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1. 上海交通大学医学院附属第六人民医院针推伤科
2. 上海中医药大学附属龙华医院针灸科
3. 上海中医药大学附属岳阳中西医结合医院针灸科
纸质出版日期:2023
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李之豪, 赵雪丹, 明树人, 等. 电针对慢性非细菌性前列腺炎大鼠前列腺组织病理形态及肥大细胞脱颗粒的影响[J]. 针刺研究, 2023,48(1):56-62.
LI Zhi-hao, ZHAO Xue-dan, MING Shu-ren, et al. Effect of electroacupuncture on the morphology of prostate and degranulation of mast cells in rats with chronic nonbacterial prostatitis[J]. Acupuncture research, 2023, 48(1): 56-62.
李之豪, 赵雪丹, 明树人, 等. 电针对慢性非细菌性前列腺炎大鼠前列腺组织病理形态及肥大细胞脱颗粒的影响[J]. 针刺研究, 2023,48(1):56-62. DOI: 10.13702/j.1000-0607.20211148.
LI Zhi-hao, ZHAO Xue-dan, MING Shu-ren, et al. Effect of electroacupuncture on the morphology of prostate and degranulation of mast cells in rats with chronic nonbacterial prostatitis[J]. Acupuncture research, 2023, 48(1): 56-62. DOI: 10.13702/j.1000-0607.20211148.
目的:观察电针对慢性非细菌性前列腺炎(CNP)大鼠前列腺组织病理形态及肥大细胞脱颗粒的影响,探讨电针治疗CNP的作用机制。方法:将雄性SD大鼠随机分为假手术组、模型组和电针组,每组8只。采用去势联合雌二醇注射制备CNP大鼠模型。电针组取“中极”“关元”“大赫”予以电针治疗,1次/d
20 min/次,共8 d。造模前后及干预后检测大鼠阴囊区皮肤的机械疼痛阈值;用HE染色法观察前列腺组织病理形态变化;Masson染色法观察胶原纤维沉积程度;甲苯胺蓝染色法观察前列腺肥大细胞浸润及脱颗粒情况;ELISA法检测前列腺组织白细胞介素(IL)-6、肿瘤坏死因子(TNF)-α的含量;Western blot法检测前列腺组织类胰蛋白酶(tryptase)和转化生长因子(TGF)-β1蛋白的表达水平。结果:假手术组大鼠前列腺外观正常,有少量炎性细胞浸润;模型组大鼠前列腺腺体萎缩,上皮组织破坏,组织充血、水肿,前列腺间质内可见弥漫性炎性细胞浸润,胶原纤维大量沉积;电针组大鼠前列腺炎性细胞浸润程度减轻,胶原纤维沉积程度减轻。与假手术组比较,模型组大鼠机械疼痛阈值降低(P<0.01)
前列腺组织胶原容积分数(CVF)、肥大细胞脱颗粒率升高(P<0.01)
前列腺组织中IL-6、TNF-α含量及tryptase、TGF-β1表达水平均升高(P<0.01)。与模型组比较,电针组大鼠机械疼痛阈值升高(P<0.01)
前列腺组织CVF、肥大细胞脱颗粒率降低(P<0.05)
前列腺组织中IL-6、TNF-α含量及tryptase、TGF-β1蛋白表达水平均降低(P<0.01
P<0.05)。结论:电针能减轻CNP大鼠疼痛反应,改善前列腺组织炎性反应及胶原纤维沉积程度,其作用机制可能与抑制肥大细胞脱颗粒,下调炎性因子及TGF-β1的表达有关。
Objective To observe the effect of electroacupuncture(EA) on the morphology of prostate and degranulation of mast cells in prostate of rats with chronic nonbacterial prostatitis(CNP). Methods Male SD rats were randomly divided into sham operation group
model group and EA group
with 8 rats in each group. CNP model was established by surgical castration combined with 17-β estradiol injection once daily for 30 days. EA was applied to “Zhongji”(CV3)
“Guanyuan”(CV4) and bilateral “Dahe”(KI12) for 20 min
once daily for 8 days. The mechanical pain threshold of scrotum skin area was tested before modeling
after modeling and after intervention. The pathological morphology of the prostate was observed by HE staining. Collagenous fiber was observed by Masson staining. The infiltration of mast cells was observed by toluidine blue staining. The contents of interleukin 6(IL-6) and tumor necrosis factor α(TNF-α) in prostate were determined by ELISA. The protein expression levels of tryptase and transforming growth factor β1(TGF-β1) in prostate were detected by Western blot. Results A normal appearance with little inflammatory cell infiltration was observed in the prostate of the sham operation group. Gland atrophy
epithelial destruction
hyperemia and edema
diffuse inflammatory cell infiltration and visible collagen fiber deposition were observed in prostate of the model group. The degree of infiltration of inflammatory cells and collagen fiber deposition were reduced in the EA group. Compared with the sham operation group
mechanical pain threshold was decreased(P<0.01)
while the collagen volu-me fraction(CVF) of prostate
the degranulated rate of mast cells
the protein expression levels of tryptase and TGF-β1
and the contents of IL-6 and TNF-α were increased(P<0.01) in the model group. Following EA intervention
compared with the model group
the mechanical pain threshold was increased(P<0.01)
CVF of the prostate
the degranulated rate of mast cells
the protein expression levels of tryptase and TGF-β1
and the contents of IL-6 and TNF-α were decreased(P<0.05
P<0.01) in the EA group. Conclusion EA can relieve pain and reduce inflammation and fibrosis of prostate in CNP rats
which may be related to inhibiting the degranulation of prostate mast cells and down-regulating the expression of inflammatory factors and TGF-β1.
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