[Effects of electroacupuncture on Wnt-ß-catenin signal pathway in annulus fibrosus cells in intervertebral disc in rats with cervical spondylosis].

OBJECTIVE: To observe the effects of electroacupuncture (EA) at "Dazhui" (GV 14) on Wnt-ß-catenin signal pathway in annulus fibrosus cells in intervertebral disc in rats with cervical spondylosis. METHODS: Forty SD rats were randomized into a control group, a model group, an EA group and a medication group, 10 rats in each one. Rats in the control group were treated with sham operation, only incision on local skin; rats in the remaining groups were made into cervical spondylosis models. After model establishment, rats in the control group and model group received fixed treatment under identical condition; rats in the EA group were treated with EA at "Dazhui" (GV 14), 30 min per treatment; rats in the medication group were treated with intragastric administration of meloxicam tablets. Treatments were both given once a day, and 14 days were taken as one session; there was an interval of 2 days between two sessions, and totally two sessions were given. After the treatments, immunohistochemistry was applied to measure the expression of Wnt, glycogen synthase kinase-3ß (GSK-3ß) and Axin in annulus fibrosus cells; western blot was used to test the expression of P-ß-catenin. RESULTS: In the control group, there were more positive cells of Wnt, GSK-3ß and Axin, which were intensively distributed, deeply colored, and strongly positive; In the model group, there were less positive cells of Wnt, GSK-3ß and Axin, which were sparsely distributed and weakly positive. The expression of Wnt, GSK-3ß, Axin and P-ß-catenin in the model group was less than that in the control group (all P < 0.05); expression of Wnt, GSK-3ß, Axin and P-ß-catenin in the EA group and medication group was higher than that in the model group (all P < 0.05); expression of Wnt, GSK-3ß, Axin and P-ß-catenin was not significantly different between EA group and medication group (all P > 0.05). CONCLUSION: EA could delay the degeneration of intervertebral disc, which may be related to EA inhibiting signal pathway of Wnt-ß-catenin.

[Effect of electroacupuncture intervention on expression of extracellular matrix collagen and metabolic enzymes].

OBJECTIVE: To observe the effect of electroacupuncture (EA) at "Dazhui" (GV 14) on the contents of extracellular matrix (ECM), collagen type II (COL-II), collagen type V (COL-V), matrix metalloproteinase (MMP)-13, tissue inhibitor of metalloproteinase (TIMP)-1 in rats with cervicovertebral disc degeneration so as to explore its mechanism underlying relief of intervertebral disc degeneration. METHODS: A total of 28 SD rats were randomly divided into sham group (n = 7), model group (n = 7), EA group (n = 7) and medication group (n = 7). The model of cervical intervertebral disc degeneration was established by trans-section of the deep neck splenius, the longest muscles of head, neck costocervicalis, head semi-spinatus muscle, supraspinous ligament and interspinal ligaments of cervical 2-7 segments, etc. to produce imbalance between the dynamic and static force. EA was applied to "Dazhui" (GV 14) for 30 min, once daily for 28 days, with a 2 days' interval between two courses. Animals of the medication group were treated by oral administration of meloxicam tablets (0.75 mg/kg) once daily for 28 days, with a 2 days' interval between two courses. Immunohistochemistry was used to measure the expression of ECM, COL- II, COL-V, MMP-13 and TIMP-1 in the cervicovertebral disc tissue. RESULTS: Compared with the sham group, the expression levels of ECM and COL-II proteins in the cervicovertebral disc tissue were significantly decreased in the model group (P < 0.01), while COL-V and MMP-13 expression levels in the model group were significantly increased (P < 0.01, P < 0.05). Compared with the model group, both ECM and COL-Il expression levels were considerably increased in the EA group and medication group (P < 0.01), while COL-V and MMP-13 expression levels were considerably down-regulated (P < 0.01, P < 0.05). No significant differences were found among the four groups in TIMP-1 expression levels (P > 0.05). CONCLUSION: EA of "Dazhui" (GV 14) can effectively regulate extracellular matrix system in rats with cervical intervertebral disc degeneration, which is possibly related to its effect in relieving cervical spondylosis.