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电针刺减轻小鼠内毒素急性肺损伤的作用机制研究
孔畅,刘伟强,李梦涵,郭晨旭,余剑波,张圆
天津医科大学附属南开医院天津300100;天津医科大学附属南开医院天津300100;天津市中西医结合急腹症研究所天津300100;天津市急腹症器官损伤与中西医修复重点实验室天津 300100
摘要:
目的 基于环磷酸腺苷反应元件结合蛋白3(CREB3)对高尔基体的应激作用研究电针刺在减轻小鼠内毒素急性肺损伤中的作用机制。方法:选取SPF 级健康雄性C57BL/6J 小鼠24 只,7~8 周龄,体质量25~30 g,随机分成4 组:空白对照组(WT 组)、内毒素相关性急性肺损伤模型组(LPS 组)、模型+电针刺组(EA+LPS 组)、模型+电针刺激非穴位组(SEA+LPS 组),每组6 只。EA+LPS 组于模型制备前5 天采用电针刺小鼠双侧足三里(ST36)和双侧肺俞穴(BL13),SEA+LPS 组用同样的方法刺激远端非穴位处。LPS 组、EA+LPS 组和SEA+LPS 组腹腔注射脂多糖(LPS)12 mg/kg,WT 组给予等容量生理盐水。注射LPS 或生理盐水12 h 后,取血并分离血清检测肿瘤坏死因子(TNF)-倩、白细胞介素(IL)-1茁和IL-6 浓度,取肺组织并进行病理损伤评分,免疫荧光染色观察高尔基体形态,检测CREB3 蛋白的表达水平及Golgin97、GRASP65 和GOLPH3 高尔基体应激相关指标的蛋白表达水平。结果:与LPS 组比较,EA+LPS 组肺损伤减轻,显微镜下高尔基体损伤程度减轻,血清TNF-a、IL-1、IL-6 含量降低(P<0.05),肺组织CREB3 蛋白表达水平下调,高尔基体应激相关蛋白Golgin97、GRASP65 表达上调,而GOLPH3 表达下调(P<0.05),但SEA+LPS 组上述各指标与LPS 组差异无统计学意义(P>0.05);CREB3 敲除小鼠可逆转电针刺对高尔基体应激及脓毒症肺损伤的治疗效果。结论:电针刺激双侧足三里和双侧肺俞穴减轻小鼠内毒素急性肺损伤的作用机制可能与CREB3 介导高尔基体应激有关。
关键词:  脓毒症  电针刺  肺损伤  高尔基体
DOI:10.3969/j.issn.1007-6948.2025.01.002
投稿时间:2024-07-04
基金项目:天津市自然科学基金多元投入基金重点项目(21JCZDJC01120);天津中医药重点领域项目(2023009)
Mechanism of electroacupuncture in acute lung injury induced by endotoxin in mice
KONG Chang,LIU Wei-qiang,LI Meng-han
Abstract:
Objective To investigate the role of cAMP response element-binding protein 3 (CREB3) in alleviating Golgi stress in endotoxin -induced acute lung injury in mice through electroacupuncture(EA). Methods 24 healthy male SPF-grade C57BL/6J mice, aged 7-8 weeks and weighing 25~30 g, were randomly divided into 4 groups (n=6):WT operation group (WT group), endotoxin-induced acute lung injury model group(LPS group), model+electroacupuncture group (EA+LPS group), and model+electroacupuncture at non-acupoint group (SEA +LPS group). The EA +LPS group received electroacupuncture at bilateral Zusanli and Feishu acupoints for 5 days prior to model induction, while the SEA+LPS group was stimulated at distant non-acupoints using the same method. The LPS group, EA+LPS group, and SEA+LPS group received intraperitoneal injections of lipopolysaccharide (LPS) at a dose of 12 mg/kg, while the WT group was given an equivalent volume of normal saline. 12 hours after the injection of LPS or normal saline, blood samples were collected, and serum was separated to measure the concentrations of tumor necrosis factor (TNF)-a, Interleukin (IL)-1茁, and IL-6. Lung tissues were collected for pathological injury scoring, immunofluorescence staining to observe Golgi morphology,and detection of CREB3 protein expression levels, as well as the protein expression of Golgi stress-related markers Golgin97, GRASP65, and GOLPH3. Results Compared with the LPS group, the EA+LPS group showed a decrease in lung injury scores,reduced Golgi damage under the microscope, and lower concentrations of serum TNF-a, serum IL-1,and serum IL-6 (P<0.05). Additionally, the expression levels of CREB3 protein in lung tissue were downregulated, while the expression of Golgi stress-related proteins Golgin97 and GRASP65 were upregulated,and GOLPH3 expression was downregulated (P<0.05). However, in the SEA +LPS group, there were no statistically significant differences in these indicators (P>0.05). CREB3 knockout mice can reverse the therapeutic effects of electroacupuncture on Golgi apparatus stress and sepsis induced lung injury. Conclusion The mechanism by which CREB3 mediates the alleviation of endotoxin -induced acute lung injury in mice through electroacupuncture at Zusanli and Feishu acupoints may be related to Golgi stress.
Key words:  Sepsis  electroacupuncture  lung injury  Golgi apparatus

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