經(jīng)穴反應(yīng)性時(shí)間動(dòng)態(tài)變化與不同部位TRPV1、TRPV4表達(dá)的相關(guān)研究
本文選題:經(jīng)穴反應(yīng)性 + 時(shí)間特征; 參考:《成都中醫(yī)藥大學(xué)》2016年碩士論文
【摘要】:目的:根據(jù)針刺后不同部位TRPV1、TRPV4受體的改變探討經(jīng)穴反應(yīng)性時(shí)間動(dòng)態(tài)變化的機(jī)理。方法:實(shí)驗(yàn)分為兩部分進(jìn)行:(1)將清潔級(jí)的雄性SD大鼠光暗馴化7天后,先進(jìn)行基礎(chǔ)痛閾的篩選,然后按照痛閾結(jié)果進(jìn)行隨機(jī)分組,將大鼠分為造模組和空白組;造模組在右足足墊部注射完全弗氏佐劑。造模成功后又按基礎(chǔ)痛閾將大鼠隨機(jī)分為模型組和模針組,每組均按照不同的處理時(shí)間點(diǎn)分為ZT0(7:00)、ZT4 (11:00)、ZT8(15:00)、ZT12(19:00)、ZT16(23:00)、ZT20(3:00)6個(gè)亞組。在6個(gè)不同時(shí)間點(diǎn)進(jìn)行處理,模針組在相應(yīng)時(shí)間點(diǎn)手針針刺大鼠患側(cè)足三里30min,其間每5分鐘捻轉(zhuǎn)1min,頻率為120次/min?瞻捉M和模型組捆綁固定30min,不針刺。治療結(jié)束后運(yùn)用甩尾法檢測不同時(shí)間點(diǎn)大鼠痛閾變化。(2)根據(jù)實(shí)驗(yàn)一重復(fù)測量方差分析的結(jié)果,選取針刺后痛閾曲線最高點(diǎn)和最低點(diǎn)對(duì)應(yīng)的時(shí)相點(diǎn)進(jìn)行實(shí)驗(yàn),分組及造模方法同前,針刺治療7天,在第7天治療結(jié)束后立即取材,采用免疫組化的方法檢測大鼠穴位局部、背根神經(jīng)節(jié)以及脊髓中TRPV1、TRPV4的表達(dá),比較經(jīng)穴反應(yīng)時(shí)間動(dòng)態(tài)性與TRPV1、TRPV4的關(guān)系。結(jié)果:1、時(shí)間因素對(duì)空白組痛閾有顯著影響,F=9.205,P=0.00,P0.05;痛閾的峰值出現(xiàn)在ZTO,谷值分別出現(xiàn)在ZT4和ZT12。2、造模后,大鼠痛閾明顯下降,節(jié)律紊亂,時(shí)間因素對(duì)模型組痛閾無明顯影響,F=1.155,P=0.3540.05。3、針刺后,大鼠痛閾明顯升高,時(shí)間因素對(duì)痛閾的影響有顯著意義,F=30.414,P=0.0000.05。其中針刺后痛閾升高最明顯的時(shí)間點(diǎn)為ZT8,最不明顯的時(shí)間點(diǎn)為ZT16。4、穴位局部皮膚:ZT8時(shí)間點(diǎn),與空白組相比,模型組大鼠皮膚的TRPV1、TRPV4表達(dá)明顯上調(diào)(P0.05或P0.01);與模型組相比,模針組TRPV1、TRPV4含量顯著下降(P0.05)。ZT16時(shí)間點(diǎn)中:與空白組相比,模型組大鼠皮膚的TRPV1、 TRPV4表達(dá)明顯上調(diào)(P0.05);針刺后,模針組大鼠皮膚TRPV1的含量與模型組比較,明顯下降(P0.05),但TRPV4勺含量與模型組相比無明顯差異(P0.05)。5、背根神經(jīng)節(jié):ZT8時(shí)間點(diǎn),模型組大鼠背根神經(jīng)節(jié)TRPV1、TRPV4含量與空白組相比,明顯增加(P0.01),模針組大鼠背根神經(jīng)節(jié)TRPV1、TRPV4含量與模型組相比,含量顯著下降(P0.01或P0.05)。ZT16時(shí)間點(diǎn):模型組背根神經(jīng)節(jié)TRPV1、TRPV4含量非常明顯增加(P0.01或P0.05);與模型組相比,模針組背根神經(jīng)節(jié)TRPV1含量明顯下降(P0.05),但TRPV4含量與模型組相比無明顯差異(P0.05)。6、在脊髓:ZT8時(shí)間點(diǎn),模型組的TRPV1、TRPV4含量與空白組相比,明顯增加(P0.01或P0.05);與模型組相比,模針組的TRPV1含量明顯下降(P0.01),但TRPV4蛋白含量無明顯差異(P0.05)。ZT16時(shí)間點(diǎn),模型組的TRPV1、TRPV4含量明顯增加(P0.01);針剌后,模針組TRPV1、TRPV4含量與模型組相比明顯減少(P0.05)。結(jié)論:1、正常大鼠痛閾呈現(xiàn)節(jié)律性波動(dòng),受時(shí)間因素的影響。表現(xiàn)為雙谷結(jié)構(gòu),谷值分別出現(xiàn)在ZT4和ZT12。2、經(jīng)穴反應(yīng)具有時(shí)間動(dòng)態(tài)性變化,不同時(shí)間點(diǎn)針刺均可提高大鼠的痛閾,針刺后穴位反應(yīng)性的強(qiáng)弱受時(shí)間因素的影響,表現(xiàn)為單峰一谷的結(jié)構(gòu)。不同時(shí)間針刺對(duì)痛閾的影響不同,說明穴位的反應(yīng)性不同,其中針刺后經(jīng)穴反應(yīng)最佳時(shí)間點(diǎn)為ZT8、最差的時(shí)間點(diǎn)為ZT16。3、經(jīng)穴反應(yīng)性時(shí)間動(dòng)態(tài)變化可能與針刺后穴位局部、背根神經(jīng)節(jié)、脊髓TRPV1、 TRPV4興奮的數(shù)量以及種類有關(guān)。
[Abstract]:Objective: To explore the mechanism of dynamic changes in the response time of the meridians according to the changes of TRPV1 and TRPV4 receptors in different parts of the post acupuncture. Methods: the experiment was divided into two parts: (1) after the dark acclimation of the clean male SD rats for 7 days, the basic pain threshold was screened first, and then the rats were randomly divided into the models according to the pain threshold, and the rats were divided into models. Group and blank group; the model group was injected with complete Freund's adjuvant at the right foot pad. After the success of the model, the rats were randomly divided into the model group and the model needle group according to the basic pain threshold. Each group was divided into ZT0 (7:00), ZT4 (11:00), ZT8, ZT12, ZT16, ZT20, at different time points. At the corresponding time point, the group was treated with the hand acupuncture at the corresponding time point of the rats with the 30min of the Zusanli, which was twirling 1min every 5 minutes. The frequency of the 120 times /min. blank group and the model group were bound to the fixed 30min, without acupuncture. After the treatment, the pain threshold of the rats at different time points was detected by the tail flick method. (2) according to the result of the analysis of variance analysis of one repeated test, the results were selected. After the acupuncture, the highest point of pain threshold curve and the time point corresponding to the lowest point were tested. The group and the modeling method were the same before the acupuncture treatment for 7 days. After the treatment at the end of the seventh day, the material was taken immediately. The immunohistochemical method was used to detect the expression of TRPV1 and TRPV4 in the dorsal root ganglion and spinal cord, and the time dynamic of the acupoint reaction and the TRPV were compared. 1, TRPV4. Results: 1, time factors have a significant effect on the pain threshold of blank group, F=9.205, P=0.00, P0.05; the peak of pain threshold appears in ZTO, the valley value appears in ZT4 and ZT12.2 respectively. After the model, the pain threshold of the rat is obviously decreased and the rhythm is disordered. The time factors have no obvious effect on the pain threshold of the model group, F=1.155, P=0.3540.05.3, and acupuncture, pain threshold of rats. The effect of time factors on pain threshold was significant, F=30.414, P=0.0000.05., the most obvious time point was ZT8 after acupuncture, the most obvious time point was ZT16.4, the local skin of acupoint: ZT8 time point, TRPV1 of skin skin in model group, TRPV4 expression was obviously up up (P0.05 or P0.01), and the model was compared with the blank group. Compared with the model group, the content of TRPV1 and TRPV4 decreased significantly (P0.05).ZT16 time point: compared with the blank group, the expression of TRPV1 and TRPV4 in the model group was obviously up (P0.05). After acupuncture, the content of TRPV1 in the skin of the rat model group was significantly lower than that in the model group (P0.05), but there was no significant difference between the TRPV4 spoon content and the model group (P0.). 05).5, dorsal root ganglion: ZT8 time point, model group rat dorsal root ganglion TRPV1, TRPV4 content compared with the blank group, significantly increased (P0.01), the rat dorsal root ganglion TRPV1, TRPV4 content compared with the model group, the content was significantly decreased (P0.01 or P0.05).ZT16 time point: the model group dorsal root ganglion TRPV1, TRPV4 content was remarkably increased ( P0.01 or P0.05); compared with the model group, the TRPV1 content in the dorsal root ganglion of the model group was significantly decreased (P0.05), but the TRPV4 content was not significantly different from the model group (P0.05).6. In the spinal cord: ZT8 time point, the content of TRPV1 in the model group was significantly higher than that in the blank group (P0.01 or P0.05). Compared with the model group, the content of the model group was obvious. Decrease (P0.01), but there was no significant difference in TRPV4 protein content (P0.05).ZT16 time point, TRPV1 and TRPV4 content in model group increased significantly (P0.01); after acupuncture, the content of TRPV4 in model needle group was significantly reduced (P0.05) compared with model group (P0.05). Conclusion: 1, normal rats' pain threshold showed rhythmic fluctuation, influenced by time factors. The expression was double valley structure, valley The value of the acupoint reaction has time dynamic change, and the acupuncture at different time points can improve the pain threshold of the rats. The effect of acupuncture at different time points can increase the pain threshold of the rat. The intensity of acupoint reactivity after acupuncture is influenced by the time factor, which is the structure of single peak and one valley. The effect of acupuncture on pain threshold at different time is different, which shows that the reactivity of acupoints is different, among which acupuncture after acupuncture is different. After acupuncture, the effect of acupuncture on the pain threshold is different, among which acupuncture after acupuncture is different. The best time point of acupoint reaction is ZT8 and the worst time point is ZT16.3. The dynamic changes of the acupoint reactivity time may be related to the number and type of the acupoint, the dorsal root ganglion, the spinal cord TRPV1 and the TRPV4, after the acupuncture.
【學(xué)位授予單位】:成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2016
【分類號(hào)】:R246
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