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郑州大学附属洛阳中心医院康复医学科
纸质出版日期:2016
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陈艳萍. 针灸对溃疡性结肠炎大鼠Th1/Th2免疫平衡的影响[J]. 针刺研究, 2016,41(3):210-214.
CHEN Yan-ping. Effect of Moxibustion and Electroacupuncture on Th 1/Th 2 Immune Balance in Rats with Experimental Colitis[J]. Acupuncture research, 2016, 41(3): 210-214.
陈艳萍. 针灸对溃疡性结肠炎大鼠Th1/Th2免疫平衡的影响[J]. 针刺研究, 2016,41(3):210-214. DOI: 10.13702/j.1000-0607.2016.03.004.
CHEN Yan-ping. Effect of Moxibustion and Electroacupuncture on Th 1/Th 2 Immune Balance in Rats with Experimental Colitis[J]. Acupuncture research, 2016, 41(3): 210-214. DOI: 10.13702/j.1000-0607.2016.03.004.
目的:探讨针灸对溃疡性结肠炎(UC)大鼠Th 1/Th 2免疫平衡的影响。方法:SD大鼠随机分为模型组、隔药灸组、电针组
每组10只
并另选10只正常大鼠作为对照组。采用免疫学方法并加局部刺激建立大鼠UC模型。隔药灸组、电针组选取"天枢"(双)和"气海"进行隔药灸或电针治疗
连续治疗14d。采用定量PCR法检测结肠组织中干扰素(INF)-γ、白介素(IL)-12、IL-4和IL-10mRNA表达水平;采用酶联免疫吸附法检测结肠组织中INF-γ、IL-12、IL-4和IL-10的含量;采用流式细胞术分析结肠组织细胞中CD4
+
INF-γ+INF-γ
+
/CD 4+/CD 4
+
IL-4+IL-4
+
的比值。结果:与对照组比较
模型组大鼠结肠组织中INF-γ、IL-12mRNA和含量显著升高(P
<
0.05)
IL-4、IL-10mRNA和含量显著下降(P
<
0.05);隔药灸组和电针组大鼠结肠组织INF-γ、IL-12mRNA和含量显著低于模型组(P
<
0.05)
IL-4、IL-10mRNA和含量显著高于模型组(P
<
0.05)。模型组结肠组织中CD 4+的比值。结果:与对照组比较
模型组大鼠结肠组织中INF-γ、IL-12mRNA和含量显著升高(P
<
0.05)
IL-4、IL-10mRNA和含量显著下降(P
<
0.05);隔药灸组和电针组大鼠结肠组织INF-γ、IL-12mRNA和含量显著低于模型组(P
<
0.05)
IL-4、IL-10mRNA和含量显著高于模型组(P
<
0.05)。模型组结肠组织中CD 4
+
INF-γ+INF-γ
+
/CD 4+/CD 4
+
IL-4+IL-4
+
的比值显著高于对照组(P
<
0.05);与模型组比较
隔药灸组和电针组CD4+的比值显著高于对照组(P
<
0.05);与模型组比较
隔药灸组和电针组CD4
+
INF-γ+INF-γ
+
/CD 4+/CD 4
+
IL-4+IL-4
+
比值显著下降(P
<
0.05)。隔药灸组和电针组的各项指标比较差异均无统计学意义(P
>
0.05)。结论:隔药灸和电针均能显著改善UC模型大鼠炎性反应
通过下调结肠组织中INF-γ和IL-12水平
上调IL-4和IL-10水平从而保持Th 1/Th 2细胞间平衡
进而改善免疫功能。Objective To observe the effect of moxibustion and electroacupuncture(EA)stimulation of"Tianshu"(ST 25)and"Qihai"(CV 6)on Th 1/Th 2immune balance in rats with experimental ulcerative colitis(UC).Methods The UC rats were randomly allocated to model group
moxibustion group and EA group(n=10in each group).Another 10 rats were used as the control group.The UC model was established by injection of fresh colonic mucosal tissue-made antigen emulsifier(purified mucosal supernate plus complete Freund's adjuvant
3.5mg on day one
and 7mg thereafter)into the bilateral toes
inguinal grooves
back
and the abdominal cavity on day 1
10
17 and 24
respectively.Medicinal paste(containing Cortex Cinnamomi
Flos Carthami
etc.)-separated moxibustion or EA(200Hz
2mA)was applied to ST 25 and CV 6for 20 min
once daily for 14 days.The mRNA expression levels of interferon-γ(INF-γ)
IL-12
IL-4 and IL-10 in colon tissues were detected using quantitative RT-PCR and their content determined using enzyme linked immunosorbent assay(ELISA).The colon tissue cell ratios of CD 4+比值显著下降(P
<
0.05)。隔药灸组和电针组的各项指标比较差异均无统计学意义(P
>
0.05)。结论:隔药灸和电针均能显著改善UC模型大鼠炎性反应
通过下调结肠组织中INF-γ和IL-12水平
上调IL-4和IL-10水平从而保持Th 1/Th 2细胞间平衡
进而改善免疫功能。
Objective To observe the effect of moxibustion and electroacupuncture(EA)stimulation of"Tianshu"(ST 25)and"Qihai"(CV 6)on Th 1/Th 2immune balance in rats with experimental ulcerative colitis(UC).Methods The UC rats were randomly allocated to model group
moxibustion group and EA group(n=10in each group).Another 10 rats were used as the control group.The UC model was established by injection of fresh colonic mucosal tissue-made antigen emulsifier(purified mucosal supernate plus complete Freund's adjuvant
3.5mg on day one
and 7mg thereafter)into the bilateral toes
inguinal grooves
back
and the abdominal cavity on day 1
10
17 and 24
respectively.Medicinal paste(containing Cortex Cinnamomi
Flos Carthami
etc.)-separated moxibustion or EA(200Hz
2mA)was applied to ST 25 and CV 6for 20 min
once daily for 14 days.The mRNA expression levels of interferon-γ(INF-γ)
IL-12
IL-4 and IL-10 in colon tissues were detected using quantitative RT-PCR and their content determined using enzyme linked immunosorbent assay(ELISA).The colon tissue cell ratios of CD 4
+
INF-γ+INF-γ
+
and CD 4+and CD 4
+
IL-4+IL-4
+
were analyzed by flow cytometry.Results Compared with the control group
the mRNA and contents of colonic INF-γ and IL-12 and the ratio of CD 4+were analyzed by flow cytometry.Results Compared with the control group
the mRNA and contents of colonic INF-γ and IL-12 and the ratio of CD 4
+
INF-γ+INF-γ
+
and CD 4+and CD 4
+
IL-4+IL-4
+
were significantly higher in the model group(P
<
0.05)
and the IL-4 and IL-10 mRNA expression and contents considerably lower after UC modeling(P
<
0.05).Following medicinal paste-separated moxibustion and EA interventions
the increased INF-γand IL-12 mRNA and contents and the increased ratio of CD 4+were significantly higher in the model group(P
<
0.05)
and the IL-4 and IL-10 mRNA expression and contents considerably lower after UC modeling(P
<
0.05).Following medicinal paste-separated moxibustion and EA interventions
the increased INF-γand IL-12 mRNA and contents and the increased ratio of CD 4
+
INF-γ+INF-γ
+
and CD 4+and CD 4
+
IL-4+IL-4
+
and the decreased IL-4and IL-10 mRNA and contents were reversed(P
<
0.05).No significant differences were found between the moxibustion and EA groups in the levels of all the indexes(P
>
0.05).Conclusion Both medicinal paste-separated moxibustion and EA interventions may regulate the balance between Th 1and Th 2cells in the colonic tissues of UC rats
suggesting an improvement of the immune function by down-regulating INF-γand IL-12 levels and up-regulating IL-4and IL-10 levels.
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