Ning Yanzhe, Zheng Sisi, Feng Sitong, Yao Hao, Feng Zhengtian, Liu Xinzi, Dong Linrui, Jia Hongxiao
The National Clinical Research Center for Mental Disorders and Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.
Front Neurol. 2022 Jul 26;13:947379. doi: 10.3389/fneur.2022.947379. eCollection 2022.
Accumulating evidence has shown that acupuncture could significantly improve the sleep quality and cognitive function of individuals suffering from insufficient sleep. Numerous animal studies have confirmed the effects and mechanisms of acupuncture on acute sleep deprivation (SD). However, the role of acupuncture on individuals after acute SD remains unclear.
In the current study, we recruited 30 healthy subjects with regular sleep. All subjects received resting-state fMRI scans during the rested wakefulness (RW) state and after 24 h of total SD. The scan after 24 h of total SD included two resting-state fMRI sessions before and after needling at Shenmen (HT7). Both edge-based and large-scale network FCs were calculated.
The edge-based results showed the suprathreshold edges with abnormal between-network FC involving all paired networks except somatosensory motor network (SMN)-SCN between the SD and RW state, while both decreased and increased between-network FC of edges involving all paired networks except frontoparietal network (FPN)-subcortical network (SCN) between before and after acupuncture at HT7. Compared with the RW state, the large-scale brain network results showed decreased between-network FC in SMN-Default Mode Network (DMN), SMN-FPN, and SMN-ventral attention network (VAN), and increased between-network FC in Dorsal Attention Network (DAN)-VAN, DAN-SMN between the RW state and after 24 h of total SD. After acupuncture at HT7, the large-scale brain network results showed decreased between-network FC in DAN-VAN and increased between-network FC in SMN-VAN.
Acupuncture could widely modulate extensive brain networks and reverse the specific between-network FC. The altered FC after acupuncture at HT7 may provide new evidence to interpret neuroimaging mechanisms of the acupuncture effect on acute SD.
越来越多的证据表明,针灸可以显著改善睡眠不足个体的睡眠质量和认知功能。大量动物研究已经证实了针灸对急性睡眠剥夺(SD)的作用及机制。然而,针灸对急性SD后个体的作用仍不清楚。
在本研究中,我们招募了30名睡眠规律的健康受试者。所有受试者在静息觉醒(RW)状态下以及完全SD 24小时后接受静息态功能磁共振成像扫描。完全SD 24小时后的扫描包括针刺神门穴(HT7)前后的两个静息态功能磁共振成像时段。计算了基于边缘和大规模网络的功能连接(FC)。
基于边缘的结果显示,在SD和RW状态之间,除体感运动网络(SMN)-感觉运动网络(SCN)外,涉及所有配对网络的网络间FC异常的超阈值边缘,而在HT7针刺前后,涉及除额顶叶网络(FPN)-皮层下网络(SCN)外所有配对网络的边缘的网络间FC既有降低也有增加。与RW状态相比,大规模脑网络结果显示,在RW状态和完全SD 24小时后,SMN-默认模式网络(DMN)、SMN-FPN和SMN-腹侧注意网络(VAN)之间的网络间FC降低,背侧注意网络(DAN)-VAN、DAN-SMN之间的网络间FC增加。在HT7针刺后,大规模脑网络结果显示DAN-VAN之间的网络间FC降低,SMN-VAN之间的网络间FC增加。
针灸可广泛调节广泛的脑网络并逆转特定的网络间FC。HT7针刺后FC的改变可能为解释针灸对急性SD作用的神经影像学机制提供新证据。