Xin Yue-Yang, Wang Jin-Xu, Xu Ai-Jun
Anesthesiology Institute, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Acupunct Med. 2022 Oct;40(5):474-483. doi: 10.1177/09645284221076515. Epub 2022 Mar 1.
Neuroinflammation refers to a wide range of immune responses occurring in the brain or spinal cord. It is closely related to a variety of neurodegenerative diseases, for which it potentially represents a new direction for treatment. Electroacupuncture (EA) is one method of acupuncture treatment, which can be used as an adjuvant therapy for many diseases. This review focuses on molecular mechanisms of EA in the reduction of neuroinflammation, summarizes relevant basic research and outlines future directions for investigation.
A growing body of basic research has shown that EA can ameliorate neuroinflammation centrally (in animal models of ischemic stroke, Alzheimer's disease, traumatic brain injury, spinal cord injury, Parkinson's disease and vascular dementia) and peripherally (e.g. after a surgical insult or injection of lipopolysaccharide) and that its effects involve different molecular mechanisms, including activation of the α7 nicotinic acetylcholine receptor signaling pathway and P2 type purinergic receptors, inhibition of nuclear factor κB, and mitigation of damage secondary to oxidative stress and NOD-like receptor protein 3 inflammasome activation.
EA is capable of regulating multiple cell signal transduction pathways to alleviate neuroinflammation in animal models. Although the findings of animal studies are encouraging, further prospective clinical trials are needed to verify the efficacy of EA for the treatment of neuroinflammation.
神经炎症是指发生在脑或脊髓的广泛免疫反应。它与多种神经退行性疾病密切相关,可能为这些疾病提供新的治疗方向。电针是针刺治疗的一种方法,可作为多种疾病的辅助治疗手段。本综述聚焦于电针减轻神经炎症的分子机制,总结相关基础研究并概述未来研究方向。
越来越多的基础研究表明,电针可在中枢(在缺血性中风、阿尔茨海默病、创伤性脑损伤、脊髓损伤、帕金森病和血管性痴呆的动物模型中)和外周(如手术损伤或注射脂多糖后)改善神经炎症,其作用涉及不同分子机制,包括激活α7烟碱型乙酰胆碱受体信号通路和P2型嘌呤能受体、抑制核因子κB以及减轻氧化应激和NOD样受体蛋白3炎性小体激活继发的损伤。
电针能够调节多种细胞信号转导通路以减轻动物模型中的神经炎症。尽管动物研究结果令人鼓舞,但仍需进一步的前瞻性临床试验来验证电针治疗神经炎症的疗效。