针灸对脊髓损伤大鼠血清Leptin水平及神经元活性的影响

周斌, 李占涛, 左艳丽

中国临床解剖学杂志 ›› 2025, Vol. 43 ›› Issue (4) : 450-455.

PDF(2476 KB)
PDF(2476 KB)
中国临床解剖学杂志 ›› 2025, Vol. 43 ›› Issue (4) : 450-455. DOI: 10.13418/j.issn.1001-165x.2025.4.14
实验研究

针灸对脊髓损伤大鼠血清Leptin水平及神经元活性的影响

  • 周斌,    李占涛,    左艳丽*
作者信息 +

Effects of acupuncture on serum Leptin level and neuronal activity in rats with spinal cord injury

  • Zhou Bin, Li Zhantao, Zuo Yanli*
Author information +
文章历史 +

摘要

目的    基于PI3K /Akt信号通路探讨针灸对脊髓损伤大鼠血清Leptin水平及神经元活性的机制。  方法    30只SPF级SD大鼠按随机法分为Sham组、模型组及针灸组,均10只。除Sham组外均建立脊髓损伤(SCI)大鼠模型,建模成功后,针灸组进行针灸治疗,其余两组不干预。  结果   与模型组相比,针灸组大鼠神经功能评分降低(P<0.05);与Sham组相比,模型组大鼠血清Leptin水平升高(P<0.05),与模型组相比,针灸组大鼠血清Leptin水平更高(P<0.05); Sham组、模型组及针灸组的大鼠神经细胞凋亡率分别为(4.20±0.69)%、(26.81±4.59)%及(18.41±3.54)%,差异有显著性(F=115.000,P<0.001);与Sham组相比,模型组大鼠神经细胞PI3K、p-PI3K、AKT及p-AKT蛋白水平降低(P<0.05),与模型组相比,针灸组大鼠PI3K、p-PI3K、AKT及p-AKT蛋白水平升高(P<0.05)。  结论    针灸可减少脊髓损伤大鼠神经细胞凋亡、改善神经功能,同时可上调Leptin水平以改善脊髓损伤,可能与调节PI3K /Akt活性相关。

Abstract

 Objective    To explore the mechanism of acupuncture on serum Leptin level and neuronal activity in rats with spinal cord injury based on PI3K /Akt signaling pathway.   Methods   Thirty SD rats were randomly divided into Sham group, model group and acupuncture group, with 10 rats in each group. Spinal cord injury (SCI) rat models were established in all groups except Sham group. After successful modeling, acupuncture treatment was performed in the acupuncture group, while no intervention for other 2 groups.   Results    Compared with model group, nerve function scores of rats in acupuncture group was decreased (P<0.05). Compared with the Sham group, the serum Leptin level of rats in model group increased (P<0.05), and the serum Leptin level of rats in acupuncture group was higher than that in the model group (P<0.05). The apoptosis rates of neurons in Sham, model and acupuncture groups were (4.20±0.69) %, (26.81±4.59) % and (18.41±3.54) %, respectively, with statistically significant difference (F=115.000, P<0.001). Compared with Sham group, the levels of PI3K, p-PI3K, AKT and p-Akt protein in neurons of rats in model group decreased (P<0.05). Compared with model group, the levels of PI3K, p-PI3K, AKT and p-Akt increased in acupuncture group (P<0.05).    Conclusions    Acupuncture can reduce neuron apoptosis and improve nerve function in SCI rats. Acupuncture can up-regulate Leptin level and improve the repair of spinal cord injury, which may be related to the regulation of PI3K /Akt activity.

关键词

脊髓损伤 /   /   / 针灸 /   /   / 神经元活性 /   /   / 磷脂酞肌醇-3-激酶 /   /   / 蛋白激酶B

Key words

Spinal cord injury /   /   / Acupuncture /   /   / Neuronal activity /   /   / Phospholipid phthalinositol-3-kinase /   /   / Protein kinase B

引用本文

导出引用
周斌, 李占涛, 左艳丽. 针灸对脊髓损伤大鼠血清Leptin水平及神经元活性的影响[J]. 中国临床解剖学杂志. 2025, 43(4): 450-455 https://doi.org/10.13418/j.issn.1001-165x.2025.4.14
Zhou Bin, Li Zhantao, Zuo Yanli. Effects of acupuncture on serum Leptin level and neuronal activity in rats with spinal cord injury[J]. Chinese Journal of Clinical Anatomy. 2025, 43(4): 450-455 https://doi.org/10.13418/j.issn.1001-165x.2025.4.14
中图分类号: R681    

参考文献

[1]  Hu X, Xu W, Ren Y, et al. Spinal cord injury: molecular mechanisms and therapeutic interventions[J]. Signal Transduct Target Ther, 2023, 8(1):245. DOI: 10.1038/s41392-023-01477-6. 
[2]  聂敏, 芦春雷, 刘蒙, 等. 基于蒙特卡洛模型的脊髓损伤后神经细胞定位方法[J]. 光谱学与光谱分析, 2019, 39(5):1433-1438. DOI:10.3964/j.issn.1000-0593(2019)05-1433-06.
       Nie M, Lu CL, Liu M, et al. Study of nerve cell localization after spinal cord injury based on Monte Carlo model [J]. Spectroscopy and Spectral Analysis, 2019, 39(5):1433-1438. DOI:10.3964/j.issn.1000-0593(2019)05-1433-06.
[3] Zheng B, Tuszynski MH. Regulation of axonal regeneration after mammalian spinal cord injury[J]. Nat Rev Mol Cell Biol, 2023, 24(6):396-413. DOI: 10.1038/s41580-022-00562-y. 
[4]  陈游, 李斌, 戴携, 等. 血清瘦素及骨转化指标与下肢长骨骨折伴急性脊髓损伤患者骨折愈合的关系[J]. 东南大学学报(医学版), 2022, 41(1):49-55. DOI:10.3969/j.issn.1671-6264.2022.01.007.
      Chen Y, Lin B, Dai X, et al. Relationship between serum leptin,bone turnover biomarkers and fracture healing in patients with lower extremity long bone fracture and acute spinal cord injury [J]. J Southeast Univ (Med Sci Edi), 2022, 41(1):49-55. DOI:10.3969/j.issn.1671-6264.2022.01.007.
[5]  Qiao L, Tang Q, An Z, et al. Minocycline relieves neuropathic pain in rats with spinal cord injury via activation of autophagy and suppression of PI3K/Akt/mTOR pathway[J]. J Pharmacol Sci, 2023, 153(1):12-21. DOI:10.1016/j.jphs.2023.06.002. 
[6]  林清洋. 针灸联合耳穴疗法对脊髓损伤患者神经源性肠道功能障碍的影响[J]. 陕西中医,2023, 44(9):1293-1296. DOI:10.3969/j.issn. 1000-7369.2023.09.032.
      Lin QY. The effect of acupuncture combined with auricular acupoint therapy on neurogenic bowel dysfunction in patients with spinal cord injury [J]. Shannxi Journal of Traditional Chinese Medicine, 2023, 44(9):1293-1296. DOI:10.3969/j.issn.1000-7369.2023.09.032.
[7]  中国针灸学会.实验动物常用穴位名称与定位第2部分:大鼠[J].针刺研究, 2021, 46(4):351-352.
      China Association of Acupuncture and Moxibustion. Nomenclature and location of acupuncture points for laboratory animals Part 2: Rat [J]. Acupuncture Research, 2021, 46(4):351-352.
[8]  Xiao S, Zhang Y, Liu Z, et al. Alpinetin inhibits neuroinflammation and neuronal apoptosis via targeting the JAK2/STAT3 signaling pathway in spinal cord injury[J]. CNS Neurosci Ther, 2023, 29(4):1094-1108. DOI:10.1111/cns.14085. 
[9] He W, Li ZQ, Gu HY, et al. Targeted therapy of spinal cord injury: inhibition of apoptosis is a promising therapeutic strategy[J]. Mol Neurobiol, 2024,61(7):4222-4239. DOI: 10.1007/s12035-023-03814-w.
[10]费明珠, 申晓文, 申曌. 中药熏蒸辅助艾灸用于脊髓损伤截瘫后神经源性膀胱患者的回顾性队列研究[J]. 海军医学杂志, 2023, 44(12):1275-1279. DOI:10.3969/j.issn.1009-0754.2023.12.013.
      Fei MZ, Shen XW, Shen Z. Traditional Chinese medicine fumigation assisted with moxa-wool moxibustion in patients with neurogenic bladder after spinal cord injury and paraplegia: a retrospective cohort study [J]. Journal of Navy Medicine, 2023,44(12):1275-1279. DOI:10.3969/j.issn.1009-0754.2023.12.013.
[11] 张新立, 周慧雯, 严瑾. 自拟补肾助阳散敷脐联合骶神经根功能性磁刺激治疗脊髓损伤并发神经源性膀胱的临床研究[J]. 中国医学创新, 2023, 20(32):85-90. DOI:10.3969/j.issn.1674-4985.2023.32.019.
       Zhang LX, Zhou HW, Yan J. Clinical study on umbilical compress with self-made bushen zhuyang powder combined with sacral nerve root functional magnetic stimulation in the treatment of spinal cord injury complicated with neurogenic bladder [J]. Medical Innovation of China, 2023, 20(32):85-90. DOI:10.3969/j.issn.1674-4985.2023.32.019.
[12] 刘付龙 , 张鑫,  陈罗西, 等. 疏密波电针针刺下肢关键肌及神经干穴位治疗不完全脊髓损伤的效果[J].长春中医药大学学报, 2023, 39(10):1133-1137.DOI:10.13463/j.cnki.cczyy.2023.10.015. 
      Liu FL, Zhang X, Chen LX,et al. Effect of dense-sparse waves eletroacupuncture on key muscle of lower limbs and nerve trunk acupoints in the treatment of incomplete spinal cord injury [J]. Journal of Changchun University of Chinese Medicine, 2023, 39(10):1133-1137.DOI:10.13463/j.cnki.cczyy.2023.10.015.
[13] 代妮, 黄思琴, 唐成林, 等. 电针对脊髓损伤小鼠运动功能及炎性和氧化应激反应的影响[J].针刺研究, 2019, 44(11):781-786. DOI:10.13702/j.1000-0607.190101. 
      Dai N, Huang SQ, Tang CL, et al. Electroacupuncture improves locomotor function by regulating expression of inflammation and oxidative stress-related proteins in mice with spinal cord injury [J]. Acupuncture Research, 2019, 44(11):781-786. DOI:10.13702/j.1000-0607.190101.
[14] 王天雨, 魏炜, 杨志新, 等. 艾灸“相对穴”对脊髓损伤大鼠运动能力和其肠道菌群的影响[J].中国微生态学杂志, 2022, 34(11): 1283-1288. DOI:10.13381/j.cnki.cjm.202211007.
      Wang TY, Wei W, Yang ZX, et al. Effects of moxibustion at relative points on motor ability and intestinal bacteria in rats with spinal cord injury [J]. Chin J Microecol, 2022, 34(11): 1283-1288. DOI:10.13381/j.cnki.cjm.202211007.
[15] 王剑, 丰雪妮, 刘剑辉, 等. 补肾健骨中药复方对去卵巢骨质疏松症大鼠骨组织Leptin启动子甲基化的影响[J]. 中国骨质疏松杂志, 2021, 27(5):668-672,688. DOI:10.3969/j.issn.1006-7108.2021.05.009.
      Wang J, Feng XN, Liu JH, et al. Effect of reinforcing kidney to strengthen bone Chinese herbal compound on methylation of leptin promoter in bone of ovariectomized osteoporosis rats [J]. Chin J Osteoporos, 2021, 27(5):668-672,688. DOI:10.3969/j.issn.1006-7108.2021.05.009.
[16] 汪雷. 脊髄损伤合并长骨骨折后血清leptin对骨折愈合作用的实验及临床研究[D].南京医科大学, 2017. DOI:10.27249/d.cnki.gnjyu.2017.000188.
       Wan L. Experimental and clinical studies on the role of serum leptin in fracture healing after spinal cord injury combined with long bone fracture[D]. Nanjing Medical University, 2017. DOI:10.27249/d.cnki.gnjyu.2017.000188. 
[17]黄逸珠, 蒋云芳, 卢美静, 等. 艾灸神阙、足三里穴对痴呆大鼠瘦素、瘦素受体表达水平的影响[J]. 时珍国医国药, 2019, 30(6):1517-1519. DOI:10.3969/j.issn.1008-0805.2019.06.085.
      Huang YZ, Jiang YF, Lu MJ, et al. The expression level of leptin and leptin receptor by moxibustion Shen Que (RN8) point and Zu San Li (ST36) point to rats with alzheimer disease [J]. Journal of Li-shizhen Traditional Chinese Medicine, 2019, 30(6):1517-1519. DOI:10.3969/j.issn.1008-0805.2019.06.085.
[18] 梁凤霞, 徐芬, 陈瑞, 等. “标本配穴”针刺对糖尿病大鼠下丘脑瘦素受体及其mRNA表达的影响[J].中华中医药学刊, 2012, 30(12):2773-2775. DOI:10.13193/j.archtcm.2012.12.183.liangfx.032.
      Liang FX, Xu F, Chen R, et al. Effect of acupuncture therapy on the expressions of leptin R and its mRNA in the hypothalamus of STZ-induced diabetic rats [J]. Chinese Archives of Traditional Chinese Medicine, 2012, 30(12):2773-2775.DOI:10.13193/j.archtcm. 2012. 12.183.liangfx.032.
[19]Li W, Tang T, Yao S, et al.  Low-dose lipopolysaccharide alleviates spinal cord injury-induced neuronal inflammation by inhibiting microRNA-429-mediated suppression of PI3K/AKT/Nrf2 signaling[J]. Mol Neurobiol, 2024,61(1):294-307. DOI:10.1007/s12035-023-03483-9.
[20]武永利, 刘娣, 王铎, 等. 温针灸调控膝骨关节炎模型兔关节软骨中PI3K/Akt信号通路的变化[J]. 中国组织工程研究, 2022, 26(35): 5596-5601. https://doi.org/10.12307/2022.911.
       Wu YL, Liu D, Wang D, et al. Effect of warm acupuncture on PI3K/Akt signaling pathway in articular cartilage of a rabbit knee osteoarthritis model [J]. Chinese Journal of Tissue Engineering Research, 2022, 26(35):5596-5601. https://doi.org/10.12307/2022.911.
[21]常小凡, 谢西梅, 白秀, 等.基于“ICAM-5/ERM/PI3K/AKT信号通路”探讨针刺治疗缺血性中风的作用机制[J].针灸临床杂志, 2023, 39(5):83-88. DOI:10.19917/j.cnki.1005-0779.023101.
       Chang XF, Xie XM, Bai X, et al. Action mechanism of acupuncture in treatment of ischemic stroke based on ICAM-5/ERM/PI3K/AKT signaling pathway [J]. Journal of Clinical Acupuncture and Moxibustion, 2023,39(5):83-88.DOI:10.19917/j.cnki.1005-0779. 023101.

PDF(2476 KB)

Accesses

Citation

Detail

段落导航
相关文章

/