• 1.成都軍區(qū)總醫(yī)院全軍醫(yī)學(xué)中心實驗室(四川成都 610083);;
  • 2.成都軍區(qū)總醫(yī)院全軍普外中心(四川成都 610083);

目的  初步觀察電針足三里穴對不全腸梗阻大鼠小腸Cajal間質(zhì)細胞(interstitial cells of Cajal,ICC)數(shù)量變化的影響,為進一步探討電針足三里穴對ICC表型變化的影響奠定基礎(chǔ)。
方法  采用圈套法造成不全腸梗阻從而建立ICC數(shù)目減少的SD大鼠模型。取20只雌性大鼠采用簡單隨機法均分成正常對照組、不全腸梗阻30d未電針足三里穴組(梗阻組)、不全腸梗組30d電針足三里穴組(足三里組)和不全腸梗阻30d電針陰陵泉穴組(陰陵泉組) 4組。其中足三里組和陰陵泉組分別連續(xù)電針足三里穴或陰陵泉穴7d后,取小腸組織采用免疫組化方法以及免疫熒光觀察ICC數(shù)量的變化。
結(jié)果  正常對照組、足三里組、梗阻組及陰陵泉組ICC陽性面積分別為(102 051.00±16 969.38) μm2、(92 642.12±14 854.49) μm2、(45 221.33±6 230.20) μm2和(63 136.16±8 863.91) μm2,各組間差異有統(tǒng)計學(xué)意義(F=21.240,P<0.001),其中足三里組的ICC陽性面積較梗阻組高(P<0.05)。
結(jié)論  電針足三里穴可使不全腸梗阻大鼠小腸受損的ICC數(shù)量得到部分恢復(fù),但其具體機理有待進一步研究。

引用本文: 朱曉艷,李昆,彭梅芳,王超,李運明,張國虎,王培紅,王永華,湯禮軍,張林. 電針足三里穴對不全腸梗阻大鼠小腸Cajal間質(zhì)細胞影響的免疫組化觀察△. 中國普外基礎(chǔ)與臨床雜志, 2012, 19(9): 984-987. doi: 復(fù)制

1. Torihashi S, Fujimoto T, Trost C, et al. Calcium oscillation linked to pacemaking of interstitial cells of Cajal[J]. J Biol Chen, 2002, 277(21):19191-19197.
2. Sanders KM, Ordog T, Ward SM, et al. Physiology and pathophysiology of the interstitial cells of Cajal:from bench to bedside. Ⅳ. Genetic and animal models of GI motility disorders caused by loss of interstitial cells of Cajal[J]. Am J Physiol Gastrointest Liver Physiol, 2002, 282(5):G747-G756.
3. Lyford GL, He CL, Soffer E, et al. Pan-colonic decrease in interstitial cells of Cajal in patients with slow transit constipation[J]. Gut, 2002, 51(4):496-501.
4. Wang XY, Vannucchi MG, Nieuwmeyer F, et al. Changes ininterstitial cells of Cajal at the deep muscular plexus are associated with loss of distention induced burst-type muscle activity in mice infected by Trichinella spiralis[J]. Am J Pathol, 2005, 167(2):437-453.
5. Chang IY, Glasgow NJ, Takayama I, et al. Loss of interstitial cells of Cajal and development of electrical dysfunction in murinesmall bowel obstruction[J]. J Physiol, 2001, 536(Pt 2):555-568.
6. Mostafa RM, Moustafa YM, Hamdy H. Interstitial cells of Cajal, the Maestro in health and disease[J]. World J Gastroenterol, 2010, 16(26):3239-3248.
7. Hanani M, Ledder O, Yutkin V, et al. Reeneration of myenteric plexus in the mouse colon after experimental denervation withbenzalkonium chloride[J]. J Comp Neurol, 2003, 462(3):315-327.
8. Yanagida H, Yanase H, Sanders KM, et al. Intestinal surgical resection disrupts electrical rhythmicity, neural responses, and interstitial cells networks[J]. Gastroenterology, 2004, 127(3):1748-1759.
9. Beyder A, Farrugia G. Targeting ion channels for the treatment of gastrointestinal motility disorders[J]. Therap Adv Gastroenterol, 2012, 5(1):5-21.
10. 樓新法, 楊新東, 蔣鶴松, 等. 足三里穴進針角度和深度的研究[J]. 中國針灸, 2006, 26(7):483-486.
11. Blumer-Jensen P, Hunter T. Oncogenic kinase signaling[J]. Nature, 2001, 411(6835):355-365.
12. Huizinga JD, Thuneberg L, Kluppel M, et al. W/kit generequired for interstitial cells of Cajal and for intestinal pacemaker activity[J]. Nature, 1995, 373(6512): 347-349.
13. Chang IY, Glasgow NJ, TakayamaⅠ, et al. Loss of interstitial cells of Cajal and development of electrical dysfunction in murine small bowel obstruction[J]. J Physiol, 2001, 536(2):555-568.
14. Sanders KM. Interstitial cells of Cajal at the clinical and scientific interface[J]. J Physiol, 2006, 576(3):683-687.
15. Won KJ, Suzuki T, Hori M, et al. Motility disorder in experimentally obstructed intestine:relationship between muscularis inflammation and disruption of the ICC network[J]. Neurogastroenterol Motil, 2006, 18(1):53-61.
16. Yanagida H, Sanders KM, Ward SM. Inactivation of inducible nitric oxide synthase protects intestinal pacemaker cells from postoperative damage[J]. J Physiol, 2007, 582(Pt 2):755-765.
17. Yanagida H, Yanase H, Sanders KM. Intestinal surgical resection disrupts electrical rhythmicity, neural responses, and interstitial cells networks[J]. Gastroenterology, 2004, 127(6):1748-1759.
18. Farrugia G. Interstitial cells of Cajal in health and disease[J]. Neurogastroenterol Motil, 2008, 20(Suppl 1):54-63.
  1. 1. Torihashi S, Fujimoto T, Trost C, et al. Calcium oscillation linked to pacemaking of interstitial cells of Cajal[J]. J Biol Chen, 2002, 277(21):19191-19197.
  2. 2. Sanders KM, Ordog T, Ward SM, et al. Physiology and pathophysiology of the interstitial cells of Cajal:from bench to bedside. Ⅳ. Genetic and animal models of GI motility disorders caused by loss of interstitial cells of Cajal[J]. Am J Physiol Gastrointest Liver Physiol, 2002, 282(5):G747-G756.
  3. 3. Lyford GL, He CL, Soffer E, et al. Pan-colonic decrease in interstitial cells of Cajal in patients with slow transit constipation[J]. Gut, 2002, 51(4):496-501.
  4. 4. Wang XY, Vannucchi MG, Nieuwmeyer F, et al. Changes ininterstitial cells of Cajal at the deep muscular plexus are associated with loss of distention induced burst-type muscle activity in mice infected by Trichinella spiralis[J]. Am J Pathol, 2005, 167(2):437-453.
  5. 5. Chang IY, Glasgow NJ, Takayama I, et al. Loss of interstitial cells of Cajal and development of electrical dysfunction in murinesmall bowel obstruction[J]. J Physiol, 2001, 536(Pt 2):555-568.
  6. 6. Mostafa RM, Moustafa YM, Hamdy H. Interstitial cells of Cajal, the Maestro in health and disease[J]. World J Gastroenterol, 2010, 16(26):3239-3248.
  7. 7. Hanani M, Ledder O, Yutkin V, et al. Reeneration of myenteric plexus in the mouse colon after experimental denervation withbenzalkonium chloride[J]. J Comp Neurol, 2003, 462(3):315-327.
  8. 8. Yanagida H, Yanase H, Sanders KM, et al. Intestinal surgical resection disrupts electrical rhythmicity, neural responses, and interstitial cells networks[J]. Gastroenterology, 2004, 127(3):1748-1759.
  9. 9. Beyder A, Farrugia G. Targeting ion channels for the treatment of gastrointestinal motility disorders[J]. Therap Adv Gastroenterol, 2012, 5(1):5-21.
  10. 10. 樓新法, 楊新東, 蔣鶴松, 等. 足三里穴進針角度和深度的研究[J]. 中國針灸, 2006, 26(7):483-486.
  11. 11. Blumer-Jensen P, Hunter T. Oncogenic kinase signaling[J]. Nature, 2001, 411(6835):355-365.
  12. 12. Huizinga JD, Thuneberg L, Kluppel M, et al. W/kit generequired for interstitial cells of Cajal and for intestinal pacemaker activity[J]. Nature, 1995, 373(6512): 347-349.
  13. 13. Chang IY, Glasgow NJ, TakayamaⅠ, et al. Loss of interstitial cells of Cajal and development of electrical dysfunction in murine small bowel obstruction[J]. J Physiol, 2001, 536(2):555-568.
  14. 14. Sanders KM. Interstitial cells of Cajal at the clinical and scientific interface[J]. J Physiol, 2006, 576(3):683-687.
  15. 15. Won KJ, Suzuki T, Hori M, et al. Motility disorder in experimentally obstructed intestine:relationship between muscularis inflammation and disruption of the ICC network[J]. Neurogastroenterol Motil, 2006, 18(1):53-61.
  16. 16. Yanagida H, Sanders KM, Ward SM. Inactivation of inducible nitric oxide synthase protects intestinal pacemaker cells from postoperative damage[J]. J Physiol, 2007, 582(Pt 2):755-765.
  17. 17. Yanagida H, Yanase H, Sanders KM. Intestinal surgical resection disrupts electrical rhythmicity, neural responses, and interstitial cells networks[J]. Gastroenterology, 2004, 127(6):1748-1759.
  18. 18. Farrugia G. Interstitial cells of Cajal in health and disease[J]. Neurogastroenterol Motil, 2008, 20(Suppl 1):54-63.