PMID- 34698457 OWN - NLM STAT- MEDLINE DCOM- 20211027 LR - 20211027 IS - 1000-0607 (Print) IS - 1000-0607 (Linking) VI - 46 IP - 10 DP - 2021 Oct 25 TI - [Effect of electroacupuncture combined with Zhuang-medicine-thread moxibustion on silent information regulator-1/nuclear factor kappaB signaling pathway in gastric antrum of diabetic gastroparesis rats]. PG - 837-44 LID - 10.13702/j.1000-0607.200942 [doi] AB - OBJECTIVE: To observe the effect of electroacupuncture (EA) combined with Zhuang-medicine-thread moxibustion on silent information regulator-1 (SIRT1)/nuclear factor kappa B (NF-kappaB) signal pathway and inflammatory factor expression in gastric antrum tissue of diabetic gastroparesis (DGP) rats, so as to explore its mechanism underlying improvement of DGP. METHODS: Male SD rats were randomly divided into normal, model, medication, EA, Zhuang-medicine-thread moxibustion (moxibustion) and EA+moxibustion groups (n=12 per group). The DGP model was established by intraperitoneal injection of streptozotocin (STZ). Rats of the medication group were treated by gavage of 0.15 mg/mL mosapride citrate suspension. EA (10 Hz /50 Hz, 2 mA) or moxibustion (3 cones) or EA+moxibustion was applied to "Zhongwan"(CV12), bilateral "Neiguan"(PC6) and bilateral "Sanyinjiao"(SP6) of the related group for 20 min, once a day for 3 weeks. Blood glucose, gastric emptying rate and intestinal propulsion rate were measured. The levels of serum interleukin (IL)-6, IL-8, IL-10 and tumor necrosis factor-alpha(TNF-alpha) were detected by ELISA; the phosphorylation level of the phosphorylated inhibitor of nuclear factor kappaBalpha inhibitor (pIkappa-Balpha), the protein and mRNA expression of NF-kappaB p65 and SIRT1 in the gastric antrum tissue were detected by Western blot and real-time quantifitative PCR, respectively. RESULTS: (1) Compared with the normal group, the levels of blood glucose, serum IL-6, IL-8, TNF-alpha, and gastric pIkappa-Balpha and NF-kappaB p65 protein and mRNA expressions were significantly increased (P<0.01), and the gastric emptying rate, intestinal propulsion rate, serum IL-10 level, and SIRT1 protein and mRNA expressions were considerably decreased in the model group (P<0.01). (2) In contrast to the model group, the blood glucose in the EA, moxibustion and EA+moxibustion groups, serum IL-6, IL-8 and TNF-alpha levels in the 4 treatment groups, as well as NF-kappaB p65 protein expression in the medication and EA+moxibustion groups, and NF-kappaB p65 mRNA expression and pIkappa-Balpha protein and mRNA expression in the 4 treatment groups were significantly decreased (P<0.01, P<0.05); while the gastric emptying rate and intestinal propulsive rate and IL-10 content in the 4 treatment groups, and SIRT1 protein and mRNA expression in the medication and EA+moxibustion groups were obviously increased (P<0.05, P<0.01). (3) The effects of EA+moxibustion were significantly superior to those of simple EA and moxibustion in increasing gastric emptying rate, IL-10, SIRT1 protein expression (P<0.05, P<0.01), and in lowering IL-8 and TNF-alpha contents, pIkappa-Balpha protein and mRNA expression and NF-kappaB p65 mRNA expression (P<0.05, P<0.01). No significant differences were found among the 4 intervention groups in promoting the intestinal propulsive rate and among the EA, moxibustion and EA+moxibustion groups in lowering blood glucose (P>0.05). CONCLUSION: EA combined with Zhuang-medicine-thread moxibustion can effectively reduce the level of serum inflammatory factors and regulate SIRT1/NF-kappaB signal pathway in DGP rats, which may contribute to its function in improving gastrointestinal movement. FAU - Mai, Wei AU - Mai W AD - Graduate School, Guangxi University of Chinese Medicine, Nanning 530001, China. FAU - Fan, Yu-Shan AU - Fan YS AD - College of Acupuncture-moxibustion and Tuina, Guangxi University of Chinese Medicine, Nanning 530001, China. FAU - Miao, Fu-Rui AU - Miao FR AD - Graduate School, Guangxi University of Chinese Medicine, Nanning 530001, China. FAU - He, Cai AU - He C AD - Graduate School, Guangxi University of Chinese Medicine, Nanning 530001, China. FAU - Huang, Li-Lin AU - Huang LL AD - Graduate School, Guangxi University of Chinese Medicine, Nanning 530001, China. FAU - Zhao, Xiao-Jun AU - Zhao XJ AD - Graduate School, Guangxi University of Chinese Medicine, Nanning 530001, China. FAU - Nie, Ying-Jie AU - Nie YJ AD - Graduate School, Guangxi University of Chinese Medicine, Nanning 530001, China. FAU - Pang, Rui-Kang AU - Pang RK AD - Graduate School, Guangxi University of Chinese Medicine, Nanning 530001, China. LA - chi PT - Journal Article PL - China TA - Zhen Ci Yan Jiu JT - Zhen ci yan jiu = Acupuncture research JID - 8507710 RN - 0 (NF-kappa B) SB - IM MH - Acupuncture Points MH - Animals MH - *Diabetes Mellitus MH - *Electroacupuncture MH - *Gastroparesis/genetics/therapy MH - Male MH - *Moxibustion MH - NF-kappa B/genetics/metabolism MH - Pyloric Antrum/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Signal Transduction OTO - NOTNLM OT - Diabetic gastroparesis OT - Electroacupuncture OT - Gastric SIRT1/NF-kappaB signaling OT - Gastrointestinal movement OT - Inflammatory factors OT - Zhuang-medicine-thread moxibustion EDAT- 2021/10/27 06:00 MHDA- 2021/10/28 06:00 CRDT- 2021/10/26 09:43 PHST- 2021/10/26 09:43 [entrez] PHST- 2021/10/27 06:00 [pubmed] PHST- 2021/10/28 06:00 [medline] AID - 10.13702/j.1000-0607.200942 [doi] PST - ppublish SO - Zhen Ci Yan Jiu. 2021 Oct 25;46(10):837-44. doi: 10.13702/j.1000-0607.200942.