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1. 南京中医药大学附属淮安中医院
2. 临沂市人民医院
3. 江苏省老年病医院
纸质出版日期:2020
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张楚穹, 石娜, 欧阳钢. 针刺对去卵巢大鼠骨密度及肠黏膜跨膜钙转运相关受体表达的影响[J]. 针刺研究, 2020,45(9):702-707.
ZHANG Chu-qiong, SHI Na, OUYANG Gang. Effect of electroacupuncture on intestinal calcium absorption and expression of transmembrane calcium transport-related receptors in ovariectomized rats[J]. Acupuncture research, 2020, 45(9): 702-707.
张楚穹, 石娜, 欧阳钢. 针刺对去卵巢大鼠骨密度及肠黏膜跨膜钙转运相关受体表达的影响[J]. 针刺研究, 2020,45(9):702-707. DOI: 10.13702/j.1000-0607.190957.
ZHANG Chu-qiong, SHI Na, OUYANG Gang. Effect of electroacupuncture on intestinal calcium absorption and expression of transmembrane calcium transport-related receptors in ovariectomized rats[J]. Acupuncture research, 2020, 45(9): 702-707. DOI: 10.13702/j.1000-0607.190957.
目的:观察针刺对去卵巢大鼠骨密度及钙离子转运相关受体的影响
探讨针灸防治骨质疏松症的机制。方法:3月龄雌性SD大鼠随机分为空白组、假手术组、模型组和电针组
每组8只。模型组和电针组大鼠行双侧卵巢摘除术。电针组交替给予"关元"+"三阴交"(双)和"肾俞"+"后三里"(双)电针干预
每次电针20 min
每日1次
每周连续干预5 d
共12周。12周后用骨密度仪统一测定右侧胫骨、股骨骨密度;采用荧光定量PCR及Western blot法检测肠黏膜内瞬时感受器电位香草酸受体5(TRPV5)、瞬时感受器电位香草酸受体6(TRPV6)、钠钙交换体1(NCX1)和细胞膜钙离子三磷酸腺苷水解酶(PMCA1b)及与钙离子细胞旁转运相关的紧密连接蛋白-1(ZO-1)、封闭蛋白occludin和claudin mRNA和蛋白的表达水平。结果:与空白组、假手术组比较
模型组大鼠骨密度明显降低(P<0.05);与模型组比较
电针组骨密度明显提高(P<0.05)。与空白组、假手术组比较
模型组肠黏膜内TRPV6、NCX1 mRNA表达上调(P<0.01)
TRPV5、PMCA1b、ZO-1、occludin和claudin的mRNA表达明显下调(P<0.01);与模型组比较
电针组肠黏膜TRPV6、 NCX1 mRNA的表达明显下调(P<0.01
P<0.05)
TRPV5、PMCA1b、ZO-1和occludin的mRNA表达水平均上调(P<0.01
P<0.05)。与空白组、假手术组比较
模型组TRPV6、NCX1蛋白表达量升高(P<0.05)
TRPV5、PMCA1b、ZO-1、occludin和claudin蛋白表达量显著降低(P<0.05);与模型组比较
电针组TRPV6和NCX1的表达量降低(P<0.05)
TRPV5、PMCA1b、ZO-1、occludin和claudin蛋白表达量显著升高(P<0.05)。结论:电针能提高去卵巢大鼠的骨密度
增强参与钙离子吸收跨细胞途径的TRPV5、 PMCA1b的mRNA和蛋白表达以及细胞旁途径ZO-1、occludin的mRNA和蛋白表达
这可能是针灸防治骨质疏松症的机制之一。
Objective To observe the effect of electroacupuncture(EA) on bone mineral density(BMD) and expression of calcium transport-related receptors in ovariectomized rats
so as to explore its mechanisms underlying improvement of osteoporosis. Methods Thirty-two three-month female SD rats were randomly divided into control
sham operation
model and EA groups(n=8 in each group). The ovariectomy model was established by resection of bilateral ovaries. EA(2 Hz/15 Hz
2 mA) was applied to "Guanyuan"(CV4)+"Sanyinjiao"(SP6) or "Shenshu"(BL23)+"Housanli"(ST36) alternatively for 20 min
once daily(except the weekends) for 12 weeks. BMD of the tibia and femur were detected by using a bone densitometer. The expression levels of transient receptor potential vanillic receptor 5(TRPV5)
transient receptor potential vanillic receptor 6(TRPV6)
sodium calcium exchanger 1(NCX1)
membrane calcium adenosine triphosphate hydrolase(PMCA1 b)
zonula occludens 1(ZO-1)
occludin and claudin in intestinal mucosa were detected by quantitative real-time PCR and Western blot
respectively. Results Following modeling
BMD of both tibia and femur
and expression levels of TRPV5
PMCA1 b
ZO-1
occludin and claudin mRNAs were significantly decreased in the model group compared with the control and sham operation groups(P<0.05
P<0.01)
while the mRNAs levels of TRPV6 and NCX1 in the model group were increased(P<0.01). After the treatment
BMD of both tibia and femur
and expression levels of TRPV5
PMCA1 b
ZO-1 and occludin mRNAs were significantly increased(P<0.01
P<0.05)
and TRPV6 and NCX1 were significantly decreased(P<0.01
P<0.05) in the EA group than those in the model group. Compared with the control and sham operation groups
protein expression levels of TRPV5
PMCA1 b
ZO-1
occludin and claudin in the model group were significantly decreased(P<0.05)
while the protein levels of TRPV6 and NCX1 in the model group were increased(P<0.05). After EA intervention
modeling-induced decrease of TRPV5
PMCA1 b
ZO-1
occludin and claudin protein levels and increase of TRPV6 and NCX1 protein levels were all completely reversed in the EA group relevant to the model group(P<0.05).Conclusion EA intervention can improve bone mineral density and up-regulate the mRNA and protein expression of TRPV5
PMCA1 b
ZO-1 and occludin
which may be one of the mechanisms of acupuncture in the treatment of osteoporosis.
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