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. 2016 Jun;34(3):194-200.
doi: 10.1136/acupmed-2015-010897. Epub 2015 Nov 11.

The effect and mechanism of electroacupuncture at LI11 and ST37 on constipation in a rat model

Xianwei Zhu  1 , Zhibin Liu  2 , Hongyan Qu  3 , Wenmin Niu  2 , Li Gao  3 , Yuan Wang  1 , Aimin Zhang  4 , Lu Bai  5
Affiliations

The effect and mechanism of electroacupuncture at LI11 and ST37 on constipation in a rat model

Xianwei Zhu et al. Acupunct Med. 2016 Jun.

Abstract

Background: Electroacupuncture (EA) is used clinically for the treatment of constipation. Serotonin (5-hydroxytryptamine, 5-HT) plays an important role in colonic motility; however it is unknown whether alterations in colonic 5-HT are associated with EA. In this study, the effect and mechanism of EA at acupuncture points LI11 and ST37 were examined using a cold saline-induced rat model of constipation.

Methods: A rat constipation model was induced by cold saline gavage in 24 Sprague-Dawley rats. A further six rats were included as a Control group. The constipated rats were divided into four groups (n=6 each): a Constipation group that remained untreated; a Constipation+LI11 group that received EA at LI11; a Constipation+ST37 groups that received EA at ST37; and a Constipation+LI11+ST37 group that received EA at both LI11 and ST37. After EA treatment, faecal water content, defaecation frequency, and gastrointestinal (GI) transit were measured, as well as the expression of tryptophan hydroxylase (TPH) in colonic tissues (by Western blot analysis) and 5-HT in both faeces and colonic tissues (by ELISA).

Results: All three EA-treated groups demonstrated significant improvements in faecal water content, defaecation frequency and GI transit (p<0.05). In addition, TPH and 5-HT expression were both increased by EA at LI11 and/or ST37 (p<0.05). There were no significant differences between the three EA groups for any outcomes.

Conclusions: EA at LI11 and/or ST37 had a positive effect on objective markers of constipation in a rat model. In addition, EA increased 5-HT and TPH in the colonic tissues.

Keywords: GASTROENTEROLOGY).

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Figures

Figure 1
Figure 1
Faecal water content (A) and frequency defaecation (B) in six healthy rats (Control group) and 24 rats with cold saline-induced constipation that remained untreated (Constipation group, n=6) or received electroacupuncture at LI11 (Constipation+LI11 group, n=6), ST37 (Constipation+ST37 group, n=6) or both LI11 and ST37 (Constipation+LI11+ST37 group, n=6). Data are mean±SEM. #p<0.05 versus Control group; *p<0.05 versus Constipation group.
Figure 2
Figure 2
Gastrointestinal transit in six healthy rats (Control group) and 24 rats with cold saline-induced constipation that remained untreated (Constipation group, n=6) or received electroacupuncture at LI11 (Constipation+LI11 group, n=6), ST37 (Constipation+ST37 group, n=6) or both LI11 and ST37 (Constipation+LI11+ST37 group, n=6). Data are mean±SEM. #p<0.05 versus Control group; *p<0.05 versus Constipation group.
Figure 3
Figure 3
Serotonin (5-hydroxytryptamine, 5-HT) content of faeces (A) and colonic tissues (B), measured by ELISA, in six healthy rats (Control group) and 24 rats with cold saline-induced constipation that remained untreated (Constipation group, n=6) or received electroacupuncture at LI11 (Constipation+LI11 group, n=6), ST37 (Constipation+ST37 group, n=6) or both LI11 and ST37 (Constipation+LI11+ST37 group, n=6). Data are mean±SEM. #p<0.05 versus Control group; *p<0.05 versus Constipation group.
Figure 4
Figure 4
Colonic tryptophan hydroxylase (TPH) expression (relative to beta-actin), measured by Western blot assay, in six healthy rats (Control group) and 24 rats with cold saline-induced constipation that remained untreated (Constipation group, n=6) or received electroacupuncture at LI11 (Constipation+LI11 group, n=6), ST37 (Constipation+ST37 group, n=6) or both LI11 and ST37 (Constipation+LI11+ST37 group, n=6). Data are mean±SEM. #p<0.05 versus Control group; *p<0.05 versus Constipation group.
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