Objective To observe the effect of electroacupuncture(EA) at "Zusanli"(ST36) and "Feishu"(BL13) on the expression of autophagy related proteins in the lung tissue of rats with chronic obstructive pulmonary disease(COPD)

so as to explore the mechanism of EA underlying improvement of COPD. Methods Thirty male SD rats were randomly divided into normal

model and EA groups(n=10 in each group). The COPD model was established by intratracheal infusion of Lipopolysaccharide(LPS

1 mg/kg) and exposure in cigarette smoke. EA was applied to bilateral ST36 and BL13 for 30 min

once every other day for 2 weeks. The pulmonary function(forced vital capacity [FVC]

forced expiratory volume in 0.1 s and 0.3 s [FEV0.1

FEV0.3]

FEV0.1/FVC and FEV0.3/FVC) was detected by animal pulmonary function analysis system. Histopathological changes of the airway and lung were displayed by H.E. staining. Autophagosomes in the airway and lung tissues were observed by electron microscope. The expression of AMP activated protein kinase(AMPK)

mammalian target of rapamycin(mTOR)

Unc-51 like autophagy activating kinase 1(ULK1)

autophagy related protein ATG6(Beclin1)mRNAs in lung tissue were examined by quantitative real-time PCR. The expression of AMPK

mTOR

ULK1

Beclin1 and microtubule-associated protein 1 light chain 3(LC3)proteins in lung tissue were examined by Western blot. The contents of tumor necrosis factor α(TNF-α) and interleukin 6(IL-6) in the broncho alveolar lavage fluid(BALF) were assayed by ELISA. Results Following modeling

the FVC

FEV0.1

FEV0.3

FEV0.1/FVC and FEV0.3/FVC levels were significantly decreased(P<0.01)

the infiltration of inflammatory cells and the increase of autophagosomes were obvious in airway and lung tissue

the mRNA and protein expression of AMPK

ULK1

Beclin1 and the ratio of LC3Ⅱ/LC3Ⅰ were increased(P<0.01)

while the mRNA and protein expression of mTOR were decreased(P<0.01)

the contents of TNF-α and IL-6 in the BALF were increased in the model group compared with the normal group(P<0.01). After EA intervention

all the indexes mentioned above were completely reversed in the EA group relevant to the model group(P<0.01

P<0.05). Conclusion EA at ST36 and BL13 can improve the lung function of COPD rats

which may be related to its effects in inhibiting the autophagy level and reducing the inflammation response in the lung.