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华中科技大学同济医学院神经生物学系
纸质出版日期:2007
移动端阅览
李俊君, 陈汝满, 刘磊, 等. 电针对佐剂性关节炎大鼠病灶局部皮肤CB2受体阳性细胞免疫反应性的影响[J]. 针刺研究, 2007,(1):9-15.
LI Jun-jun, CHEN Ru-man, LIU Lei, et al. Effects of Electroacupuncture on the Immunoreactivity of Focal Cutaneous CB2 Receptor Positive Cells in Arthritis Rats[J]. Acupuncture research, 2007, (1): 9-15.
目的:研究电针缓解炎性痛的机制是否与其对病灶局部内源性大麻素2型受体(CB2受体)阳性细胞免疫反应性的影响有关。方法:采用健康成年雌性SD大鼠共48只
随机分为:空白对照组(n=12)、模型组(n=12)、穴位电针组(n=12)和非穴位电针对照组(n=12)。除空白对照组外其它各组大鼠于左后肢外踝关节皮下注射完全弗式佐剂(CFA
Sigma公司产品)50μL制备单发局限性佐剂性关节炎模型。对其进行行为学观察
研究电针患侧“环跳”穴、“阳陵泉”穴对背屈、跖屈踝关节疼痛试验评分的影响
并结合免疫组化技术
观察电针对佐剂性关节炎大鼠致炎后第6天和第16天病灶局部皮肤CB2受体阳性细胞免疫反应性的影响。结果:①电针佐剂性关节炎模型大鼠致炎足同侧穴位
可产生明显镇痛作用
且电针效果在致炎后第3-5天最为显著
穴位电针组背屈、跖屈踝关节疼痛试验评分在致炎第3天和5天均较模型组和非穴位电针对照组显著降低(P<0.05)。②免疫组化结果显示
致炎后第6天穴位电针组大鼠炎性痛病灶局部皮肤组织CB2受体阳性细胞的数量显著高于空白对照组、模型组和非穴位电针组(P<0.05);致炎后第16天穴位电针组该值与空白对照组、模型组和非穴位电针组间统计学差异不明显(P>0.05)。结论:电针腧穴可使炎症病灶局部皮肤组织CB2受体免疫反应阳性细胞的数量显著上调
从而调控炎性痛病灶局部组织中致炎致痛物质与镇痛物质之间的平衡
解除局部病灶神经免疫微环路的激活状态
通过外周途径缓解疼痛。
Objective:To study the effects of electroacupuncture(EA)on the immunoreactivity of focal cutaneous cannabinoid receptor 2(CB2)positive cells in adjuvant arthritis(AA)rats.Methods:A total of 48 adult female SD rats were randomly divided into control group(n=12)
model group(n=12)
acupoint group(n=12)
and non-acupoint group(n=12).Arthritis model was established by hypodermic injection of complete Freund's adjuvant(CFA
50 μL)into the left ankle joint.EA(2/15 Hz
1 mA)was applied to “Huantiao”(GB 30)and “Yanglingquan”(GB 34)or two control points 5 mm left to GB30 and GB34 on the diseased side for 30 min
once every other day from the second day on after injection of CFA.Behavioral performance(pain test score)was assesed by using dorsiflexion and plantarflexion pain tests.On the 6th and 16th day after injection of CAF
the animals were anesthetized with 20% urethane(1 g/kg)for collecting the focal skin and subcutaneous tissue samples which were cut into sections(5 μm)to be stained with HE(haematoxylin & cosin)method and immunohistochemical technique respectively for observing changes of the focal cells of the inflamatory tissue and the immunoactivity of the focal cutaneous CB receptor positive cells.Results:1)In comparison with control group
the scores of both dorsiflexion and plantarflexion pain tests in mod-el
acupoint and non-acupoint groups increased evidently after modeling(P<0.05).Compared with model group
the scores of dorsiflexion test on the 3rd day and 5th day and plantarflexion test on the 5th day in EA-acupoint group were considerably lower(P<0.05)
and the scores of the two tests on the 3rd day and 5th day of acupoint group were also markedly lower than those of non-acupoint group(P<0.05)
suggesting a marked pain-relief after EA;while no significant differences were found between non-acupoint and model groups.2)HE staining showed that the inflammatory cells in the dermal layer of the focus of acupoint group were evidently fewer than those of model and non-acupoint groups on the 6th day and 16th day after modeling.3)The immunohistochemical results revealed that compared with control group
on the 6th day
the percentages of CB2 receptor positive cell area in the focus of model
non-acupoint and acupoint groups were significantly higher(P<0.05)
and that of acupoint group was markedly higher than those of model and non-acupoint groups(P<0.05)
suggesting further upregulation of the expression of CB2 receptor positive cells;no significant differences of percentages of CB2 receptor immunoreaction positive cell area among model
non-acupoint and acupoint groups were found on the 16th day(P>0.05).Conclusion:EA of GB30 and GB34 can raise the immunoactivity of cutaneous CB2 receptor positive cells in the inflammatory tissue which maybe contribute to its effects in relieving inflammatory pain and suppressing focal inflammation and adjusting the balance of nociception and antinociception in AA rats.
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