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整脊疗法的分子基础。

Molecular foundations of chiropractic therapy.

作者信息

Maltese Paolo Enrico, Michelini Sandro, Baronio Manuela, Bertelli Matteo

机构信息

MAGI's Lab, Rovereto (TN), Italy.

出版信息

Acta Biomed. 2019 Sep 30;90(10-S):93-102. doi: 10.23750/abm.v90i10-S.8768.

Abstract

BACKGROUND AND AIM

Alternative medicine is a broad term used to encompass different therapies, including chiropractic. Chiropractic was called "a science of healing without drugs" by its founder, David Daniel Palmer. It is based on the idea that the body has a powerful self-healing ability and that there is a relationship between body structure and function that affects health. In particular, chiropractic assumes that the nervous system controls the human body through nerves branching from the vertebral column and spinal cord. Researchers do not fully understand how chiropractic therapies affect pain, but chiropractic is widely used today to treat chronic pain, such as back pain. Different studies with animal models have demonstrated that chiropractic therapies mediate neuroplasticity, specifically through modulation of neurotrophins. No studies have yet been published on interaction between neurotrophin gene polymorphisms and chiropractic treatment.

METHODS

We searched PubMed with the following keywords: chiropractic, neuroplasticity, neurotrophin gene polymorphism for a panorama of on the molecular mechanisms of chiropractic therapy.

RESULTS

From the material collected, we identified a set of genes and some functional polymorphisms that could be correlated with better response to chiropractic therapy.

CONCLUSIONS

Further association studies will be necessary to confirm hypotheses of a correlation between single nucleotide polymorphisms in specific genes and better response to chiropractic therapy.

摘要

背景与目的

替代医学是一个广义术语,涵盖包括整脊疗法在内的不同疗法。整脊疗法的创始人戴维·丹尼尔·帕尔默称其为“无药治疗科学”。它基于这样的理念:人体具有强大的自我修复能力,且身体结构与功能之间存在影响健康的关系。特别是,整脊疗法假定神经系统通过从脊柱和脊髓分支出来的神经控制人体。研究人员尚未完全了解整脊疗法如何影响疼痛,但如今整脊疗法被广泛用于治疗慢性疼痛,如背痛。不同的动物模型研究表明,整脊疗法可介导神经可塑性,特别是通过调节神经营养因子来实现。尚未有关于神经营养因子基因多态性与整脊治疗之间相互作用的研究发表。

方法

我们在PubMed上使用以下关键词进行搜索:整脊疗法、神经可塑性、神经营养因子基因多态性,以全面了解整脊疗法的分子机制。

结果

从收集的资料中,我们确定了一组基因和一些功能多态性,它们可能与对整脊疗法的更好反应相关。

结论

有必要进行进一步的关联研究,以证实特定基因中的单核苷酸多态性与对整脊疗法的更好反应之间存在相关性的假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f0c/7233649/338cb9eb852d/ACTA-90-93-g001.jpg

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