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Regulatory effects of herbal cake-partitioned moxibustion on the expressions of IL-17, IL-23 and their mRNAs in the colon of rats with Crohn’s disease

隔药灸对克罗恩大鼠结肠IL-17、IL-23 及其mRNA 的调节作用研究

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Abstract

Objective

To observe the regulatory effects of herbal cake-partitioned moxibustion on Crohn's disease (CD) rat’s colon inflammatory cytokine interleukin-17 (IL-17), IL-23 and their mRNAs, and to investigate the action mechanism of moxibustion in treating CD.

Methods

Forty SPF grade Sprague-Dauley (SD) male rats were randomly divided into a normal group, a model group, an herbal cake-partitioned moxibustion group and a Western medicine group, with 10 rats in each group. Except the normal group, rats in the other three groups were used to make CD model by giving an enema in colon with Trinitro-benzene-sulfonic acid (TNBS). When the models were successful made, rats in the model group had no therapeutic intervention; rats in the herbal cake-partitioned moxibustion group were subjected to herbal cake-partitioned moxibustion treatment at bilateral Tianshu (ST 25) plus Qihai (CV 6); and rats in the Western medicine group were given oral Mesalazine. After treatment, the histopathological changes and inflammatory cytokines IL-17, IL-23 and their mRNAs expressions were observed in descending colon by hematoxylin-eosin (HE) staining, immunohistochemistry (IHC) and real-time polymerase chain reaction (RT-PCR) methods.

Results

Colon tissues of TNBS enema rat models showed cracks-like ulcers accompanied by mucous layer inflammation, granulomas, and inflammatory cytokines IL-17, IL-23 and their mRNAs expressions were all higher than those in the normal group (P<0.01); after intervention, colon tissue cracks-like ulcers and inflammation degree reduced, inflammatory cytokines IL-17, IL-23 and their mRNAs expressions were all significantly decreased (P<0.01) in the herbal cake-partitioned moxibustion group and the Western medicine group.

Conclusion

Herbal cake-partitioned moxibustion may improve colon tissue ulcers and relieve intestinal inflammation by down-regulation of IL-17, IL-23 and their mRNAs expressions in CD model rats’ colonic mucosa.

摘要

目的

观察隔药灸对克罗恩病(Crohn's Disease, CD)大鼠结肠炎症因子白介素-17 (interleukin-17, IL-17)、白介素-23 (interleukin-23, IL-23)及其mRNA 的调节作用, 探讨灸法治疗CD 的效应机制。

方法

将40 只SPF 级SD 雄性大鼠随机分为正常组、模型组、隔药灸组和西药组, 每组10 只。除正常组以外, 其余3 组大鼠采用三硝基苯磺酸溶液灌肠制备CD 模型, 模型制备成功后, 模型组不进行任何治疗干预, 隔药灸组取双侧天枢、气海穴进行隔药饼灸治疗,西药组予以美沙拉嗪灌胃治疗。治疗结束后, 采用苏木素-伊红(hematoxylin-eosin, HE)病理染色, 免疫组织化学(immunohistochemistry, IHC)和实时聚合酶链反应(real-time polymerase chain reaction, RT-PCR)方法观察各组大鼠结肠降部组织病理学变化及炎症因子IL-17、IL-23 及其mRNA 的表达情况。

结果

TNBS 灌肠模型大鼠结肠组织出现裂隙状溃疡伴随黏膜层炎症、肉芽肿, 炎症因子IL-17、IL-23及其mRNA的表达均高于正常组(P<0.01); 隔药灸组、西药组大鼠经干预后, 结肠组织裂隙状溃疡及炎症程度减轻, 炎症因子IL-17、IL-23 及其mRNA 表达均显著降低(P<0.01)。

结论

隔药灸可能通过下调CD 模型大鼠结肠黏膜IL-17、IL-23 及其mRNA 的表达来发挥改善结肠组织溃疡, 缓解肠道炎症的治疗作用。

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References

  1. Cosnes J, Gower-Rousseau C, Seksik P, Cortot A. Epidemiology and natural history of inflammatory bowel diseases. Gastroenterology, 2011, 140(6): 1785–1794.

    Article  PubMed  Google Scholar 

  2. Hong J, Zhang CH, Ma XP. Pathogenesis of inflammatory bowel disease and the action mechanism of moxibustion. J Acupunct Tuina Sci, 2012, 10(3): 174–180.

    Article  Google Scholar 

  3. Su JW, Ma JJ, Zhang HJ. Use of antibiotics in patients with Crohn’s disease: a systematic review and meta-analysis. J Dig Dis, 2015, 16(2): 58–66.

    Article  CAS  PubMed  Google Scholar 

  4. Shi Y, Bao CH, Wu HG, Chen WF, Qin XD, Zhang R, Wu LY. Effects of herbs-partitioned moxibustion on the expression of intestinal mucosa TNF-a, TNFR1, TNFR2 and apoptosis of intestinal epithelial cells in Crohn’s disease patients. Shanghai Zhongyiyao Zazhi, 2011, 45(1): 46–50.

    Google Scholar 

  5. Bao CH, Shi Y, Ma XP, Li G, Liu HR, Wu LY, Wu HG. Pathogenesis of Crohn disease, advances in its acupuncture-moxibustion treatment and thinking. Shanghai Zhenjiu Zazhi, 2010, 29(11): 681–686.

    Google Scholar 

  6. Zhang X, Hu J, Suo L, Yang Z, Xu T, Zhang Y. IL-17 and IL-23 expression as a predictor of response to infliximab treatment in Crohn’s disease. Zhonghua Neike Zazhi, 2015, 54(11): 940–944.

    CAS  PubMed  Google Scholar 

  7. Bank S, Andersen PS, Burisch J, Pedersen N, Roug S, Galsgaard J, Ydegaard Turino S, Brodersen JB, Rashid S, Kaiser Rasmussen B, Avlund S, Bastholm Olesen T, Hoffmann HJ, Andersen Nexø B, Sode J, Vogel U, Andersen V. Polymorphisms in the toll-like receptor and the IL-23/IL-17 pathways were associated with susceptibility to inflammatory bowel disease in a Danish cohort. PLoS One, 2015, 10(12): e0145302.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Catana CS, Berindan Neagoe I, Cozma V, Magdas C, Tabaran F, Dumitrascu DL. Contribution of the IL-17/IL-23 axis to the pathogenesis of inflammatory bowel disease. World J Gastroenterol, 2015, 21(19): 5823–5830.

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Kolls JK, Lindén A. Interleukin-17 family members and inflammation. Immunity, 2004, 21(4): 467–476.

    Article  CAS  PubMed  Google Scholar 

  10. Berns M, Hommes DW. Anti-TNF-a therapies for the treatment of Crohn’s disease: the past, present and future. Expert Opin Investig Drugs, 2016, 25(2): 129–143.

    Article  CAS  PubMed  Google Scholar 

  11. Katz LH, Kopylov U, Fudim E, Yavzori M, Picard O, Ungar B, Eliakim R, Ben-Horin S, Chowers Y. Expression of IL-2, IL-17 and TNF-alpha in patients with Crohn’s disease treated with anti-TNF antibodies. Clin Res Hepatol Gastroenterol, 2014, 38(4): 491–498.

    Article  CAS  PubMed  Google Scholar 

  12. Siakavellas SI, Bamias G. Role of the IL-23/IL-17 axis in Crohn’s disease. Discov Med, 2012, 14(77): 253–262.

    PubMed  Google Scholar 

  13. Harrington LE, Hatton RD, Mangan PR, Turner H, Murphy TL, Murphy KM, Weaver CT. Interleukin 17-producing CD4+ effector T cells develop via a lineage distinct from the T helper type 1 and 2 lineages. Nat Immunol, 2005, 6(11): 1123–1132.

    Article  CAS  PubMed  Google Scholar 

  14. Morris GP, Beck PL, Herridge MS, Depew WT, Szewczuk MR, Wallace JL. Hapten-induced model of chronic inflammation and ulceration in the rat colon. Gastroenterology, 1989, 96(3):795–803.

    Article  CAS  PubMed  Google Scholar 

  15. Yu SG, Guo Y. Experimental Acupuncture Science. Shanghai: Shanghai Scientific & Technical Publishers, 2009.

    Google Scholar 

  16. Xu SY, Bian RL, Chen X. Methodology of Pharmacological Experiment. Beijing: People’s Medical Publishing House, 1991.

    Google Scholar 

  17. Bao CH, Zhao JM, Liu HR, Lu Y, Zhu YF, Shi Y, Weng ZJ, Feng H, Guan X, Li J, Chen WF, Wu LY, Jin XM, Dou CZ, Wu HG. Randomized controlled trial: moxibustion and acupuncture for the treatment of Crohn’s disease. World J Gastroenterol, 2014, 20(31): 11000–11011.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Joos S, Brinkhaus B, Maluche C, Maupai N, Kohnen R, Kraehmer N, Hahn EG, Schuppan D. Acupuncture and moxibustion in the treatment of active Crohn’s disease: a randomized controlled study. Digestion, 2004, 69(3): 131–139.

    Article  PubMed  Google Scholar 

  19. Wu HG, Zhang LS. Clinical study of herbs-partition moxibustion on Crohn’s disease. Xiandai Kangfu, 2000, 4(3): 397.

    Google Scholar 

  20. Shang HX, Wang AQ, Bao CH, Wu HG, Chen WF, Wu LY, Ji R, Zhao JM, Shi Y. Moxibustion combined with acupuncture increases tight junction protein expression in Crohn’s disease patients. World J Gastroenterol, 2015, 21(16): 4986–4996.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Ma XP, An CP, Wu HG, Liu HR, Shi Z, Yang L, Yang S. Herbs-partitioned moxibustion and electro-acupuncture effects on transforming growth factor-beta 1, connective tissue growth factor, collagen type and fibronectin expression in the colon of Crohn’s disease rats. J Clin Rehabilit Tis Engineer Res, 2008, 12(20): 3853–3858.

    CAS  Google Scholar 

  22. Ma XP, An CP, Wu HG, Shi Z, Liu HR, Zhang LH, Yang S, Yang L. Effects of herbs-partitioned moxibustion and electro-acupuncture on expressions of IGF-I, IGF-IR and IGF-BP5 in Crohn’s disease rats. Shanghai Zhenjiu Zazhi, 2008, 27(5): 37–40.

    Google Scholar 

  23. Zhao C, Ding JY, Ma JD, Tan LY, Wu HG, Zhang YY, Zhang LS. Acupuncture on the basic fibroblast growth factor and type collagen in colons of rats with Crohn’ s disease. J Acupunct Tuina Sci, 2011, 9(1): 1–6.

    Article  Google Scholar 

  24. Wu HG, Zhao C, Wu LY, Yu SG, Zhao BX, Chang XR, Dou CZ, Ma XP, Liu HR. Effect of moxibustion on expreßsions of TGF and smad4 in colonic mucosa of rats with intestinal fibrosis in Crohn disease. J Acupunct Tuina Sci, 2012, 10(6): 331–335.

    Article  Google Scholar 

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Correspondence to Hui-rong Liu  (刘慧荣).

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Weng, Zj., Wu, Ly., Lü, Tt. et al. Regulatory effects of herbal cake-partitioned moxibustion on the expressions of IL-17, IL-23 and their mRNAs in the colon of rats with Crohn’s disease. J. Acupunct. Tuina. Sci. 14, 156–163 (2016). https://doi.org/10.1007/s11726-016-0917-3

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  • DOI: https://doi.org/10.1007/s11726-016-0917-3

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