College of Korean Medicine, Dongguk University, Goyang, South Korea.
Front Immunol. 2022 Jan 12;12:813748. doi: 10.3389/fimmu.2021.813748. eCollection 2021.
So far, a number of acupuncture studies have shown anti-inflammatory effects of acupuncture treatment, mostly known at specific point ST36. However, there is no literature that oversaw the inflammation-regulatory effects of acupuncture in each tissue. Therefore, we investigated how acupuncture at specific acupoint ST36 regulates inflammation and its underlying mechanisms. We searched literatures on PubMed until July 2021 using the keywords "animal, acupuncture, ST36, inflammation, immune," and 292 literatures were searched. We ultimately selected 69 studies to determine the anti-inflammatory actions of acupuncture at ST36 and classified the changes of inflammatory mediators according to target regions. Forty-three studies were included in body fluids, 27 studies in the digestive system, 17 studies in the nervous system, and 30 studies in other tissues or organs. In this review, we found that acupuncture at ST36 has clinical benefits in relieving inflammation through several mechanisms such as vagus nerve activation, toll-like receptor 4 (TLR4)/NF-κB signaling, macrophage polarization, mitogen-activated protein kinase (MAPK) signaling pathway, and cholinergic anti-inflammatory pathway. We expect that these data will inform further studies related to ST36 acupuncture on inflammation.
到目前为止,许多针灸研究已经表明针灸治疗具有抗炎作用,主要在特定穴位 ST36 上得到证实。然而,没有文献综述过针灸在每个组织中对炎症的调节作用。因此,我们研究了 ST36 特定穴位的针灸如何调节炎症及其潜在机制。我们使用关键词“动物、针灸、ST36、炎症、免疫”在 PubMed 上搜索了截至 2021 年 7 月的文献,共检索到 292 篇文献。我们最终选择了 69 项研究来确定 ST36 针灸的抗炎作用,并根据靶区对炎症介质的变化进行分类。43 项研究涉及体液,27 项研究涉及消化系统,17 项研究涉及神经系统,30 项研究涉及其他组织或器官。在这篇综述中,我们发现 ST36 针灸通过激活迷走神经、Toll 样受体 4(TLR4)/NF-κB 信号通路、巨噬细胞极化、丝裂原激活蛋白激酶(MAPK)信号通路和胆碱能抗炎通路等几种机制在缓解炎症方面具有临床益处。我们期望这些数据将为进一步研究 ST36 针灸对炎症的作用提供信息。
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