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Tongdu Tiaoshen moxibustion alleviates intestinal inflammation and barrier injury in spinal cord injured rats based on the NF-κB/NLRP3 inflammasome pathway
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DOI   10.11656/j.issn.1672-1519.2026.01.17
Key Words   Tongdu Tiaoshen moxibustion;spinal cord injury;NF-κB / NLRP3 inflammasome pathway;intestinal inflammation; intestinal barrier injury
Author NameAffiliationE-mail
TAN Bingzhuo Anhui University of Chinese Medicine, Hefei 230038, China  
SUN Shanbin The Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230061, China zjssb@sina.com 
LIANG Yueguang The Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230061, China  
LIN Quanyou Anhui University of Chinese Medicine, Hefei 230038, China  
Abstract
    [Objective] To investigate the mechanism by which governor vessel-regulating and spirit-nourishing moxibustion alleviates intestinal inflammation and barrier damage in rats with spinal cord injury(SCI) through modulation of the NF-κB / NLRP3 inflammasome pathway. [Methods] Forty-five SD rats were randomly divided into sham-operated,model,and moxibustion groups,with 15 rats in each group. SCI was induced using the modified Allen’s method. The moxibustion group received suspended moxibustion at the Governor Vessel acupoints“Baihui”(GV20),“Dazhui”(GV14)and“Mingmen”(GV4). After 14 days of intervention,colon tissues were collected;pathological morphology was examined by HE staining;ELISA was used to measure the contents of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),interleukin-23(IL-23),interleukin-1β(IL-1β)and interleukin-18(IL-18). Western blot was performed to detect the protein expression of nuclear factor-κB p65 subunit(NF-κB p65),CC chemokine ligand 2(CCL2), aryl hydrocarbon receptor(Ahr),Claudin-1 and zonula occludens-1(ZO-1). RT-qPCR was conducted to quantify the mRNA levels of NF-κB,NLRP3 and Caspase-1. [Results] In the model group,the colonic mucosal structure was disrupted,inflammatory cells infiltrated,the contents of TNF-α,IL-6,IL-1β,IL-18 and IL-23 were significantly elevated(P<0.05),and the protein expression of Claudin-1 and ZO-1 was decreased(P<0.05),indicating colonic inflammation and impaired intestinal barrier;the expression of NF-κB p65 and CCL2 proteins and the mRNA levels of NFκB,NLRP3 and Caspase1 were markedly increased(P<0.05),whereas Ahr protein was reduced(P<0.05). After Tongdu Tiaoshen moxibustion,the contents of the above inflammatory factors decreased,the expression of barrier proteins(Claudin-1 and ZO-1)and Ahr was significantly restored(P<0.05),and the expression of molecules associated with the NF-κB/NLRP3 pathway was down-regulated(P<0.05). [Conclusion] Tongdu Tiaoshen moxibustion can attenuate spinal cord injury-induced intestinal inflammation and repair barrier damage by inhibiting NF-κB/NLRP3 inflammasome activation, reducing pro-inflammatory cytokine release and up-regulating the expression of tight-junction proteins and Ahr.

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