the airway
and Th 17 in the peripheral blood and spleen.
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