艾灸对类风湿关节炎大鼠足趾关节滑膜组织AMPK/ULK1信号通路的影响

刘梨; 张亮; 李鑫; 徐美丽; 王文怡; 龚志贤; 艾坤

doi:10.13702/j.1000-0607.20220340

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艾灸对类风湿关节炎大鼠足趾关节滑膜组织AMPK/ULK1信号通路的影响

机制探讨 | 更新时间：2023-08-10

- 艾灸对类风湿关节炎大鼠足趾关节滑膜组织AMPK/ULK1信号通路的影响
- Effect of moxibustion on AMPK/ULK1 signaling pathway in synovium tissue of toes in rats with rheumatoid arthritis
- 针刺研究 2022年47卷第11期页码：1019-1024
- 作者机构：
  
  1. 湖南中医药大学第一附属医院/第一中医临床学院
  2. 湖南中医药大学针灸推拿学院
  3. 湖南中医药大学中医诊断学湖南省重点实验室
  4. 湖南中医药大学护理学院
- 作者简介：
- 基金信息：
  
  国家自然科学基金项目(No.81804204、82074565);湖南省自然科学基金项目(No.2020JJ5433)
- DOI：10.13702/j.1000-0607.20220340
  中图分类号：
- 纸质出版日期：2022
- 稿件说明：
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刘梨, 张亮, 李鑫, 等. 艾灸对类风湿关节炎大鼠足趾关节滑膜组织AMPK/ULK1信号通路的影响[J]. 针刺研究, 2022,47(11):1019-1024.

LIU Li, ZHANG Liang, LI Xin, et al. Effect of moxibustion on AMPK/ULK1 signaling pathway in synovium tissue of toes in rats with rheumatoid arthritis[J]. Acupuncture research, 2022, 47(11): 1019-1024.
刘梨, 张亮, 李鑫, 等. 艾灸对类风湿关节炎大鼠足趾关节滑膜组织AMPK/ULK1信号通路的影响[J]. 针刺研究, 2022,47(11):1019-1024. DOI： 10.13702/j.1000-0607.20220340.

LIU Li, ZHANG Liang, LI Xin, et al. Effect of moxibustion on AMPK/ULK1 signaling pathway in synovium tissue of toes in rats with rheumatoid arthritis[J]. Acupuncture research, 2022, 47(11): 1019-1024. DOI： 10.13702/j.1000-0607.20220340.

摘要

目的:观察艾灸对类风湿关节炎(RA)大鼠足趾关节滑膜组织中环磷酸腺苷(AMP)依赖的腺苷酸活化蛋白激酶(AMPK)/UNC-51样激酶1(ULK1)信号通路的影响，探索艾灸治疗RA的作用机制。方法:SD大鼠按照随机数字表法分为空白组、模型组、艾灸组、甲氨蝶呤组、雷帕霉素组，每组9只。采用弗氏完全佐剂注射法制备RA大鼠模型。艾灸组艾灸“足三里”“关元”

20 min/次，每日1次。甲氨蝶呤组予甲氨蝶呤灌胃(0.35 mg/kg)

每周2次。雷帕霉素组予腹腔内注射雷帕霉素(1 mg/kg)

隔日1次。各组均干预3周。足趾容积测量仪检测大鼠左后肢足趾容积；ELISA法检测大鼠足趾关节滑膜组织中AMP含量；Western blot法检测大鼠足趾关节滑膜组织中AMPK、液泡分选蛋白34(VPS34)蛋白表达量；real-time PCR法检测足趾关节滑膜组织中Atg13、ULK1 mRNA的表达水平。结果:与空白组比较，模型组足趾容积增大(P<0.01)

足趾关节滑膜组织AMP含量、AMPK和VPS34蛋白表达量、ULK1和Atg13 mRNA表达水平显著降低(P<0.01)。与模型组比较，艾灸组、甲氨蝶呤组、雷帕霉素组足趾容积减小(P<0.05);艾灸组足趾关节滑膜组织AMP含量、AMPK和VPS34蛋白表达量、ULK1和Atg13 mRNA表达水平明显升高(P<0.05);甲氨蝶呤组AMP含量、VPS34蛋白表达量、Atg13 mRNA表达水平明显升高(P<0.05);雷帕霉素组AMPK和VPS34蛋白表达量、ULK1和Atg13 mRNA表达水平明显升高(P<0.05

P<0.01)。与艾灸组比较，甲氨蝶呤组足趾关节滑膜组织AMPK蛋白表达量明显降低(P<0.05);雷帕霉素组AMP含量明显降低(P<0.05)。结论:艾灸能改善RA大鼠关节肿胀，其作用机制可能与激活AMPK/ULK1信号通路有关。

Abstract

Objective To observe the effect of moxibustion on AMP-activated protein kinase(AMPK)/UNC-51-like kinase 1(ULK1) signaling pathway in the synovial tissue of toes in rheumatoid arthritis rats

so as to explore the mechanism of mo-xibustion in the treatment of rheumatoid arthritis(RA). Methods A total of 45 SD rats were randomly divided into blank

model

moxibustion

methotrexate and rapamycin groups

with 9 rats in each group. RA rat model was established by injection of Freund's complete adjuvant. Moxibustion was applied to “Zusanli”(ST36) and “Guanyuan”(CV4) for 20 min

once a day for 3 weeks. Methotrexate group was given methotrexate(0.35 mg/kg) by gavage

twice a week for 3 weeks. Rapamycin group was intraperitoneally injected with rapamycin(1 mg/kg)

once every other day for 3 weeks. The toe volume of the left hind limb of rats was measured by the toe volume measuring instrument. The content of AMP in toe synovium was detected by ELISA. The expression of AMPK and VPS34 protein in toe synovium was detected by Western blot.The expression of ULK1 and Atg13 mRNA in toe synovium was detected by RT-PCR. Results Compared with the blank group

the volume of toe in the model group was increased(P<0.01)

while the content of AMP

the expression of AMPK and VPS34 proteins

the expression of ULK1 and Atg13 mRNAs were significantly decreased(P<0.01).Compared with the model group

the volume of toe in the moxibustion

methotre-xate and rapamycin groups was decreased(P<0.05); the content of AMP

the expression of AMPK and VPS34 proteins

the expression of ULK1 and Atg13 mRNAs were significantly increased(P<0.05) in the moxibustion group; the content of AMP

the expression of VPS34 protein

the expression of Atg13 mRNA were significantly increased(P<0.05) in the methotrexate group; the expression of AMPK and VPS34 proteins

the expression of ULK1 and Atg13 mRNAs were significantly increased(P<0.05

P<0.01) in the rapamycin group. Compared with the moxibustion group

the expression of AMPK protein in the methotrexate group and the content of AMP in the rapamycin group were significantly decreased(P<0.05). Conclusion Moxibustion can improve joint swelling in RA rats

and the mechanism may be related to promoting the activity of AMPK/ULK1 signaling pathway.

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