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论文摘要

电针对急性痛风性关节炎大鼠踝关节滑膜组织TLR/MYD88信号通路的影响

The Effects of Electro-acupuncture on the Signaling Pathway of TLR/MYD88 in Ankle Joint Synovial Tissue of Acute Gouty Arthritis Rats

作者:张超男, 黄学宽, 骆言等

Author:ZHANG Chao-nan, HUANG Xue-kuan, LUO Yan. et al

收稿日期:          年卷(期)页码:2014,45(6):924-927

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:电针 急性痛风性关节炎 Toll样受体2 髓样分化因子88

Key words:Electro-acupuncture Acute gouty arthritis Toll-like receptor2 Myeloid differentiation factor 88

基金项目:

中文摘要

目的 探讨电针对急性痛风性关节炎(acute gouty arthritis,AGA)大鼠踝关节滑膜组织TOLL样受体(TLR)/髓样分化因子88 (MYD88)信号通路相关蛋白表达的影响。方法 将50只SD雄性大鼠随机分为正常组、硅晶体(SMD)组、AGA模型组、西药组、电针组,每组10只;正常组常规喂养,SMD组采用SMD溶液注入关节腔,作为关节炎症模型对照,其余各组采用尿酸钠溶液注射法建立急性痛风性关节炎模型。正常组、SMD组与AGA模型组大鼠造模前2 d开始按20 mL/kg 予以生理盐水灌胃,西药组按1 mg/kg予以秋水仙碱溶液灌胃,电针组选取大鼠受试侧三阴交、解溪、昆仑穴位施针,频率1.5~2 Hz,疏密波,电压9 V,电流强度1~3 mA,留针20 min,上述处理均为1次/d,连续9 d。定期观察各组大鼠受试关节肿胀指数,并采用免疫组化法检测受试关节滑膜组织中TLR2、MYD88蛋白的表达。结果 与正常组比较,SMD组大鼠受试关节肿胀指数增加(PP>0.05);模型组大鼠受试关节肿胀指数、滑膜组织TLR2、MYD88的表达则明显增加(PPPP>0.05)。结论 电针能够减轻急性痛风性关节炎的症状,这可能与调节TLR/MYD88信号通路中TLR2、MYD88蛋白的表达有关。

英文摘要

Objective To investigate the effects of electro-acupuncture (EA) on the related protein expression of the signaling pathway of the toll-like receptor2 (TLR2)/myeloid differentiation factor (MYD) 88 in ankle joint synovial tissue of acute gouty arthritis (AGA) rats. Methods Fifty male SD rats were randomly divided into 5 groups: normal group, SMD group, AGA model group, medication group and EA group, 10 rats in each group. SMD group established model by inducing SMD, other groups established AGA model by inducing monosodium urate, except the normal group. Two days before model was established, normal and SMD and AGA model groups were lavaged with normal saline (20 mL/kg), medication group was lavaged with colchicine solution (1 mg/kg), EA (1.5-2 Hz, D.-D.wave, 9 V, 1-3 mA) was applied to“Sanyinjiao” (SP6),“Jiexi”(ST41) and“kunlun” (BL60) for 20 min, once daily, continuously for 9 days. Then the join sewlling index was observed periodically, the protein expression of TLR2 and MYD88 was determined by immunohistochemistry. Results Compared to the normal group, the join sewlling of the SMD group in test join increased significantly (PP>0.05), the join sewlling and protein expression of TLR2 and MYD88 in synovial tissue of model group increased significantly (PPPP>0.05). Conclusion EA can alleviate the symptoms of AGA, which may be related to regulation of the protein expression of TLR2 and MYD88 in the TLR/MYD88 signaling pathway.

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