[Effect of electroacupuncture of "Tianshu"(ST25) at different frequencies on electromyography and immunoactivity of SP and VIP of colon in rats with slow transit constipation].

Meng-Xiao Cui, Yu-Pei Sun, Xiao-Feng Li, Xuan-Ping Zhang, Xiao-Kang Xu, Fei Gao, Yan-Hui Sun, Xin Zhang
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Abstract

Objective: To observe the effect of electroacupuncture (EA) of bilateral "Tianshu"(ST25) at different frequencies on the first black stool discharge time, colonic electromyography (EMG) and immunoactivity of vasoactive intestinal peptide (VIP) and substance P (SP) in the colon tissue in rats with slow transit constipation (STC), so as to choose a better stimulating frequency in the treatment of STC.

Methods: A total of 50 male Wistar rats were randomized into control, model, 2 Hz-EA, 100 Hz- EA, and 2 Hz/100 Hz-EA groups, with 10 rats in each group. The STC model was established by intraperitoneal injection of compound diphenoxylate suspension fluid (10 mg/kg). EA was applied to bilateral ST25 for 30 min, once a day for 14 consecutive days. The discharge time for the first black stool was recorded after gavage of mixed suspension fluid of active carbon (2 mL) for assessing the gastrointestinal motility. The colonic EMG was recorded by using a pair of silver electrodes and bioelectric amplifier. The expression of SP and VIP in the colonic tissue was detected by immunohistochemistry.

Results: Following mode-ling, the colonic EMG amplitude, the discharge time for the first black stool and VIP immunoactivity were significantly increased (P<0.01), and the EMG frequency and SP immunoactivity were significantly decreased (P<0.01) in the model group compared with the control group. Compared with the model group, the increase of the discharge time for the first black stool, EMG amplitude and VIP immunoactivity, the decrease of EMG frequency and SP immunoactivity were reversed in the 3 EA groups (P<0.01, P<0.05). The therapeutic effect of 100 Hz-EA was notably weaker than that of both 2 Hz-EA and 2 Hz/100 Hz-EA in up-regulating EMG frequency and SP immunoactivity and in down-regulating the discharge time for the first black stool, EMG amplitude and VIP immunoactivity (P<0.05, P<0.01). There was no significant difference between the 2 Hz/100 Hz-EA and 2 Hz-EA groups (P>0.05).

Conclusion: EA can accelerate colonic EMG activities, which may be associated with its functions in down-regulating VIP immunoactivity and up-regulating SP immunoactivity in the colonic tissues. The therapeutic effects of 2 Hz/100 Hz-EA and 2 Hz-EA are better than that of 100 Hz-EA.

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【不同频率电针“天枢”对慢传输型便秘大鼠结肠肌电图及SP、VIP免疫活性的影响】。
目的:观察不同频率电针双侧“天枢”(ST25)对慢传输型便秘(STC)大鼠首次黑便排出时间、结肠肌电图(EMG)及结肠组织血管活性肠肽(VIP)和P物质(SP)免疫活性的影响,方法:将50只雄性Wistar大鼠随机分为对照组、模型组、2Hz电针组、100Hz电针组和2Hz/100Hz电针对照组,每组10只。通过腹膜内注射复方二苯氧基悬浮液(10mg/kg)建立STC模型。电针应用于双侧ST25,持续30min,每天一次,连续14天。在灌胃活性炭混合悬浮液(2mL)后记录第一次黑便的排出时间,以评估胃肠动力。使用一对银电极和生物电放大器记录结肠肌电图。免疫组化法检测SP和VIP在结肠组织中的表达。结果:用药后结肠肌电振幅、第一次黑便排出时间和VIP免疫活性均显著升高(PPPPPPPp>0.05)。结论:电针能加速结肠肌电活性,可能与其下调结肠组织VIP免疫活性和上调SP免疫活性有关。2Hz/100Hz电针和2Hz电针的疗效优于100Hz电针。
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