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1. 成都中医药大学附属医院呼吸科
2. 川北医学院附属医院老年科
3. 成都双流区中医院呼吸科
纸质出版日期:2020
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刘菊华, 辜建伟, 胡泉, 等. 穴位埋线对过敏性鼻炎大鼠下气道重塑的影响[J]. 针刺研究, 2020,45(6):461-467.
LIU Ju-hua, GU Jian-wei, HU Quan, et al. Effect of catgut implantation at “Yingxiang”(LI20) on lower airway remodeling in allergic rhinitis rats[J]. Acupuncture research, 2020, 45(6): 461-467.
刘菊华, 辜建伟, 胡泉, 等. 穴位埋线对过敏性鼻炎大鼠下气道重塑的影响[J]. 针刺研究, 2020,45(6):461-467. DOI: 10.13702/j.1000-0607.190802.
LIU Ju-hua, GU Jian-wei, HU Quan, et al. Effect of catgut implantation at “Yingxiang”(LI20) on lower airway remodeling in allergic rhinitis rats[J]. Acupuncture research, 2020, 45(6): 461-467. DOI: 10.13702/j.1000-0607.190802.
目的:观察穴位埋线对过敏性鼻炎(AR)大鼠下气道重塑及肺组织骨桥蛋白(OPN)含量的影响
探讨穴位埋线改善AR的部分作用机制。方法:雄性SD大鼠随机分为空白组、模型组及埋线组
每组10只。模型组及埋线组采用腹腔注射联合双侧鼻腔局部滴入卵清蛋白复制AR大鼠模型。埋线组给予双侧"迎香"穴埋线28 d。观察各组大鼠一般症状评分
用苏木精-伊红染色法、过碘酸-雪夫染色法及Masson染色法观察大鼠肺组织形态学改变
用免疫组织化学法及Western blot法检测大鼠肺组织中OPN蛋白表达。结果:治疗前
模型组及埋线组大鼠的一般症状评分均明显高于空白组(P<0.05)
提示造模成功;治疗后
埋线组一般症状评分较治疗前明显降低(P<0.05)
且明显低于模型组(P<0.05)。空白组大鼠肺组织各级支气管分支结构正常
支气管纤毛上皮排列整齐;模型组大鼠肺组织部分气道管壁增厚、管腔狭窄
管腔内黏液分泌增加
肺泡间隔增宽
支气管周围和肺间质可见炎性细胞浸润;埋线组大鼠肺组织各级支气管分支结构基本正常。与空白组比较
模型组大鼠肺组织中杯状细胞的数量、肺纤维组织吸光度值及OPN蛋白表达水平明显升高(P<0.05);与模型组比较
埋线组大鼠肺组织中杯状细胞的数量及OPN蛋白表达水平明显降低(P<0.05)。肺组织杯状细胞计数和肺纤维组织吸光度值均与OPN蛋白的阳性表达吸光度值、相对表达量成正相关(P<0.05
P<0.01)。结论:穴位埋线治疗可减轻AR大鼠下气道炎性反应
延缓气道重塑
其机制可能与降低肺组织OPN蛋白表达水平相关。
Objective To observe the effect of catgut implantation at "Yingxiang"(LI20) on lower airway remodeling and levels of osteopon-tin(OPN) protein in allergic rhinitis(AR) rats
so as to reveal its mechanisms underlying improvement of AR. Methods Male SD rats were randomly divided into control
model and catgut implantation groups
with 10 rats in each group. The AR model was established by intraperitoneal injection and nasal drip of ovalbumin. The catgut implantation was applied to bilateral "Yingxiang"(LI20) for 28 days in rats of the catgut implantation group. The total score of allergic symptoms of rats in each group were observed. The histopathological changes of lower airway were observed under light microscope after Hematoxylineosin
Periodic acid-Schiff and Masson staining. The expression of OPN protein was detected by immunohistochemistry and Western blot
separately. Results The total score of allergic symptoms of nose-wiping
running nose and sneezing
count of lung goblet cells
lung fiber content
and immunoactivity and expression levels of OPN protein were significantly increased in the model group in contrast to the control group(P<0.05). After the intervention
the total score of allergic symptoms
count of lung goblet cells
immunoactivity and expression levels of OPN protein were considerably down-regulated in the catgut implantation group relevant to the model group(P<0.05). H.E. stain showed thickening of partial airway wall
narrowing of lumen
increase of mucus section
widened alveolar septum
infiltration of inflammatory cells
lymphocytes and eosinophil around the bronchus and in the lung interstitium in AR rats
which was milder in the catgut implantation group. The immunoactivity and expression levels of OPN protein were positively related with the lung goblet cells count and lung fiber content(P<0.05
P<0.01). Conclusion Acupoint implantation of catgut can improve pathological changes of lower airway remodeling
which may be related to its effect in down-regulating the expression of OPN protein in the lung tissue.
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