Abstract

Background The loss of interstitial cells of Cajal (ICC) is observed in diabetic gastroparesis. Electroacupuncture (EA) maintains ICC networks, but the effects and mechanisms of EA on ICC of bone marrow derivation in the stomach have not been investigated. Methods C57BL/6 mice were randomized into six groups: control, diabetic (DM), bone marrow transplantation (BMT) + DM, BMT + DM + sham EA (SEA), BMT + DM + low-frequency EA (LEA), and BMT + DM + high-frequency (HEA). c-Kit+GFP+ cells in the stomach were detected by immunofluorescence staining. Western blotting and qRT-PCR were employed to determine c-Kit, GFP, SDF-1, CXCR4, mSCF, pERK, and ETV1 expression. Results (1) c-Kit+GFP+ cells were elevated in the BMT + DM + LEA and HEA groups. (2) The mRNA and protein levels of GFP, SDF-1, and CXCR4 were increased in the BMT + DM + LEA and BMT + DM + HEA groups. (3) The mRNA and protein levels of mSCF, c-Kit, pERK, and ETV1 were significantly reduced in the DM group but markedly elevated in the BMT + DM + LEA and HEA groups. Conclusion EA at ST36 increases bone marrow-derived ICC in the stomach of diabetic mice via the SDF-1/CXCR4 and mSCF/c-Kit-ETV1 pathways.

Highlights

  • Gastroparesis, characterized by delayed gastric emptying in the absence of mechanical obstruction, is one of the most common complications of diabetes mellitus, which seriously affects the normal work and life of patients

  • (2) The mRNA and protein levels of GFP, Stromal cell-derived factor 1 (SDF-1), and CXCR4 were increased in the bone marrow transplantation (BMT) + DM + low-frequency EA (LEA) and BMT + DM + HEA groups

  • (3) The mRNA and protein levels of membranebound SCF (mSCF), c-Kit, pERK, and Ets variant 1 (ETV1) were significantly reduced in the DM group but markedly elevated in the BMT + DM + LEA and HEA groups

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Summary

Introduction

Gastroparesis, characterized by delayed gastric emptying in the absence of mechanical obstruction, is one of the most common complications of diabetes mellitus, which seriously affects the normal work and life of patients. Reduced ICC networks have been identified in gastroparesis in both humans and animal models [3]. It is unknown whether EA has an impact on ICC. Electroacupuncture (EA) maintains ICC networks, but the effects and mechanisms of EA on ICC of bone marrow derivation in the stomach have not been investigated. (1) c-Kit+GFP+ cells were elevated in the BMT + DM + LEA and HEA groups. (3) The mRNA and protein levels of mSCF, c-Kit, pERK, and ETV1 were significantly reduced in the DM group but markedly elevated in the BMT + DM + LEA and HEA groups. EA at ST36 increases bone marrow-derived ICC in the stomach of diabetic mice via the SDF-1/CXCR4 and mSCF/c-Kit-ETV1 pathways

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