Xu Wen-Jie, Cui Xiang, Liu Kun, Zhu Bing, Gao Xin-Yan
Institution of Acupuncture-moxibustion and Massage, Shaanxi University of Chinese Medicine, Xianyang 712046, Shaanxi Province, China; Institute of Acupuncture and Moxibustion, China Academy of Chinese Medicine Sciences, Beijing 100700.
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medicine Sciences, Beijing 100700.
Zhen Ci Yan Jiu. 2021 Dec 25;46(12):1048-56. doi: 10.13702/j.1000-0607.20210313.
Hyperalgesia and functional plasticity are the important components of acupoint sensitization. Reveal of the neuromechanism of acupoint sensitization may play a positive role in promoting the development of acupuncturology in the world. The nociceptors, including Aδ and C subtypes distributing in the acupoint region and target organs, are responsible for the transmission of signals of peripheral noxious stimuli and acupuncture-liking stimulation to the dorsal horns of the spinal cord and supraspinal levels. A previous study reveals that the C type nociceptors are involved in the acupoint sensitization. Recent studies indicate that there exists a subtype of mechanical responsiveness in the C type receptors, named "silent nociceptor" which is awa-kened when diseases occur, being very similar to the dynamic sensitization characteristics of acupoints. Hence, we, in the present review, make a discussion about the role of C-type silent nociceptor in the hyperalgesia and functional plasticity of the sensitized acupoint according to previous studies and recent advances, so as to provide more ideas and opportunities for the investigation on the scientific characteristics of acupoints.
痛觉过敏和功能可塑性是穴位敏化的重要组成部分。揭示穴位敏化的神经机制可能对推动针灸学在世界范围内的发展起到积极作用。伤害感受器,包括分布在穴位区域和靶器官的Aδ和C亚型,负责将外周有害刺激和针刺样刺激的信号传递至脊髓背角和脊髓上水平。先前的一项研究表明,C型伤害感受器参与了穴位敏化。最近的研究表明,C型受体中存在一种机械反应性亚型,名为“静息伤害感受器”,在疾病发生时被激活,这与穴位的动态敏化特征非常相似。因此,在本综述中,我们根据先前的研究和最新进展,讨论C型静息伤害感受器在敏化穴位的痛觉过敏和功能可塑性中的作用,以便为穴位科学特性的研究提供更多思路和机会。