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福建中医药大学针灸学院
纸质出版日期:2015
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范怀玲, 纪峰, 林莺, 等. 电针“关元”穴对绝经后骨质疏松症大鼠Wnt信号通路的影响[J]. 针刺研究, 2015,40(2):87-93.
FAN Huai-ling, JI Feng, LIN Ying, et al. Effect of Electroacupuncture of“Guanyuan”(CV 4)on Wnt-β-catenin Signaling in Osteoporosis Rats[J]. Acupuncture research, 2015, 40(2): 87-93.
范怀玲, 纪峰, 林莺, 等. 电针“关元”穴对绝经后骨质疏松症大鼠Wnt信号通路的影响[J]. 针刺研究, 2015,40(2):87-93. DOI: 10.13702/j.1000-0607.2015.02.001.
FAN Huai-ling, JI Feng, LIN Ying, et al. Effect of Electroacupuncture of“Guanyuan”(CV 4)on Wnt-β-catenin Signaling in Osteoporosis Rats[J]. Acupuncture research, 2015, 40(2): 87-93. DOI: 10.13702/j.1000-0607.2015.02.001.
目的:观察电针"关元"穴对绝经后骨质疏松症大鼠血清骨钙素(BGP)、碱性磷酸酶(ALP)、骨生物力学、骨密度以及Wnt 3a、β-连环蛋白(catenin)、Runx 2表达的影响
探讨电针治疗绝经后骨质疏松症的可能机制。方法:SD雌性大鼠分为假手术组、模型组、关元组、非经非穴组
每组10只。采用双侧卵巢切除制备绝经后骨质疏松症模型。关元组电针"关元"
非经非穴组电针胁下髂嵴上20
2
5mm、后正中线旁开20mm处
每日电针1次
每次20min
10d为1个疗程
共治疗3个疗程。治疗后光学显微镜下观察股骨组织形态结构
三点弯曲实验检测股骨生物力学性能
X线检测骨密度
酶联免疫法检测血清BGP
生化分析仪测定血清ALP
RT-PCR法和免疫组化法检测Wnt 3a、β-catenin、Runx 2表达。结果:电针"关元"穴能够显著改善绝经后骨质疏松症大鼠骨小梁结构松散、排列紊乱、密度降低等骨质疏松形态学改变
提高血清ALP、BGP水平
改善股骨最大载荷和断裂载荷
并提高骨密度
与模型组比较差异均有统计学意义(P
<
0.05);RT-PCR及免疫组化结果表明电针"关元"穴较模型组能够明显上调Wnt 3a、β-catenin、Runx 2的表达(P
<
0.05)。非经非穴组不能显著改善上述生物学指标。结论:通过激活Wnt-β-catenin信号通路、提高骨代谢过程中的骨形成并增强骨强度可能是电针"关元"穴治疗绝经后骨质疏松症的机制之一。
Objective To observe the effect of electroacupuncture of"Guanyuan"(CV 4)on bone miner density
bone biomechanics
serum osteocalcin(BGP)and alkaline phosphatase(ALP)contents
and femoral osteoblastic Wnt-β-catenin signaling in postmenopausal osteoporosis(PMOP)rats.Methods Forty female SD rats were randomly divided into sham operation(sham)
model
EA-CV 4
and EA-non-acupoint(below the costal region)groups(n=10in each group).The PMOP model was established by performing an ovariectomy in the rats of the later 3groups.EA(2Hz
1mA)was applied to CV 4for 20 min
once daily for one month
with one day's break between every 10 days.After the treatment
serum BGP and ALP contents were detected using ELISA
the right femoral bone miner density and biomechanics(maximum load
breakage load)were measured using a Dual Energy X-Ray Bone Densitometer and a Universal Material Testing Instrument
respectively.The expression levels of Wnt 3a mRNA
β-catenin mRNA and the bone-specific factors runt-related transcription factor 2(Runx 2)mRNA of the femoral bone tissue were determined by real time RT-PCR.Results HE staining results suggested EA of"Guanyuan"(CV 4)can improve the morphological changes(trabeculae)of osteoporosis in ovariectomized rats.Compared with the control group
femoral maximum load and breakage load
bone density and serum BGP and ALP contents
femoral Wnt 3amRNA
β-catenin and Runx 2mRNA expression levels
and femoral Wnt 3aandβ-catenin immunoactivity were significantly down-regulated in the ovariectomized rats(model group)(P<0.05).Following EA treatment
all the decreased levels of femoral maximum load and breakage load
bone density and serum BGP and ALP
femoral Wnt 3amRNA and protein
β-catenin mRNA and protein and Runx 2mRNA expression were obviously reversed in the EA-CV 4group(P<0.05)rather than in the non-acupoint group(P>0.05).Conclusion EA of CV 4can improve the femoral biomechanics
increase bone density in OVX rats
which are associated to its effects in up-regulating levels of serum BGP and ALP
femoral Wnt 3amRNA and protein
β-catenin mRNA and protein and Runx 2mRNA expression
suggesting an involment of improved bone metabolism and activation of osteoblastic Wnt-β-catenin signaling.
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