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Using evidence-based research approach and exploratory studies before conducting a new acupuncture randomized controlled trial 在开展一项新的针灸随机对照试验之前,采用循证研究方法和探索性研究
IF 0.7 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-10-01 DOI: 10.1016/j.wjam.2023.09.004
Xiao-yi HU (胡晓艺), Wei-juan GANG (岗卫娟), Xiang-hong JING (景向红)

Adequate preliminary research is a prerequisite for ensuring the quality of randomized controlled trials (RCTs) on acupuncture. This paper proposes that prior to conducting a new RCT of acupuncture, an evidence-based research (EBR) approach and exploratory studies should be adopted to ensure value and avoid waste of research. EBR, defined as using systematic reviews of relevant clinical studies and obtain the perspectives of end users in a systematic and transparent way to justify research questions and inform trial design, is recommended as the first step before embarking on an acupuncture RCT to ensure its value and rationality. The subsequent exploratory studies can aid researchers in pre-evaluating the effect of acupuncture treatment protocols, identifying key factors that influence the outcome, and test trial feasibility for protocol optimization. This article elucidates the significance and implementation of the EBR approach and exploratory studies, with the aim of providing practical methods to enhance the quality of acupuncture RCTs.

充分的前期研究是保证针灸随机对照试验(rct)质量的前提。本文建议在开展新的针灸RCT研究之前,应采取循证研究(evidence-based research, EBR)方法和探索性研究,以确保研究的价值,避免研究的浪费。EBR的定义是通过对相关临床研究的系统回顾,以系统和透明的方式获得最终用户的观点,以证明研究问题的合理性,并为试验设计提供信息。建议将其作为着手针灸随机对照试验的第一步,以确保其价值和合理性。后续的探索性研究可以帮助研究者预评估针刺治疗方案的效果,识别影响结果的关键因素,并测试方案优化的试验可行性。本文阐述了EBR方法和探索性研究的意义和实施,旨在为提高针灸随机对照试验的质量提供实用的方法。
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引用次数: 0
A paradigm of medical-industrial integration: Application and prospects of new generation of intelligent technology in the parameter quantification for acupuncture manipulation 医产融合的典范:新一代智能技术在针刺手法参数量化中的应用与展望
IF 0.7 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.1016/j.wjam.2023.04.002
Chong SU (宿翀) , Zi-yi CHEN (陈子燚) , Pei-jing RONG (荣培晶)
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引用次数: 0
Penetration moxibustion for postpartum subinvolution of uterus: Two case reports and mechanism analysis 透灸治疗产后子宫不清2例及机理分析
IF 0.7 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.1016/j.wjam.2023.03.003
Wang-lu CHEN (陈王璐) , Ling GAO (高崚) , Xi-yan GAO (高希言)

This article introduced the application of penetration moxibustion in successfully treating two cases of postpartum subinvolution of uterus. The main complaint of one case was increasing volume of abnormal vaginal bleeding for five days after delivery. The bleeding stopped after the patient received 7 times treatment of warming needle and penetration moxibustion on Zhōngjí (中极CV3), Guānyuán (关元CV4) and Qìhăi (气海CV6). The other case complained about persistent abdominal pain for 15 days, which was worsening for the recent 2 days. The symptom of abdominal pain was relieved after the penetration moxibustion was applied on CV4, CV6 and Zǐgōng (子宫 EX-CA1) for 5 times for the case. Penetration moxibustion can relieve abdominal pain during the postpartum period, accelerate lochia discharge, and recovery of menstrual and uterine cavity. Àiyè (艾叶 Artemisiae Argyi Folium) was proved to have antibacterial, hemostatic, and analgesic effects. The warming function and radiation features of moxibustion can help to alleviate spasm of the smooth muscle in the uterus and enhance the metabolism of the uterine tissue by expanding microvessels and improving the circulations of both blood and lymph. It can also activate cells in the uterine tissue by increased temperature in order to enhance the decomposition and elimination of pathological wastes, such as inflammation and hematoma. In addition, it can also relieve pelvic pain by inhibiting neuronal excitability.

本文介绍了应用透灸法成功治疗2例产后子宫退化。1例以产后5天阴道异常出血增多为主诉。患者经温针加穿灸Zhōngjí、Guānyuán、Qìhăi 3个穴位7次治疗后出血停止。另1例腹痛持续15天,近2天加重。采用CV4、CV6、Zǐgōng (EX-CA1)穴灸5次,腹痛症状缓解。穿透灸可缓解产后腹痛,加速恶露排出,恢复月经和子宫腔。Àiyè (artemisisiae Argyi Folium)具有抗菌、止血、镇痛作用。艾灸的温热功能和辐射特性可以通过扩张微血管,改善血液和淋巴的循环,帮助缓解子宫平滑肌的痉挛,增强子宫组织的代谢。它还可以通过升高温度激活子宫组织中的细胞,以增强对炎症、血肿等病理废物的分解和消除。此外,它还可以通过抑制神经元兴奋性来缓解盆腔疼痛。
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引用次数: 0
Moxibustion in prevention of post-hemorrhoidectomy urinary retention of mixed hemorrhoid: A randomized clinical trial 艾灸预防痔切除术后混合痔尿潴留的随机临床试验
IF 0.7 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.1016/j.wjam.2023.05.008
Jing GU (顾静) , Li-jiang JI (季利江) , Xin-yuan ZHANG (张馨元) , Teng-da LI (李腾达) , Hua HUANG (黄华) , Jie JIANG (蒋捷) , Mei ZHOU (周玫)

Objective

To explore the effect of moxibustion for preventing post-hemorrhoidectomy urinary retention of mixed hemorrhoids.

Design

Two-arm randomized clinical trial with blinded outcome assessment and statistician.

Setting

Anorectal Department of Changshu Affiliated Hospital of Nanjing University of Chinese Medicine, from October 2020 to a cutoff day in March 2021.

Participants

120 patients with mixed hemorrhoids undertaken hemorrhoidectomy.

Interventions

In the moxibustion group, moxibustion was exerted after surgery at Zhongji(CV3), Qihai (CV6), Guanyuan (CV4) and Sanyinjiao (SP6, bilateral). In the medication group, tamsulosin was administered orally after surgery. The cases were all observed for 24 h in two groups.

Outcome measures

The primary outcome was incidence of post-hemorrhoidectomy urinary retention and the secondary outcomes included time to the first voiding, the first voiding volume and adverse events were measured and compared between two groups.

Results

Sixty patients in each group were included in the data analysis and no change was made to the design of the trial after the trial begun. After treatment, the incidence of the post-hemorrhoidectomy urinary retention was 5% in the moxibustion group, lower than 20% in the medication group (P < 0.05). The time to the first voiding after surgery was (4.76 ± 1.69) h in the moxibustion group, shorter than (6.81 ± 1.15) h in the medication group (P < 0.05). The first voiding volume in the moxibustion group was (300.67±110.33)mL, higher than (224.67±90.88)mL in the medication group (P<0.05) . There was no adverse event during study in the moxibustion group. Dizziness and nausea occurred in the medication group.

Conclusion

Moxibustion reduced the incidence of post-hemorrhoidectomy urinary retention, shortened the time to the first voiding and improved the urine volume after hemorrhoidectomy of mixed hemorroids. This therapy could be beneficial and safe, and thus could be recommended to the clinical practice.

Trial registration

Chi CTR2000039350.

目的探讨艾灸预防痔切除术后混合痔尿潴留的效果。设计两组随机临床试验,采用盲法结局评估和统计方法。南京中医药大学附属常熟医院肛肠科,自2020年10月起至2021年3月截止。参与者:120例混合性痔疮患者行痔疮切除术。灸组术后分别在中基(CV3)、七海(CV6)、冠源(CV4)、三阴角(SP6,双侧)灸。用药组术后口服坦索罗辛。两组患者均观察24 h。主要观察指标为痔疮切除术后尿潴留发生率,次要观察指标为首次排尿时间、首次排尿量和不良事件,并对两组进行比较。结果每组60例患者纳入数据分析,试验开始后未改变试验设计。治疗后,艾灸组痔疮后尿潴留发生率为5%,低于药物组的20% (P <0.05)。艾灸组术后至首次排尿时间为(4.76±1.69)h,短于药物组(6.81±1.15)h (P <0.05)。艾灸组首次排尿量为(300.67±110.33)mL,高于给药组(224.67±90.88)mL (p < 0.05)。艾灸组在研究期间无不良事件发生。用药组出现头晕、恶心。结论艾灸可降低混合痔切除术后尿潴留发生率,缩短首次排尿时间,提高混合痔切除术后尿量。该方法安全、有益,可推广应用于临床。试验注册号:CTR2000039350。
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引用次数: 0
Study of electroacupuncture with different frequencies for the treatment of headache and anxiety-depression symptoms in patients with migraine: A randomized clinical trial 不同频率电针治疗偏头痛患者头痛和焦虑抑郁症状的随机临床试验研究
IF 0.7 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.1016/j.wjam.2023.05.006
Na NIE (聂娜) , Qiong-ying SHEN (沈琼颖) , Rui HUANG (黄睿) , Si-ting YE (叶思婷) , Le CHEN (陈乐) , Chuan-long ZHOU (周传龙) , Yi LIANG (梁宜)
<div><h3>Objective</h3><p>To observe the effects of electroacupuncture<span> (EA) with varied frequencies on headache and anxiety-depression symptoms in patients with migraine and to screen optimal frequency of EA for patients with such conditions.</span></p></div><div><h3>Design</h3><p><span>Single-center, randomized, controlled clinical trial was designed, and the outcome assessors and statisticians were blinded. The patients with migraine were randomized into 2 Hz EA group, 100 Hz EA group and sham-stimulation group. In each group, the changes in migraine attacks, days with headache, the scores of visual analogy scale (VAS), self-rating anxiety scale (SAS), self-rating depression scale (SDS) and migraine-specific quality-of-life questionnaire (MSQ), as well as the dosage of </span>analgesics<span> were observed at the baseline, during treatment, in 1, 2 and 3 months of follow-up separately.</span></p></div><div><h3>Setting</h3><p>Patients were enrolled in the Third Affiliated Hospital of Zhejiang Chinese Medical University, between 1<sup>st</sup> August 2018 and 31<sup>st</sup> July 2021.</p></div><div><h3>Participants</h3><p>Sixty-five migraine patients with or without aura.</p></div><div><h3>Interventions</h3><p><span>In the EA groups, the acupoints were bilateral Fengchi (GB20), Gongxue (Extra), Sizhukong (TE23), Taiyang (EX-HN5), Shuaigu (GB8), Waiguan (TE5) and Yanglingquan (GB34). </span>Electric stimulation<span> was exerted at GB20 and Gongxue (Extra), with 2 Hz and 100 Hz separately. In the sham-stimulation group, the shallow acupuncture was operated at the sites 1 cm lateral to GB20 and Gongxue (Extra), and on the radial side of TE5 and GB34. The output wires were cut off after attached to the acupoints. The patients in each group received the treatment 3 times weekly, once every two days, for consecutive 4 weeks. The complete intervention was composed of 12 treatments.</span></p></div><div><h3>Main outcome measures</h3><p>Changes in numbers of migraine attacks at treatment phase (week 1 to week 4) from the baseline(week -4 to week 0) in patients of each group</p></div><div><h3>Results</h3><p>(1) Changes in migraine attacks and days with headache: In the 2 Hz EA and 100 Hz EA groups, the changes for migraine attacks and days of headache were higher significantly when compared with that in the sham-stimulation group at the same time stage (<em>P</em> < 0.05). There was no statistical difference between two EA groups. (2) Changes of VAS score: In the 2 Hz EA and 100 Hz EA groups, the changes of VAS score were significantly higher when compared with that in the sham-stimulation group at the same time stage (<em>P</em> < 0.05). There was no statistical difference between two EA groups. (3) Assessment of anxiety and depression: The differences in the changes of SAS and SDS scores had no statistical significance in patients of each group at each assessment stage (<em>P</em><span> > 0.05). (4) Assessment on the quality of life: Com
目的观察不同频率电针对偏头痛患者头痛和焦虑抑郁症状的影响,并筛选适合此类患者的最佳电针频率。设计单中心、随机、对照临床试验,结果评估者和统计人员采用盲法。偏头痛患者随机分为2 Hz电刺激组、100 Hz电刺激组和假刺激组。分别观察两组患者偏头痛发作、头痛天数、视觉类比量表(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和偏头痛特异性生活质量问卷(MSQ)评分以及镇痛药剂量在基线、治疗期间、随访1、2、3个月时的变化。患者于2018年8月1日至2021年7月31日在浙江中医药大学第三附属医院登记。参与者:65名有或没有先兆的偏头痛患者。EA组穴位分别为双侧风池(GB20)、宫血(Extra)、四柱孔(TE23)、太阳(EX-HN5)、腰骨(GB8)、外关(TE5)、阳陵泉(GB34)。在GB20和宫穴(Extra)分别施加2 Hz和100 Hz的电刺激。假刺激组浅层针刺于GB20、宫血外侧1 cm处,TE5、GB34桡侧。连接穴位后切断输出导线。两组患者每周治疗3次,每2天治疗1次,连续4周。完整干预由12个治疗组组成。主要观察指标:两组患者在治疗期(第1周至第4周)与基线(第4周至第0周)偏头痛发作次数的变化结果(1)偏头痛发作次数和头痛天数的变化:2 Hz EA组和100 Hz EA组偏头痛发作次数和头痛天数的变化显著高于假刺激组(P <0.05)。两组间无统计学差异。(2) VAS评分变化:2 Hz电刺激组和100 Hz电刺激组VAS评分变化显著高于假刺激组(P <0.05)。两组间无统计学差异。(3)焦虑、抑郁评估:各组患者SAS、SDS评分在各评估阶段的变化差异无统计学意义(P >0.05)。(4)生活质量评价:与同一阶段假刺激组比较,2 Hz EA组和100 Hz组患者在治疗过程中MSQ评分的改善明显增加(P <0.05)。两组间无统计学差异。(5)安全性及依从性评价:各组患者的依从性较好。试验期间无不良事件发生,表明治疗安全性良好。结论ea可有效减少偏头痛发作,减少头痛天数和强度,安全性较好。然而,EA治疗对焦虑抑郁症状无显著改善,且高频和低频治疗在缓解偏头痛患者头痛和焦虑抑郁症状方面无显著差异。审判registrationChiCTR1800017259
{"title":"Study of electroacupuncture with different frequencies for the treatment of headache and anxiety-depression symptoms in patients with migraine: A randomized clinical trial","authors":"Na NIE (聂娜) ,&nbsp;Qiong-ying SHEN (沈琼颖) ,&nbsp;Rui HUANG (黄睿) ,&nbsp;Si-ting YE (叶思婷) ,&nbsp;Le CHEN (陈乐) ,&nbsp;Chuan-long ZHOU (周传龙) ,&nbsp;Yi LIANG (梁宜)","doi":"10.1016/j.wjam.2023.05.006","DOIUrl":"10.1016/j.wjam.2023.05.006","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;To observe the effects of electroacupuncture&lt;span&gt; (EA) with varied frequencies on headache and anxiety-depression symptoms in patients with migraine and to screen optimal frequency of EA for patients with such conditions.&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;&lt;span&gt;Single-center, randomized, controlled clinical trial was designed, and the outcome assessors and statisticians were blinded. The patients with migraine were randomized into 2 Hz EA group, 100 Hz EA group and sham-stimulation group. In each group, the changes in migraine attacks, days with headache, the scores of visual analogy scale (VAS), self-rating anxiety scale (SAS), self-rating depression scale (SDS) and migraine-specific quality-of-life questionnaire (MSQ), as well as the dosage of &lt;/span&gt;analgesics&lt;span&gt; were observed at the baseline, during treatment, in 1, 2 and 3 months of follow-up separately.&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;p&gt;Patients were enrolled in the Third Affiliated Hospital of Zhejiang Chinese Medical University, between 1&lt;sup&gt;st&lt;/sup&gt; August 2018 and 31&lt;sup&gt;st&lt;/sup&gt; July 2021.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;p&gt;Sixty-five migraine patients with or without aura.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interventions&lt;/h3&gt;&lt;p&gt;&lt;span&gt;In the EA groups, the acupoints were bilateral Fengchi (GB20), Gongxue (Extra), Sizhukong (TE23), Taiyang (EX-HN5), Shuaigu (GB8), Waiguan (TE5) and Yanglingquan (GB34). &lt;/span&gt;Electric stimulation&lt;span&gt; was exerted at GB20 and Gongxue (Extra), with 2 Hz and 100 Hz separately. In the sham-stimulation group, the shallow acupuncture was operated at the sites 1 cm lateral to GB20 and Gongxue (Extra), and on the radial side of TE5 and GB34. The output wires were cut off after attached to the acupoints. The patients in each group received the treatment 3 times weekly, once every two days, for consecutive 4 weeks. The complete intervention was composed of 12 treatments.&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main outcome measures&lt;/h3&gt;&lt;p&gt;Changes in numbers of migraine attacks at treatment phase (week 1 to week 4) from the baseline(week -4 to week 0) in patients of each group&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;(1) Changes in migraine attacks and days with headache: In the 2 Hz EA and 100 Hz EA groups, the changes for migraine attacks and days of headache were higher significantly when compared with that in the sham-stimulation group at the same time stage (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). There was no statistical difference between two EA groups. (2) Changes of VAS score: In the 2 Hz EA and 100 Hz EA groups, the changes of VAS score were significantly higher when compared with that in the sham-stimulation group at the same time stage (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). There was no statistical difference between two EA groups. (3) Assessment of anxiety and depression: The differences in the changes of SAS and SDS scores had no statistical significance in patients of each group at each assessment stage (&lt;em&gt;P&lt;/em&gt;&lt;span&gt; &gt; 0.05). (4) Assessment on the quality of life: Com","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 3","pages":"Pages 213-221"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43016796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scalp acupuncture improves disordered behavior in the valproic acid-induced rat model of autism 头皮针刺改善丙戊酸诱导的自闭症大鼠模型的紊乱行为
IF 0.7 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.1016/j.wjam.2023.05.009
Long-sheng HUANG (黄龙生) , Pin GE (葛品) , Jie KANG (康洁) , Gui-hua LIU (刘桂华) , Yu HONG (洪钰) , Jing-rong WANG (王静蓉) , Chu-an CHEN (陈楚安) , Wan-yu ZHUANG (庄婉玉) , Jing-min GUO (郭敬民) , Ye-bin FENG (冯叶彬) , Hong ZHANG (张宏) , Ping OU (欧萍)
<div><h3>Objectives</h3><p>To investigate the underlying mechanisms of scalp acupuncture treatment (SAT) on autism spectrum disorder (ASD).</p></div><div><h3>Methods</h3><p>Thirty male Wistar rat pups that had been prenatally exposed to valproic acid sodium (VPA) were randomly divided into the VPA, VPA+acupoint, and VPA+ non-acupoint groups using the random number table method, with 10 rats in each group. Ten pups who had been prenatally exposed to saline were assigned to the control group (CG). There was no intervention in either the control or VPA groups. In the acupoint group, “Shenting (GV24),” bilateral “Benshen (GB13)” were manipulated. In the non-acupoint group, the area below the costal space was stimulated. Acupuncture stimulation lasted for 40 min, with manual twisting of the needles every 10 min, 5 days/week, with 2 days of rest per week, for a total duration of 4 weeks. After the corresponding treatments, behavioral tests (including the open field, social interaction, and Morris water maze tests) were performed to evaluate the therapeutic effects. RT-PCR and Western blotting were performed to detect the expression of neuregulin 1 (NRG1)/ErbB4.</p></div><div><h3>Results</h3><p>In the open field test, the activity time spent in the central area in the VPA+acupoint group was significantly longer than that in the VPA group and VPA+ non-acupoint group (both <em>P</em><0.05). The total length in the VPA+acupoint group was significantly longer than that in the VPA group (<em>P</em><0.05). The number of bouts in the central area of the VPA+acupoint group was significantly higher than that of the VPA group (<em>P</em><0.05). In session I of social interaction test, all experimental rats spent more time interacting with stranger 1 (all <em>P</em><0.05). In session II, the CG and VPA+acupoint groups rats showed more interest in searching for new strangers, but the VPA+non-acupoint group spent more time interacting with stranger 1 than with stranger 2(all <em>P</em><0.05). In the Morris water maze test, compared with the VPA group, the latency of the VPA+acupoint group was shorter (day 2, 3, 4, 5, <em>P</em><0.05); compared with VPA+acupoint group, the latency of the VPA+non-acupoint group was longer (day 2, 4, <em>P</em><0.05). The mean distance in the VPA+acupoint group was shorter than that in the VPA group (day 3, 5, <em>P</em><0.05). The platform quadrant time of the VPA+non-acupoint group was significantly shorter than that of the VPA+acupoint group (<em>P</em><0.05) (day 6). The VPA+acupoint group had more platform crossings than the VPA group (<em>P</em><0.05), and the VPA+ non-acupoint group had fewer platform crossings than the VPA+acupoint group (<em>P</em><0.05) (day 6). After SAT, the expression levels of NRG1 and ErbB4 proteins in the VPA+acupoint group were significantly increased than those in the VPA group (both <em>P</em><0.05) in the medial prefrontal cortex (mPFC). The expression levels of N
目的探讨头皮针刺治疗自闭症谱系障碍(ASD)的作用机制。方法采用随机数字表法将30只产前接触丙戊酸钠(VPA)的雄性Wistar大鼠幼崽随机分为VPA组、VPA+穴位组和VPA+非穴位组,每组10只。10只产前接触生理盐水的幼崽被分配到对照组(CG)。对照组和VPA组均未进行干预。穴位组以“肾定(GV24)”、双侧“本神(GB13)”为手法。非穴位组对肋间隙下方区域进行刺激。针刺刺激持续40分钟,每10分钟手动捻针一次,每周5天,每周休息2天,共持续4周。治疗后进行行为学测试(包括开放场、社会互动、Morris水迷宫测试)评价治疗效果。RT-PCR和Western blotting检测神经调节蛋白1 (NRG1)/ErbB4的表达。结果在空旷场试验中,VPA+穴位组中央区活动时间明显长于VPA组和VPA+非穴位组(p < 0.05)。VPA+穴位组总长度明显长于VPA组(p < 0.05)。VPA+穴位组中央区发作次数显著高于VPA组(p < 0.05)。在第一阶段的社会互动测试中,所有实验大鼠与陌生人1的互动时间均增加(p < 0.05)。在第二阶段,CG组和VPA+穴位组大鼠对寻找新的陌生人表现出更大的兴趣,但VPA+非穴位组大鼠与陌生人1的互动时间多于与陌生人2的互动时间(p < 0.05)。Morris水迷宫实验中,与VPA组相比,VPA+穴位组潜伏期较短(第2、3、4、5天,P<0.05);与VPA+穴位组相比,VPA+非穴位组的潜伏期更长(第2,4天,P<0.05)。VPA+穴位组的平均距离较VPA组短(第3,5天,P<0.05)。VPA+非穴位组的平台象限时间明显短于VPA+穴位组(P<0.05)(第6天),VPA+穴位组的平台穿越次数多于VPA组(P<0.05), VPA+非穴位组的平台穿越次数少于VPA+穴位组(P<0.05)(第6天)。VPA+穴位组NRG1和ErbB4蛋白在内侧前额叶皮层(mPFC)的表达水平显著高于VPA组(p < 0.05)。VPA+非穴位组NRG1和ErbB4蛋白在mPFC中的表达水平明显低于VPA+穴位组(p < 0.05)。SAT后,VPA+穴位组海马NRG1和ErbB4蛋白表达水平显著高于VPA组(p < 0.05)。VPA+非穴位组海马NRG1、ErbB4蛋白表达水平显著低于VPA+穴位组(p < 0.05)。SAT后,VPA+穴位组mPFC和海马NRG1-ErbB4 mRNA表达水平显著高于VPA组(p < 0.05)。VPA+非穴位组mPFC和海马NRG1-ErbB4 mRNA表达水平显著低于VPA+穴位组(p < 0.05)。结论在VPA ASD模型中,SAT可改善幼龄大鼠的ASD样行为。这可能与其在mPFC中上调NRG1及其受体ErbB4蛋白和基因的表达有关。
{"title":"Scalp acupuncture improves disordered behavior in the valproic acid-induced rat model of autism","authors":"Long-sheng HUANG (黄龙生) ,&nbsp;Pin GE (葛品) ,&nbsp;Jie KANG (康洁) ,&nbsp;Gui-hua LIU (刘桂华) ,&nbsp;Yu HONG (洪钰) ,&nbsp;Jing-rong WANG (王静蓉) ,&nbsp;Chu-an CHEN (陈楚安) ,&nbsp;Wan-yu ZHUANG (庄婉玉) ,&nbsp;Jing-min GUO (郭敬民) ,&nbsp;Ye-bin FENG (冯叶彬) ,&nbsp;Hong ZHANG (张宏) ,&nbsp;Ping OU (欧萍)","doi":"10.1016/j.wjam.2023.05.009","DOIUrl":"10.1016/j.wjam.2023.05.009","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;To investigate the underlying mechanisms of scalp acupuncture treatment (SAT) on autism spectrum disorder (ASD).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Thirty male Wistar rat pups that had been prenatally exposed to valproic acid sodium (VPA) were randomly divided into the VPA, VPA+acupoint, and VPA+ non-acupoint groups using the random number table method, with 10 rats in each group. Ten pups who had been prenatally exposed to saline were assigned to the control group (CG). There was no intervention in either the control or VPA groups. In the acupoint group, “Shenting (GV24),” bilateral “Benshen (GB13)” were manipulated. In the non-acupoint group, the area below the costal space was stimulated. Acupuncture stimulation lasted for 40 min, with manual twisting of the needles every 10 min, 5 days/week, with 2 days of rest per week, for a total duration of 4 weeks. After the corresponding treatments, behavioral tests (including the open field, social interaction, and Morris water maze tests) were performed to evaluate the therapeutic effects. RT-PCR and Western blotting were performed to detect the expression of neuregulin 1 (NRG1)/ErbB4.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;In the open field test, the activity time spent in the central area in the VPA+acupoint group was significantly longer than that in the VPA group and VPA+ non-acupoint group (both &lt;em&gt;P&lt;/em&gt;&lt;0.05). The total length in the VPA+acupoint group was significantly longer than that in the VPA group (&lt;em&gt;P&lt;/em&gt;&lt;0.05). The number of bouts in the central area of the VPA+acupoint group was significantly higher than that of the VPA group (&lt;em&gt;P&lt;/em&gt;&lt;0.05). In session I of social interaction test, all experimental rats spent more time interacting with stranger 1 (all &lt;em&gt;P&lt;/em&gt;&lt;0.05). In session II, the CG and VPA+acupoint groups rats showed more interest in searching for new strangers, but the VPA+non-acupoint group spent more time interacting with stranger 1 than with stranger 2(all &lt;em&gt;P&lt;/em&gt;&lt;0.05). In the Morris water maze test, compared with the VPA group, the latency of the VPA+acupoint group was shorter (day 2, 3, 4, 5, &lt;em&gt;P&lt;/em&gt;&lt;0.05); compared with VPA+acupoint group, the latency of the VPA+non-acupoint group was longer (day 2, 4, &lt;em&gt;P&lt;/em&gt;&lt;0.05). The mean distance in the VPA+acupoint group was shorter than that in the VPA group (day 3, 5, &lt;em&gt;P&lt;/em&gt;&lt;0.05). The platform quadrant time of the VPA+non-acupoint group was significantly shorter than that of the VPA+acupoint group (&lt;em&gt;P&lt;/em&gt;&lt;0.05) (day 6). The VPA+acupoint group had more platform crossings than the VPA group (&lt;em&gt;P&lt;/em&gt;&lt;0.05), and the VPA+ non-acupoint group had fewer platform crossings than the VPA+acupoint group (&lt;em&gt;P&lt;/em&gt;&lt;0.05) (day 6). After SAT, the expression levels of NRG1 and ErbB4 proteins in the VPA+acupoint group were significantly increased than those in the VPA group (both &lt;em&gt;P&lt;/em&gt;&lt;0.05) in the medial prefrontal cortex (mPFC). The expression levels of N","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 3","pages":"Pages 252-261"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46336398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electroacupuncture at “Zusanli(ST36)” alleviates 5-fluorouracil-induced renal injury in colorectal cancer-bearing mice by exerting effects on oxidative stress, inflammatory responses, and cell apoptosis 电针足三里通过对氧化应激、炎症反应和细胞凋亡的影响,减轻5-氟尿嘧啶诱导的结直肠癌小鼠肾损伤
IF 0.7 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.1016/j.wjam.2023.05.011
Xue-jun ZHANG (张学君) , Jiu-mao LIN (林久茂) , Shi-lan CHEN (陈诗兰) , Chen-jie LIN (林晨捷) , Jiao PENG (彭娇) , Xiao-dan YANG (杨晓丹) , Jin-yan ZHAO (赵锦燕)
<div><h3>Objective</h3><p><span>To observe the effect of electroacupuncture at “Zusanli (ST36)” on 5-fluorouracil (5-FU)-induced renal injury in colorectal cancer-bearing mice, and to further investigate its effects on </span>oxidative stress<span>, inflammatory responses, and cell apoptosis in mouse renal tissue.</span></p></div><div><h3>Methods</h3><p><span><span>Thirty-five male BALB/c mice were randomly divided into five groups of seven mice each, namely the control, CT26, 5-FU, sham point (SP), and ST36 (which received EA at the “ST36”) groups. With the exception of the control group, each group was subjected to establishment of a subcutaneous implantation tumor model using the murine CT26 colorectal cancer cell line. Once the models were successfully established, the 5-FU, SP, and ST36 groups received 5-FU injection solution intraperitoneally at a dose of 5 mg/mL once every three days over a 21-day period. Mice in the SP and ST36 groups additionally received an EA intervention after each intraperitoneal 5-FU injection. EA were performed on mice of the SP group at bilateral sham </span>acupoints<span><span> and on mice of the ST36 group at the bilateral “ST36” using the continuous wave mode at a frequency of 2 Hz for a duration of 5 min, intervention was administered once every two days for a duration of 21 days. Samples were collected from the mice at the end of the experiment. The pathological morphology of the renal tissue was observed using hematoxylin<span> and eosin (HE) staining; the contents of creatine (Cre), </span></span>blood urea nitrogen (BUN) and </span></span>malondialdehyde<span><span><span> (MDA), and superoxide dismutase (SOD) activity were measured using biochemical assays; the expression and nuclear translocation of nuclear factor kappa B p65 subunit (NF-κB p65) were measured by immunofluorescence; the expression levels of </span>tumor necrosis factor alpha (TNF-α), interleukin-6 (IL-6), and interleukin-1β (IL-1β) in serum were measured by ELISA; cell apoptosis in renal tissue was detected using the </span>TUNEL assay<span>; and the expression levels of the anti-B-cell lymphoma/leukemia 2 (Bcl-2), Bcl-2-associated X protein (Bax), cleaved caspase-3, cleaved caspase-9, and cytochrome C<span> (cyt c) in renal tissue were measured by Western blotting.</span></span></span></p></div><div><h3>Results</h3><p>Compared with the control group, mice of the CT26 group showed a significant increase in serum Cre content (<em>P</em><0.01), but the difference in BUN content was not statistically significant (<em>P</em>>0.05). HE staining of renal tissue revealed clear structures with normal glomerular and renal tubular morphology. SOD activity was decreased (<em>P</em><0.01); MDA content was increased, but the increase was not statistically significant (<em>P</em><span>>0.05). Differences in NF-κB p65 protein expression in the cytoplasm of renal tissue and serum levels of TNF-α, IL-6, and IL-1β were not statistically signifi
目的观察电针足三里对5-氟尿嘧啶(5-FU)致结直肠癌小鼠肾损伤的影响,并进一步探讨其对小鼠肾组织氧化应激、炎症反应和细胞凋亡的影响。方法将35只雄性BALB/c小鼠随机分为5组,每组7只,分别为对照组、CT26组、5-FU组、假穴组和ST36组。除对照组外,每组均使用小鼠CT26结直肠癌癌症细胞系建立皮下植入肿瘤模型。一旦成功建立模型,5-FU、SP和ST36组在21天内每三天腹膜内接受一次5mg/mL剂量的5-FU注射溶液。SP组和ST36组的小鼠在每次腹膜内5-FU注射后额外接受EA干预。SP组小鼠双侧假穴位电针,ST36组小鼠双侧“ST36”穴位电针,采用频率为2Hz的连续波模式,持续5分钟,每两天干预一次,持续21天。在实验结束时从小鼠身上采集样本。苏木精-伊红(HE)染色观察肾组织病理形态;采用生化法测定血清肌酸(Cre)、尿素氮(BUN)、丙二醛(MDA)含量和超氧化物歧化酶(SOD)活性;κB p65亚单位(NF-κ;ELISA法检测血清中肿瘤坏死因子α(TNF-α)、白细胞介素-6(IL-6)、白介素-1β(IL-1β)的表达水平;用TUNEL法检测肾组织中的细胞凋亡;并通过蛋白质印迹法测定抗B细胞淋巴瘤/白血病2(Bcl-2)、Bcl-2相关X蛋白(Bax)、裂解的胱天蛋白酶-3、裂解的半胱氨酸蛋白酶-9和细胞色素C(cyt-C)在肾组织中的表达水平。结果与对照组相比,CT26组小鼠血清Cre含量显著升高(P<0.01),但BUN含量差异无统计学意义(P>0.05),肾组织HE染色显示结构清晰,肾小球和肾小管形态正常。SOD活性降低(P<0.01);MDA含量增加,但无统计学意义(P>;0.05)。肾组织细胞质中NF-κB p65蛋白表达和血清TNF-α、IL-6和IL-1β水平的差异无统计学意义。在肾组织中,Bcl-2蛋白的表达略有增加(P<;0.05),并且Bax(P>;0.01)、裂解的胱天蛋白酶3(P>)、裂解胱天蛋白酶9(P<)和cyt-c(P>;0.05)的表达水平增加。与CT26组相比,5-FU组的小鼠表现出Cre(P<0.01)和BUN(P<0.05)含量的增加。肾组织HE染色显示肾小球萎缩和鲍曼囊间隙扩张。SOD活性显著降低(P<;0.01),MDA含量升高不显著(P>;0.05),核内NF-κBp65表达及血清TNF-α、IL-6、IL-1β水平均显著升高(P<),细胞凋亡水平显著升高。Bcl-2(P<0.05)、Bax(P<0.01)、裂解的胱天蛋白酶-9(P<0.01-)和细胞色素c(P<0.05-)的蛋白表达显著增加。与5-FU组相比,ST36组血清Cre和BUN水平降低(均P<0.01),肾组织HE染色显示肾组织损伤减少,肾包膜腔扩张减少。SOD活性显著升高(P<0.01),MDA含量降低(P<0.05)。核表达NF-κB p65和血清TNF-。与5-FU组相比,细胞凋亡水平降低。Bcl-2蛋白表达显著增加(P<0.01),而Bax(P<0.05)、裂解胱天蛋白酶-3(P<0.001)、裂解半胱氨酸蛋白酶-9(P<0.1)和cyt-c(P<0.005)的蛋白表达水平也降低。结论电针“ST36”减轻5-FU诱导的结直肠癌小鼠肾损伤。其机制可能与调节肾脏氧化应激、减轻炎症反应和抑制细胞凋亡有关。
{"title":"Electroacupuncture at “Zusanli(ST36)” alleviates 5-fluorouracil-induced renal injury in colorectal cancer-bearing mice by exerting effects on oxidative stress, inflammatory responses, and cell apoptosis","authors":"Xue-jun ZHANG (张学君) ,&nbsp;Jiu-mao LIN (林久茂) ,&nbsp;Shi-lan CHEN (陈诗兰) ,&nbsp;Chen-jie LIN (林晨捷) ,&nbsp;Jiao PENG (彭娇) ,&nbsp;Xiao-dan YANG (杨晓丹) ,&nbsp;Jin-yan ZHAO (赵锦燕)","doi":"10.1016/j.wjam.2023.05.011","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.05.011","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;&lt;span&gt;To observe the effect of electroacupuncture at “Zusanli (ST36)” on 5-fluorouracil (5-FU)-induced renal injury in colorectal cancer-bearing mice, and to further investigate its effects on &lt;/span&gt;oxidative stress&lt;span&gt;, inflammatory responses, and cell apoptosis in mouse renal tissue.&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;&lt;span&gt;&lt;span&gt;Thirty-five male BALB/c mice were randomly divided into five groups of seven mice each, namely the control, CT26, 5-FU, sham point (SP), and ST36 (which received EA at the “ST36”) groups. With the exception of the control group, each group was subjected to establishment of a subcutaneous implantation tumor model using the murine CT26 colorectal cancer cell line. Once the models were successfully established, the 5-FU, SP, and ST36 groups received 5-FU injection solution intraperitoneally at a dose of 5 mg/mL once every three days over a 21-day period. Mice in the SP and ST36 groups additionally received an EA intervention after each intraperitoneal 5-FU injection. EA were performed on mice of the SP group at bilateral sham &lt;/span&gt;acupoints&lt;span&gt;&lt;span&gt; and on mice of the ST36 group at the bilateral “ST36” using the continuous wave mode at a frequency of 2 Hz for a duration of 5 min, intervention was administered once every two days for a duration of 21 days. Samples were collected from the mice at the end of the experiment. The pathological morphology of the renal tissue was observed using hematoxylin&lt;span&gt; and eosin (HE) staining; the contents of creatine (Cre), &lt;/span&gt;&lt;/span&gt;blood urea nitrogen (BUN) and &lt;/span&gt;&lt;/span&gt;malondialdehyde&lt;span&gt;&lt;span&gt;&lt;span&gt; (MDA), and superoxide dismutase (SOD) activity were measured using biochemical assays; the expression and nuclear translocation of nuclear factor kappa B p65 subunit (NF-κB p65) were measured by immunofluorescence; the expression levels of &lt;/span&gt;tumor necrosis factor alpha (TNF-α), interleukin-6 (IL-6), and interleukin-1β (IL-1β) in serum were measured by ELISA; cell apoptosis in renal tissue was detected using the &lt;/span&gt;TUNEL assay&lt;span&gt;; and the expression levels of the anti-B-cell lymphoma/leukemia 2 (Bcl-2), Bcl-2-associated X protein (Bax), cleaved caspase-3, cleaved caspase-9, and cytochrome C&lt;span&gt; (cyt c) in renal tissue were measured by Western blotting.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Compared with the control group, mice of the CT26 group showed a significant increase in serum Cre content (&lt;em&gt;P&lt;/em&gt;&lt;0.01), but the difference in BUN content was not statistically significant (&lt;em&gt;P&lt;/em&gt;&gt;0.05). HE staining of renal tissue revealed clear structures with normal glomerular and renal tubular morphology. SOD activity was decreased (&lt;em&gt;P&lt;/em&gt;&lt;0.01); MDA content was increased, but the increase was not statistically significant (&lt;em&gt;P&lt;/em&gt;&lt;span&gt;&gt;0.05). Differences in NF-κB p65 protein expression in the cytoplasm of renal tissue and serum levels of TNF-α, IL-6, and IL-1β were not statistically signifi","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 3","pages":"Pages 244-251"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49769605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Underlying mechnism of electroacupuncture for treating detrusor hyperreflexia after suprasacral spinal cord injury through the PACAP-cAMP signaling pathway 通过PACAP-cAMP信号通路电针治疗骶上脊髓损伤后逼尿肌反射亢进的潜在机制
IF 0.7 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.1016/j.wjam.2023.06.002
Ming XU (许明), Qiong LIU (刘琼), Shi-feng DENG (邓石峰), Ji-sheng LIU (刘继生), Ya LI (李亚), Zi-yuan JIAO (焦子远), Jing-zhi KUANG (匡静之), Kun AI (艾坤), Hong ZHANG (张泓)
<div><h3>Objective</h3><p><span><span>To elucidate the underlying mechanism and effect of electroacupuncture (EA) on the </span>neurogenic bladder<span> following suprasacral spinal cord injury (SSCI). A rat model of </span></span>detrusor<span> hyperreflexia<span><span> after SSCI was established to examine the urodynamics, </span>detrusor muscle<span> tissue morphology, the protein and mRNA expression levels of pituitary adenylate cyclase activating peptide<span> (PACAP) and its receptor PAC1R, and cyclic adenosine monophosphate (cAMP) content in the detrusor muscle with a focus on the PACAP-cAMP signaling pathway.</span></span></span></span></p></div><div><h3>Method</h3><p><span>A total of 72 female SD rats were randomized into control group and sham operation group (</span><em>n</em>=12 per group) by using a random number table. The remaining 48 rats were established into the model of detrusor hyperreflexia after SSCI. After successful modeling, these rats were randomly assigned to model, EA, and EA + PACAP6-38 groups (<em>n</em><span><span><span>=12 per group). The unsuccessful modeled rats were used for exploratory observation. For the rats in EA group, “Ciliao (BL32)” “Zhongji (CV3)”, and “Sanyinjiao (SP6)” were needled and stimulated by EA. The PACAP receptor antagonist PACAP6-38 was administered intraperitoneally in the EA + PACAP6-38 group before EA, and EA was applied for seven consecutive days. After </span>treatment<span>, the urodynamics of the rats were analyzed, and hematoxylin<span> and eosin staining was used to examine rat </span></span></span>bladder<span> detrusor tissue morphology. The expressions of PACAP-38 and PAC1R were detected by immunohistochemistry<span> and Western blot. The mRNA expression levels of PACAP-38 and PAC1R were examined by RT-qPCR, while cAMP content was detected by ELISA.</span></span></span></p></div><div><h3>Results</h3><p><span><span>(1) Compared with sham operation group, it was exhibited disarray in the transitional epithelium cells<span> of the bladder in the modeled rats. The intercellular space was significantly widened, accompanied by </span></span>inflammatory cell infiltration and noticeable tissue edema. Both the bladder initial pressure and leak point pressure of the rats were higher (</span><em>P</em><span> < 0.01), whereas the maximum cystometric capacity and bladder compliance were lower (</span><em>P</em> < 0.01). The protein and mRNA expression levels of PACAP-38 and PAC1R in the detrusor muscle, together with the cAMP content, were lower (<em>P</em><span><span> < 0.05). (2) Compared with the model rats, the EA group showed reduced inflammatory response in the detrusor muscle tissue, with decreased monocyte infiltration and less severe tissue edema. The bladder </span>smooth muscle cells exhibited increased integrity, and there was decreased cellular tissue edema, inflammatory cell infiltration, and fibroplasia. The bladder initial pressure and leak point pressure were lower
目的探讨电针对骶上脊髓损伤(SSCI)后神经源性膀胱的影响及其机制。建立大鼠SSCI后逼尿肌高反射模型,检测尿动力学、逼尿肌组织形态、垂体腺苷酸环化酶激活肽(PACAP)及其受体PAC1R蛋白和mRNA表达水平、逼尿肌环磷酸腺苷(cAMP)含量,重点研究PACAP-cAMP信号通路。方法采用随机数字表法,将72只雌性SD大鼠随机分为对照组和假手术组,每组12只。其余48只大鼠建立SSCI后逼尿肌高反射模型。造模成功后,随机分为模型组、EA组和EA + PACAP6-38组,每组12只。造模失败的大鼠进行探索性观察。EA组大鼠经EA针刺刺激“Ciliao (BL32)”、“Zhongji (CV3)”、“Sanyinjiao (SP6)”,EA + PACAP6-38组在EA前腹腔注射PACAP受体拮抗剂PACAP6-38, EA连续应用7 d。治疗后分析大鼠尿动力学,苏木精和伊红染色观察大鼠膀胱逼尿肌组织形态。免疫组织化学和Western blot检测PACAP-38和PAC1R的表达。RT-qPCR检测PACAP-38、PAC1R mRNA表达水平,elisa检测cAMP含量。结果(1)与假手术组比较,模型大鼠膀胱移行上皮细胞出现紊乱。细胞间隙明显增宽,伴炎性细胞浸润,组织水肿明显。大鼠膀胱初始压力和漏点压力均升高(P <0.01),而最大膀胱容量和膀胱顺应性较低(P <0.01)。逼尿肌中PACAP-38和PAC1R的蛋白和mRNA表达水平及cAMP含量均较低(P <0.05)。(2)与模型大鼠比较,EA组逼尿肌组织炎症反应减轻,单核细胞浸润减少,组织水肿较轻。膀胱平滑肌细胞完整性增强,细胞组织水肿、炎性细胞浸润和纤维增生减少。膀胱初始压力和泄漏点压力较低(P <0.05),最大膀胱容量和膀胱顺应性较高(P <0.01)。逼尿肌中PACAP-38和PAC1R的蛋白和mRNA表达水平以及cAMP含量均较高(P <0.05)。(3)与EA组相比,EA + PACAP6-38组逼尿肌组织肌纤维排列不整齐,细胞间隙较大,单核细胞浸润,组织水肿明显。膀胱初始压力和泄漏点压力变化不显著(P >0.05),最大膀胱容量和膀胱顺应性较低(P <0.05)。逼尿肌内PACAP-38蛋白和mRNA表达变化不显著(P >0.05),而PAC1R蛋白和mRNA表达量降低(P <0.05),逼尿肌内cAMP含量较低(P <0.05)。结论ea能改善SSCI后膀胱逼尿肌不受抑制的收缩状态。通过介导PACAP-cAMP信号通路,减轻逼尿肌的病理性损伤,从而改善膀胱功能。
{"title":"Underlying mechnism of electroacupuncture for treating detrusor hyperreflexia after suprasacral spinal cord injury through the PACAP-cAMP signaling pathway","authors":"Ming XU (许明),&nbsp;Qiong LIU (刘琼),&nbsp;Shi-feng DENG (邓石峰),&nbsp;Ji-sheng LIU (刘继生),&nbsp;Ya LI (李亚),&nbsp;Zi-yuan JIAO (焦子远),&nbsp;Jing-zhi KUANG (匡静之),&nbsp;Kun AI (艾坤),&nbsp;Hong ZHANG (张泓)","doi":"10.1016/j.wjam.2023.06.002","DOIUrl":"10.1016/j.wjam.2023.06.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;&lt;span&gt;&lt;span&gt;To elucidate the underlying mechanism and effect of electroacupuncture (EA) on the &lt;/span&gt;neurogenic bladder&lt;span&gt; following suprasacral spinal cord injury (SSCI). A rat model of &lt;/span&gt;&lt;/span&gt;detrusor&lt;span&gt; hyperreflexia&lt;span&gt;&lt;span&gt; after SSCI was established to examine the urodynamics, &lt;/span&gt;detrusor muscle&lt;span&gt; tissue morphology, the protein and mRNA expression levels of pituitary adenylate cyclase activating peptide&lt;span&gt; (PACAP) and its receptor PAC1R, and cyclic adenosine monophosphate (cAMP) content in the detrusor muscle with a focus on the PACAP-cAMP signaling pathway.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;p&gt;&lt;span&gt;A total of 72 female SD rats were randomized into control group and sham operation group (&lt;/span&gt;&lt;em&gt;n&lt;/em&gt;=12 per group) by using a random number table. The remaining 48 rats were established into the model of detrusor hyperreflexia after SSCI. After successful modeling, these rats were randomly assigned to model, EA, and EA + PACAP6-38 groups (&lt;em&gt;n&lt;/em&gt;&lt;span&gt;&lt;span&gt;&lt;span&gt;=12 per group). The unsuccessful modeled rats were used for exploratory observation. For the rats in EA group, “Ciliao (BL32)” “Zhongji (CV3)”, and “Sanyinjiao (SP6)” were needled and stimulated by EA. The PACAP receptor antagonist PACAP6-38 was administered intraperitoneally in the EA + PACAP6-38 group before EA, and EA was applied for seven consecutive days. After &lt;/span&gt;treatment&lt;span&gt;, the urodynamics of the rats were analyzed, and hematoxylin&lt;span&gt; and eosin staining was used to examine rat &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;bladder&lt;span&gt; detrusor tissue morphology. The expressions of PACAP-38 and PAC1R were detected by immunohistochemistry&lt;span&gt; and Western blot. The mRNA expression levels of PACAP-38 and PAC1R were examined by RT-qPCR, while cAMP content was detected by ELISA.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;&lt;span&gt;&lt;span&gt;(1) Compared with sham operation group, it was exhibited disarray in the transitional epithelium cells&lt;span&gt; of the bladder in the modeled rats. The intercellular space was significantly widened, accompanied by &lt;/span&gt;&lt;/span&gt;inflammatory cell infiltration and noticeable tissue edema. Both the bladder initial pressure and leak point pressure of the rats were higher (&lt;/span&gt;&lt;em&gt;P&lt;/em&gt;&lt;span&gt; &lt; 0.01), whereas the maximum cystometric capacity and bladder compliance were lower (&lt;/span&gt;&lt;em&gt;P&lt;/em&gt; &lt; 0.01). The protein and mRNA expression levels of PACAP-38 and PAC1R in the detrusor muscle, together with the cAMP content, were lower (&lt;em&gt;P&lt;/em&gt;&lt;span&gt;&lt;span&gt; &lt; 0.05). (2) Compared with the model rats, the EA group showed reduced inflammatory response in the detrusor muscle tissue, with decreased monocyte infiltration and less severe tissue edema. The bladder &lt;/span&gt;smooth muscle cells exhibited increased integrity, and there was decreased cellular tissue edema, inflammatory cell infiltration, and fibroplasia. The bladder initial pressure and leak point pressure were lower ","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 3","pages":"Pages 273-281"},"PeriodicalIF":0.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47748758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of acupuncture on Beclin-1 and Caspase-3 expression in hippocampal tissue of rats with cerebral ischemia-reperfusion injury: Observations at different time points ☆基于不同时间点观察针刺对脑缺血再灌注损伤大鼠海马组织Beclin-1及Caspase-3表达的影响 Effects of acupuncture on Beclin-1 and Caspase-3 expression in hippocampal tissue of rats with cerebral ischemia-reperfusion injury: Observations at different time points ☆ Observation of the effect of acupuncture on the expression of Beclin-1 and Caspase-3 in hippocampal tissue of rats with cerebral ischemia-reperfusion injury at different time points ☆
IF 0.7 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.1016/j.wjam.2022.07.010
Xiao-ye LU (卢小叶), Hui-e ZHENG (郑慧娥), Qian-yi LÜ (吕倩忆), Qi-long LI (李棋龙), Hong ZHANG (张泓), Hao-mei TIAN (田浩梅)
<div><h3>Objective</h3><p><span>To observe the changes in the neurological score, infarct size, and autophagy- and apoptosis-related indicators following the acupuncture treatment of rats with cerebral ischemia-reperfusion injury (CIRI) in order to investigate the effects of acupuncture on autophagy and </span>apoptosis<span> in the hippocampal tissue of CIRI rats</span></p></div><div><h3>Methods</h3><p><span>In this study, 170 Sprague-Dawley rats were randomly assigned to the normal group (n=34), sham group (n=34), and model establishment group (n=102). A CIRI rat model was established in the model establishment group. The rats of the model establishment group were then randomly and equally allocated to the middle cerebral artery occlusion/reperfusion group (MCAO/R group), acupuncture group (AC group), and edaravone<span><span> group (ED group) (n=34 each). Each group was further subdivided into the 24-h and 72-h subgroups (n=17 each). The rats of the MCAO/R group were immobilized for 30 min and administered with an intraperitoneal injection of 0.9% sodium chloride solution. The rats of the AC group were immobilized, and they received acupuncture at the“Dà zhuī (大椎 GV 14) ”,“Shuĭ gōu (水沟 GV 26 ) ”, and “Băi huì (百会 GV 20) ” and an intraperitoneal injection of 0.9% sodium chloride solution, with the </span>acupuncture needles left in place for 30 min. The rats of the ED group were immobilized for 30 min and administered with an intraperitoneal injection of edaravone (5 mg/kg). All interventions were performed once every 12 h. Investigations of the neurological score, infarct size using </span></span>triphenyl tetrazolium chloride<span><span><span> staining, hippocampal Caspase-3 protein expression by immunohistochemical assay, hippocampal Beclin-1 expression by </span>Western blotting, </span>autophagosomes<span> in the hippocampus<span><span><span> by transmission electron microscopy<span>, and apoptotic rate in the brain tissue of the ischemic side using the </span></span>terminal deoxynucleotidyl transferase dUTP </span>nick end labeling assay were performed both before and after the interventions.</span></span></span></p></div><div><h3>Results</h3><p>Before intervention, the neurological score of the model establishment group was significantly lower than that of the normal and sham groups (<em>P</em><0.01). After 24 h and 72 h, the neurological scores of the ED and AC groups were significantly increased (<em>P</em><0.01), whereas the infarct size ratio were smaller (<em>P</em><0.05 or <em>P</em><0.01) and the apoptotic rates and Caspase-3 expression were lower (<em>P</em><0.01) when compared with the MCAO/R group. The hippocampal Beclin-1 expression in the ED and AC groups was downregulated after 24 h of intervention (<em>P</em><0.05) but upregulated after 72 h of intervention (<em>P</em><0.05 and <em>P</em><0.01, respectively). In the ED and AC groups, 72 h of intervention led to significant increases in the neurologi
目的观察针刺治疗大鼠脑缺血再灌注损伤(CIRI)后神经评分、梗死面积、自噬和细胞凋亡相关指标的变化,探讨针刺对CIRI大鼠海马组织自噬和凋亡的影响,将170只Sprague-Dawley大鼠随机分为正常组(n=34)、假手术组(n=34%)和模型建立组(n=102)。模型建立组建立CIRI大鼠模型。模型建立组大鼠随机等分为大脑中动脉闭塞/再灌注组(MCAO/R组)、针刺组(AC组)和依达拉奉组(ED组)(各34只)。每组进一步细分为24小时和72小时亚组(每组n=17)。MCAO/R组的大鼠固定30分钟,并腹膜内注射0.9%氯化钠溶液。AC组大鼠被固定,并接受针刺“Dàzhuī”(大椎 GV 14)“,”Shuĭgōu(水沟 GV 26)”和“Băi huì(百会 GV 20)“和腹膜内注射0.9%氯化钠溶液,将针刺留在原位30分钟。ED组大鼠固定30分钟,并腹膜内注射依达拉奉(5 mg/kg)。所有干预措施每12小时进行一次。通过免疫组织化学分析研究神经评分、使用氯化三苯基四氮唑染色的梗死面积、海马Caspase-3蛋白表达、通过Western印迹研究海马Beclin-1表达、通过透射电子显微镜研究海马中的自噬体,以及在干预前后使用末端脱氧核苷酸转移酶dUTP缺口末端标记法测定缺血侧脑组织中的凋亡率。结果干预前,模型建立组的神经功能评分显著低于正常组和假手术组(P<0.01),24小时和72小时后,ED组和AC组的神经系统评分显著升高(P<0.05),而与MCAO/R组相比,梗死面积比更小(P<0.05或P<0.01)。ED组和AC组的海马Beclin-1表达在干预24小时后下调(P<0.05),但在干预72小时后上调(分别为P<0.05和P<0.01)。在ED组和AC组中,与干预24小时相比,干预72小时导致神经评分显著增加(P<;0.01),凋亡率和半胱氨酸天冬氨酸蛋白酶-3表达显著降低(P<,0.05或P<,0.01),但Beclin-1表达没有显着变化(P>;0.05)。此外,AC组显示梗死面积比显著降低(P<;0.01)。电子显微镜显示,干预24小时后,AC组和ED组的组织中只能观察到单个溶酶体结构。干预72小时后,ED组观察到自噬体和溶酶体共存,而AC组观察到溶酶体和自溶体共存。结论针刺能明显改善CIRI大鼠的神经功能评分,缩小梗死面积。这些作用的机制可能在一定程度上归因于对海马组织自噬的调节和对细胞凋亡的抑制,以及干预的持续时间。
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引用次数: 0
Acupoint stimulation for long COVID: A promising intervention 穴位刺激治疗长期COVID:一种有希望的干预措施
IF 0.7 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-07-01 DOI: 10.1016/j.wjam.2023.05.012
Bo-Wen Feng (冯博闻), Pei-Jing Rong (荣培晶)

“Long COVID” is a sustained symptom following infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). According to recent statistics, at least 65 million people have long COVID, which poses a long-term threat to human health. The pathogenic mechanisms of coronavirus disease 2019 (COVID-19) are complex and affect multiple organs and systems. Common symptoms include palpitations, breathing difficulties, attention and memory deficits, fatigue, anxiety, and depression. It is difficult to achieve satisfactory treatment effect with a single intervention. Currently, treatment strategies for long COVID are still in the exploratory stage, and there is an urgent need to find appropriate and effective methods for long COVID treatment. Traditional Chinese medicine is effective in treating the various phases of COVID-19. Previous studies have shown that acupoint stimulation therapy is effective in improving palpitations, dyspnea, cognitive impairment, anxiety, depression, and other symptoms in patients. According to previous studies, acupoint stimulation may improve various symptoms related to long COVID. This paper discusses the potential application value of acupoint stimulation in the treatment of long COVID-related symptoms, based on the common sequelae of various systems involved in long COVID, and the effect of acupoint stimulation in the treatment of similar symptoms and diseases in recent years.

“长期新冠肺炎”是感染严重急性呼吸综合征冠状病毒2型(严重急性呼吸系统综合征冠状病毒)后的一种持续症状。根据最近的统计数据,至少有6500万人患有长期新冠肺炎,这对人类健康构成了长期威胁。2019冠状病毒病(新冠肺炎)的致病机制复杂,影响多个器官和系统。常见症状包括心悸、呼吸困难、注意力和记忆缺陷、疲劳、焦虑和抑郁。单次干预很难达到满意的治疗效果。目前,长期新冠肺炎的治疗策略仍处于探索阶段,迫切需要找到合适有效的长期新冠治疗方法。中医治疗新冠肺炎的各个阶段是有效的。已有研究表明,穴位刺激疗法对改善患者心悸、呼吸困难、认知障碍、焦虑、抑郁等症状有效。根据先前的研究,穴位刺激可能会改善与长期新冠肺炎相关的各种症状。本文根据长期新冠肺炎涉及的各种系统的常见后遗症,以及近年来穴位刺激在治疗类似症状和疾病中的作用,探讨穴位刺激在长期新冠相关症状中的潜在应用价值。
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World Journal of Acupuncture-Moxibustion
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