国际麻醉学与复苏杂志   2019, Issue (5): 6-6
    
电针足三里对脓毒症大鼠肺微血管内皮细胞的影响
张敏, 杜朝晖, 王炎林1()
1.山东省千佛山医院麻醉科
The effect of stimulation at Zusanli on pulmonary microvascular endothelial cells of septic rats
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摘要:

目的 探讨电针足三里对脓毒症大鼠肺微血管内皮细胞(pulmonary microvascular endothelial cell, PMVEC)的保护作用及可能机制。 方法 108只雄性SD大鼠采用随机数字表法分为6组(每组18只):假手术组(Sham组)、脓毒症模型组(LPS组)、电针非经非穴组(non?蛳EA组)、电针足三里组(EA组)、迷走神经切断组(VGX组)、迷走神经切断加电针足三里组(VGX/EA组)。各组造模后3、6、9 h经腹主动脉采血0.8 ml,ELISA法检测血浆TNF-α;取肺组织,Real-time PCR法检测Src抑制的蛋白激酶C底物(Src-suppressed C kinase substrate, SSeCKS) mRNA 和 E-选择素 mRNA水平。6 h后,取肺组织,H-600型透射电镜观察PMVEC超微结构。 结果 与Sham组比较,其余各组大鼠血浆TNF-α及肺组织SSeCKS mRNA和E-选择素mRNA水平显著升高(P<0.05),non-EA组上述指标与LPS组比较,差异无统计学意义(P>0.05);EA组上述指标水平在造模后3、6、9 h较LPS组均降低(P<0.05);迷走神经切断后给予电针足三里,EA组上述指标水平在造模后3、6、9 h与VGX组比较,差异无统计学意义(P>0.05)。电镜下可见LPS组大鼠PMVEC凋亡坏死明显,EA组大鼠PMVEC病理损伤明显减轻。 结论 电针足三里对脓毒症大鼠PMVEC有明显的保护作用,其保护作用依赖于迷走神经完整性,可能是通过激活胆碱能抗炎通路(cholinergic anti-inflammatory pathway, CAP)实现的。

关键词: 足三里; 电针; 脓毒症; 肺微血管内皮细胞
Abstract:

Objective To investigate the protecting effect and mechanisms of electroacupuncturing Zusanli(ST36) on pulmonary microvascular endothelial cell(PMVEC) of septic rat. Methods One hundred and eight male Sprague-Dawley rats were randomly divided into 6 groups(n=18): sham group(group Sham), sepsis group (group LPS), acupuncture non-acupoint stimulation group(group non-EA), bilateral electroacupuncture Zusanli group(group EA), bilateral cervical vagotomy after sepsis group (group VGX), bilateral cervical vagotomy thus electroacupunctureing Zusanli group (group VGX/EA). Abdominal aortic blood samples were taken 0.8 ml at 3, 6, 9 h to measure plasma tumor necrosis factor-α(TNF-α) expression level. Lung tissues were collected to investigate the expression of Src-suppressed C kinase substrate (SSeCKS) mRNA and E-selection mRNA. The pulmonary microvascular endothelial cells were observed by transmission electron microscope at 6 h after LPS exposure. Results The expression levels of TNF-α in plasma, as well as SSeCKS mRNA and E-selection mRNA expression levels in lung tissue were obviously higher in other groups than the expression levels of these molecules in group Sham (P<0.05). Statistical difference in all above expression levels of these molecules between group non-EA and LPS at 3, 6 h and 9 h were not detected(P>0.05). The expression levels of TNF-α, SSeCKS mRNA and E-selection mRNA in group EA were markedly lower than the expression levels in group LPS(P<0.05). Electroacupuncturing Zusanli after vagotomy, statiscal difference in all above expression levels of these molecules were not detected compared with group VGX(P>0.05). Transmission electron microscopy observed EA at Zusanli distinctly reduced the dysfunction of microvascular endothelial cells. Conclusions Electroacupuncturing Zusanli can protect LPS induced PMVEC injury and exert protective effects via activation of cholinergic anti-inflammatory pathway (CAP).

Key words: Zusanli; Electroacupuncture; Sepsis; Pulmonary microvascular endothelial cell