艾灸会阴穴通过抑制NF-κB通路减轻子宫内膜异位症小鼠模型炎症及血管生成
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1.南京中医药大学针灸推拿学院养生康复学院;2.青海大学医学院中医系

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国家自然科学基金项目(面上项目,重点项目,重大项目)


Moxibustion at the Huiyin Acupoint Ameliorates Inflammation and Angiogenesis in a Mouse Model of Endometriosis by Suppressing the NF-κB Pathway
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1.College of Acupuncture Moxibustion and Tuina, Nanjing University of Chinese Medicine;2.Department of Traditional Chinese Medicine, College of Medicine, Qinghai University

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    摘要:

    目的 探讨艾灸会阴穴是否通过抑制NF-κB通路治疗子宫内膜异位症(EMs)。方法 采用腹腔注射同系小鼠子宫碎片建立EMs小鼠模型,将小鼠随机分为空白组、假手术组、模型组与艾灸组。采用HE染色评估病灶组织结构并对病灶囊腔进行炎症评分;利用Western blot和免疫组化检测NF-κB通路中IκBα、p65蛋白的磷酸化水平及p65的核转位情况;通过ELISA检测血清炎症因子水平;运用免疫荧光与免疫组化分别评估微血管密度及细胞增殖。结果 研究发现,艾灸治疗显著抑制异位病灶生长。HE染色显示病灶呈现类子宫结构,艾灸干预显著减少病灶腺体数量并降低炎症评分。在机制层面,艾灸有效抑制了IκBα的磷酸化,并阻断了p65的核转位,表明NF-κB信号通路被抑制。下游表现为促炎因子水平下降、VEGF表达下调、微血管密度降低及细胞增殖受抑制。结论 艾灸会阴穴可通过抑制NF-κB通路,协同调控炎症与血管生成,从而发挥治疗EMs的作用,为艾灸“温通散瘀”理论提供了实验依据。

    Abstract:

    Objective To investigate whether moxibustion at the Huiyin acupoint (CV1) treats endometriosis (EMs) by suppressing the NF-κB pathway. Methods An EMs mouse model was established via intraperitoneal injection of isogeneic uterine fragments. The mice were randomly assigned to the following groups: normal control, sham-operated, model, and moxibustion. Hematoxylin and eosin (H E) staining was used to evaluate lesional tissue structure and to score inflammation within the lesion cysts. The phosphorylation levels of IκBα and p65 proteins, as well as the nuclear translocation of p65 in the NF-κB pathway, were assessed using Western blot and immunohistochemistry. Serum levels of inflammatory factors were measured by ELISA. Microvascular density and cell proliferation were evaluated by immunofluorescence and immunohistochemistry, respectively. Results Moxibustion treatment significantly inhibited the growth of ectopic lesions. H E staining revealed a uterine-like glandular structure in the lesions; this structure in the moxibustion group showed a significant reduction in glands and a lower inflammatory score. Mechanistically, moxibustion effectively inhibited the phosphorylation of IκBα and blocked the nuclear translocation of p65, indicating suppression of the NF-κB signaling pathway. Downstream effects included decreased levels of pro-inflammatory factors, downregulated VEGF expression, reduced microvascular density, and suppressed cell proliferation. Conclusion Moxibustion at the Huiyin acupoint can treat EMs by inhibiting the NF-κB pathway, thereby coordinately regulating inflammation and angiogenesis. These findings provide experimental evidence supporting the traditional Chinese medicine theory that moxibustion achieves therapeutic effects through “warming, unblocking, dissipating stasis.”

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  • 收稿日期:2025-11-28
  • 最后修改日期:2026-01-03
  • 录用日期:2026-06-02
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