中国神经再生研究(英文版) ›› 2016, Vol. 11 ›› Issue (6): 971-976.doi: 10.4103/1673-5374.184497

• 原著:脊髓损伤修复保护与再生 • 上一篇    下一篇

针刺足三里(ST36)调节胃内压中枢神经机制:高位颈髓为其上下行通路的关键环节

  

  • 收稿日期:2015-12-22 出版日期:2016-06-30 发布日期:2016-06-30
  • 基金资助:

    国家自然科学基金资助项目(81273677);2014年湖南中医药大学研究生科研创新课题(2014CX01)

Central neuromechanisms underlying control of intragastric pressure through acupuncture at Zusanli (ST36) in rats: the upper cervical cord is the key link between the ascending and descending pathways

Chun-yan Yong1, Shu Chen2, Heng Chen2, Xiao Chu2, Chao Zhang2, Cheng Tan2, Lan Ye2, Jiang-shan Li2, *   

  1. 1 Department of Integrative Medicine, Xiangya Hospital of Central South University, Changsha, Hunan Province, China 2 School of Acupuncture and Massage, Hunan University of Chinese Medicine, Changsha, Hunan Province, China
  • Received:2015-12-22 Online:2016-06-30 Published:2016-06-30
  • Contact: Jiang-shan Li, M.D., ljs8268@126.com.
  • Supported by:

    This study was supported by the National Natural Science Foundation of China, No. 81273677; and a grant from the Postgraduate Innovation Topics of Hunan University of Chinese Medicine in China in 2014, No. 2014CX01.

摘要:

足三里(ST36)的针刺信号与来自胃的感觉传入信息可在高位颈髓发生汇聚,然而是否通过高位颈髓继续向上级中枢丘脑室旁核传导?主要与哪类传入纤维相关,这些问题目前尚不明确。为此,实验从中间环节高位颈髓着手,将下级效应器胃内压与上级中枢的形态学表达相结合,观察针刺高位颈髓全横断损伤大鼠足三里后,催产素神经元中c-fos表达及胃内压的变化。发现针刺足三里能有效提高高位颈髓损伤大鼠胃内压,而抑制下丘脑室旁核内催产素能神经元中c-fos的激活,且在背索全横断后此效应仍存在。在全横断大鼠脊髓或背外侧索后,针刺足三里可使胃内压及下丘脑室旁核内催产素神经元中c-fos的调节作用均减弱。结果可证实针刺足三里调节胃内压信号传导通路,可整合指挥中枢位于下丘脑室旁核,高位颈髓为其上行和下行通路中的关键环节,且主要通过背外侧索发挥传导作用。 

orcid: 0000-0001-5482-306X (Jiang-shan Li)

关键词: 神经再生, 中医药, 针刺, 足三里, 高位颈髓, 背索, 背外侧索, 下丘脑室旁核, 催产素能神经元, 胃内压, 免疫组织化学双染技术, 神经通路

Abstract:

Sensory inputs stimulated by Zusanli (ST36) acupuncture in the abdomen are known to converge in the upper cervical cord. However, it is unclear whether these inputs are subsequently conveyed to the hypothalamic paraventricular nucleus and what kind of afferent fibers are involved. We focused on the upper cervical cord, where afferent inputs converge, and detected c-fos expression in oxytocinergic neurons. We found that Zusanli acupuncture therapy effectively elevated intragastric pressure, but inhibited expression of c-fos in oxytocinergic neurons of the paraventricular nucleus in upper cervical cord injured rats. These Zusanli acupuncture effects remained even after complete dorsal cord transection. However, after complete transection of the spinal cord or dorsolateral funiculus, the effects were significantly attenuated and even disappeared. These findings suggest that the paraventricular nucleus is responsible for pooling and integrating signals from the Zusanli acupuncture and sensory information from the intragastric pressure variation, thereby contributing to the regulation of intragastric pressure. The upper cervical cord serves as the key link between ascending and descending pathways, which conveys afferent inputs to the paraventricular nucleus through the dorsolateral funiculus

Key words: " nerve regeneration, traditional Chinese medicine, acupuncture, Zusanli (ST36), upper cervical cord, dorsolateral funiculus, dorsal cord, hypothalamic paraventricular nucleus, intragastric pressure, immunohistochemical double staining, nervous pathway, neural regeneration