电针对心肌肥厚小鼠心肌组织瞬时受体电位通道的影响OA北大核心CSTPCDMEDLINE

Objective To observe the effect of electroacupuncture(EA)at"Neiguan"(PC6)on cardiac function,cardiac morphology and transient receptor potential channel(TRPC)protein expressions in myocardial tissue of mice with myocardial hypertrophy,so as to explore its mechanisms underlying improvement of myocardial hypertrophy.Methods Forty-five male C57BL/6 mice were randomly divided into control,model and EA groups(15 mice/group).The myocardial hypertrophy model was established by subcutaneous injection of isoproterenol hydrochloride(15 mg·kg-1·d-1)for 14 days.The mice of the control group received subcutaneous injection of same amount of normal saline.The mice of the EA group received EA stimulation(frequency of 2 Hz,intensity of 1 mA)of bilateral PC6 for 20 min each time,once a day for 14 consecutive days.After the intervention,the body weight,tibia length and heart weight were measured.The left ventricular ejection fraction(EF),fractional shortening index(FS),left ventricular end-systolic volume(LVEV),left ventricular end-systolic internal diameter(LVID)and left ventricular posterior wall thickness(LVPW)were measured by using echocardiography for evaluating the cardiac function.The mean number and surface area of myocardial cells was detected by wheat germ agglutinin(WGA)staining,and changes of the cardiac morphology were observed under light microscopy after HE staining.The expression levels of TRPC1,TRPC3,TRPC4 and TRPC6(TRPC1/3/4/6)in the myocardial tissue were detected by real-time quantitative PCR(qPCR)and Western blot,separately.Results Compared with the control group,the heart-body weight ratio(P<0.05)and heart-weight-to-tibia-length ratio(P<0.01),LVEV and LVID levels,the relative surface area,left ventricular area ratio,and the expression levels of cardiac TRPC1/3/4/6 were significantly increased(P<0.01,P<0.05),while the EF,FS,LVPW,number of cardiomyocytes,and the left ventricular posterior wall ratio were obviously decreased(P<0.01,P<0.05)in the model group.In comparison with the model group,the heart/body weight ratio,heart-weight-to-tibia-length ratio,LVEV and LVID levels,relative surface area,left ventricular area ratio,and the expression levels of cardiac TRPC1/3/4/6 were significantly decreased(P<0.01,P<0.05),while the EF,FS,LVPW,number of cardiomyocytes and left ventricular posterior wall ratio were significantly increased(P<0.01,P<0.05)in the EA group.H.E.staining showed disordered arrangement of cardiomyocytes and obvious myocardial interstitial inflammatory cell infiltration in the model group,and evident reduction of degree of cardiac fibrosis and interstitial edema in the EA group.Conclusion EA of PC6 can improve the cardiac function and cardiac morphology in mice with myocardial hypertrophy,which may be related to its functions in down-regulating the expression of transient receptor potential channels.