Electroacupuncture improves metabolic and ovarian function in a rat model of polycystic ovary syndrome by decreasing white adipose tissue, increasing brown adipose tissue, and modulating the gut microbiota.

IF 2.4 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Acupuncture in Medicine Pub Date : 2022-08-01 Epub Date: 2021-12-10 DOI:10.1177/09645284211056663
Feifei Zhang, Tong Ma, Xiaoyu Tong, Yanjun Liu, Peng Cui, Xiaoqing Xu, Jiemei Shi, Wei Hu, Wenhan Lu, Zhenle Pei, Minzhen Xu, Xin Li, Congjian Xu, Yi Feng
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引用次数: 3

Abstract

Background: Polycystic ovary syndrome (PCOS) affects 8%-15% of reproductive-age women and is associated with reproductive disorders, abdominal obesity, hyperinsulinemia, insulin resistance, type 2 diabetes, and cardiovascular diseases. Acupuncture, as a traditional physical therapy method, could affect various metabolic disorders such as obesity, hyperplasia, gout, and cardiovascular and cerebrovascular diseases in clinical practice. Moreover, electroacupuncture (EA) has been shown to decrease body weight in rats with PCOS; however, the mechanism of weight loss and the relationship between adipose tissue and gut microbiota remain unclear.

Objective: To explore the effect and mechanism of EA on white and brown adipose tissues and gut microbiota, and its follow-up effect on reproductive function, in a rat model of PCOS.

Methods: Daily EA treatment was administered at ST29 and SP6 in a dihydrotestosterone (DHT)-induced PCOS-like rat model (PCOS + EA group). Effects of EA on in vivo and in vitro adipose volume and weight, organ weight coefficients, body weight, hormonal profiles, and estrous cyclicity were measured, and compared with untreated PCOS model rats (PCOS group) and healthy rats (control group). Microbial DNA was extracted from the fecal samples to analyze group abundance and diversity.

Results: EA improved estrous cyclicity, decreased body weight, decreased visceral and subcutaneous fat content, and increased brown adipose tissue weight. EA also normalized serum DHT and progesterone levels and improved glucose tolerance. There were few significant differences in the composition or diversity of the gut microbiota between control, PCOS, and PCOS + EA groups, except for the relative abundances of Tenericutes at the phylum level and Prevotella_9 at the genus level, which were significantly different in the PCOS group before and after EA treatment. Both are important microflora, strongly related to body weight.

Conclusion: EA regulated the metabolic disorders and improved reproductive function in this PCOS-like rat model by adjusting visceral fat and brown fat, as well as intestinal flora.

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电针通过减少白色脂肪组织,增加棕色脂肪组织和调节肠道微生物群,改善多囊卵巢综合征大鼠模型的代谢和卵巢功能。
背景:多囊卵巢综合征(PCOS)影响8%-15%的育龄妇女,并与生殖障碍、腹部肥胖、高胰岛素血症、胰岛素抵抗、2型糖尿病和心血管疾病相关。针灸作为一种传统的物理治疗方法,在临床治疗中可以治疗各种代谢紊乱,如肥胖、增生、痛风、心脑血管疾病等。此外,电针(EA)已被证明可以减轻多囊卵巢综合征大鼠的体重;然而,减肥的机制以及脂肪组织与肠道微生物群之间的关系尚不清楚。目的:探讨EA对PCOS模型大鼠白色和棕色脂肪组织及肠道微生物群的影响及其机制,并探讨其对生殖功能的后续影响。方法:双氢睾酮(DHT)诱导的PCOS样大鼠模型(PCOS + EA组)于ST29和SP6日给予每日EA治疗。测定EA对PCOS模型大鼠(PCOS组)和健康大鼠(对照组)体内和体外脂肪体积和重量、脏器重量系数、体重、激素谱和动情周期的影响。从粪便样品中提取微生物DNA,分析类群丰度和多样性。结果:EA改善了发情周期,降低了体重,降低了内脏和皮下脂肪含量,增加了棕色脂肪组织重量。EA还能使血清DHT和孕酮水平正常化,并改善葡萄糖耐量。对照组、PCOS组和PCOS + EA组肠道菌群的组成和多样性差异不显著,但门水平的Tenericutes和属水平的Prevotella_9的相对丰度在PCOS组EA治疗前后差异显著。两者都是重要的微生物群,与体重密切相关。结论:EA通过调节内脏脂肪和棕色脂肪以及肠道菌群,调节pcos样大鼠模型代谢紊乱,改善生殖功能。
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来源期刊
Acupuncture in Medicine
Acupuncture in Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
4.70
自引率
4.00%
发文量
59
审稿时长
6-12 weeks
期刊介绍: Acupuncture in Medicine aims to promote the scientific understanding of acupuncture and related treatments by publishing scientific investigations of their effectiveness and modes of action as well as articles on their use in health services and clinical practice. Acupuncture in Medicine uses the Western understanding of neurophysiology and anatomy to interpret the effects of acupuncture.
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