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针灸对单纯性肥胖症瘦素和胰岛素抵抗的影响

刘志诚 孙凤岷 赵东红 张中成 孙志 徐斌 朱苗花 吴海涛 魏群利 李朝军

中国临床康复2004,Vol.8Issue(3):562-565,4.
中国临床康复2004,Vol.8Issue(3):562-565,4.

针灸对单纯性肥胖症瘦素和胰岛素抵抗的影响

Influence of acupuncture on leptin and insulin resistance in simple obesity

刘志诚 1孙凤岷 2赵东红 3张中成 1孙志 1徐斌 1朱苗花 1吴海涛 1魏群利 1李朝军3

作者信息

  • 1. 南京中医药大学第二临床医学院针灸研究所,江苏省南京市,210029
  • 2. 南京人口管理学院生殖医学教研室,江苏省南京市,210042
  • 3. 南京师范大学分子生物学研究所,江苏省南京市,210097
  • 折叠

摘要

Abstract

AIM:To study the function of acupuncture on the leptin and insulin resistance in simple obesity. METHODS:The techniques of RT-PCR and Northern Blot were adopted to test the gene expression of OB-R and the radioimmunoassay was used to test the serum and hypothalamus leptin and insulin in order to observe the changes of serum leptin, insulin and lipide in simple obesity patients and the changes of weight,Lee's index,somatic fat,the contents of serum and hypothalamus leptin and insulin as well as the expression of hypothalamus OB-R gene in obesity rats before and after acupuncture treatment. RESULTS:The levels of leptin,insulin(INS),total cholesterol(TC), triglyceride(TG),and low-density lipoprotein cholesterol(LDL-C) in simple obesity patients were obvious higher than those in the normal group.But the level of high-density lipoprotein-cholesterol(HDL-C) was obviously lower than that of the normal group.After acupuncture treatment,the levels of leptin,INS,TC,TG,and LDL-C of patients were obviously reduced,and the level of HDL-C was obviously increased.This was related to the therapeutic effect of acupuncture. The obesity rats' weight,Lee's index,somatic fat,serum leptin and INS were all obviously higher than those of the normal rats,but the levels of the hypothalamus leptin and insulin and OB-R gene expression were all obviously lower than those of the normal rats.With acupuncture,the weight was lost,at the same time,the levels of the serum leptin and insulin of obesity rats were obviously decreased,while the level of the hypothalamus leptin and insulin and OB-R gene expression were obviously increased. CONCLUSIONS:The function of acupuncture in regulation of the central and peripheral leptin and insulin levels and in promotion of the hypothalamus OB-R gene expression of the obesity patients may be the important mechanism in correcting the leptin and insulin resistance and the abnormal endocrine metabolism.

关键词

针灸/肥胖/瘦素抵抗/瘦素受体/血脑屏障/胰岛素抵抗

分类

医药卫生

引用本文复制引用

刘志诚,孙凤岷,赵东红,张中成,孙志,徐斌,朱苗花,吴海涛,魏群利,李朝军..针灸对单纯性肥胖症瘦素和胰岛素抵抗的影响[J].中国临床康复,2004,8(3):562-565,4.

基金项目

国家自然科学基金资助项目( 39970923) ( 39970923)

中国临床康复

OA北大核心CSTPCD

2095-4344

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