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针刺与瞬时受体电位香草酸亚型的关系:现状与未来方向。

Relationship between acupuncture and transient receptor potential vanilloid: Current and future directions.

作者信息

Luo Dan, Liu Li, Zhang Hai-Ming, Zhou Yu-Dian, Zhou Min-Feng, Li Jin-Xiao, Yu Zhao-Min, Chen Rui, Liang Feng-Xia

机构信息

Department of Acupuncture and Moxibustion, Hubei University of Traditional Chinese Medicine, Wuhan, China.

Department of Respiratory, Wuhan No. 1 Hospital, Wuhan, China.

出版信息

Front Mol Neurosci. 2022 Nov 3;15:817738. doi: 10.3389/fnmol.2022.817738. eCollection 2022.

DOI:10.3389/fnmol.2022.817738
PMID:36407763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9668865/
Abstract

Acupuncture is a common complementary and alternative therapy around the world, but its mechanism remains still unclear. In the past decade, some studies indicated that transient receptor potential vanilloid (TRPV) channels play a great role in the response of acupuncture stimulation. In this article, we discussed the relationship between acupuncture and TRPV channels. Different from inhibitors and agonists, the regulation of acupuncture on TRPV channels is multi-targeted and biphasic control. Acupuncture stimulation shows significant modulation on TRPV1 and TRPV4 at the autonomic nervous system (ANS) including central and peripheral nervous systems. On the contrary, the abundant expression and functional participation of TRPV1 and TRPV4 were specific to acupuncture stimulation at acupoints. The enhancement or inhibition of TRPV channels at different anatomical levels will affect the therapeutic effect of acupuncture. In conclusion, TRPV channels help to understand the principle of acupuncture stimulation, and acupuncture also provides a potential approach to TRPV-related trials.

摘要

针灸是一种在世界各地普遍使用的补充和替代疗法,但其机制仍不清楚。在过去十年中,一些研究表明,瞬时受体电位香草酸(TRPV)通道在针刺刺激反应中起重要作用。在本文中,我们讨论了针灸与TRPV通道之间的关系。与抑制剂和激动剂不同,针灸对TRPV通道的调节是多靶点和双相控制的。针刺刺激在包括中枢和外周神经系统在内的自主神经系统(ANS)中对TRPV1和TRPV4有显著调节作用。相反,TRPV1和TRPV4的丰富表达和功能参与是穴位针刺刺激所特有的。不同解剖水平上TRPV通道的增强或抑制会影响针灸的治疗效果。总之,TRPV通道有助于理解针刺刺激的原理,针灸也为TRPV相关试验提供了一种潜在方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d3b/9668865/1c58201e0b5f/fnmol-15-817738-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d3b/9668865/818ef254574b/fnmol-15-817738-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d3b/9668865/1c58201e0b5f/fnmol-15-817738-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d3b/9668865/818ef254574b/fnmol-15-817738-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d3b/9668865/1c58201e0b5f/fnmol-15-817738-g002.jpg

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本文引用的文献

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A neuroanatomical basis for electroacupuncture to drive the vagal-adrenal axis.电针对迷走肾上腺轴作用的神经解剖学基础。
Nature. 2021 Oct;598(7882):641-645. doi: 10.1038/s41586-021-04001-4. Epub 2021 Oct 13.
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TRPV1 Responses in the Cerebellum Lobules VI, VII, VIII Using Electroacupuncture Treatment for Chronic Pain and Depression Comorbidity in a Murine Model.小脑 VI、VII、VIII 回中 TRPV1 反应:电针对慢性疼痛合并抑郁共病的小鼠模型的治疗作用。
Int J Mol Sci. 2021 May 10;22(9):5028. doi: 10.3390/ijms22095028.
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Beyond Hot and Spicy: TRPV Channels and their Pharmacological Modulation.
超越热辣:TRPV 通道及其药理学调节。
Cell Physiol Biochem. 2021 May 28;55(S3):108-130. doi: 10.33594/000000358.
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The Mysteries of Capsaicin-Sensitive Afferents.辣椒素敏感传入神经的奥秘
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TRPV1-Targeted Drugs in Development for Human Pain Conditions.正在研发用于人类疼痛病症的 TRPV1 靶向药物。
Drugs. 2021 Jan;81(1):7-27. doi: 10.1007/s40265-020-01429-2.
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Somatotopic Organization and Intensity Dependence in Driving Distinct NPY-Expressing Sympathetic Pathways by Electroacupuncture.电针对不同表达 NPY 的交感神经通路的躯体定位组织和强度依赖性的驱动作用。
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The neuro-immune microenvironment of acupoints-initiation of acupuncture effectiveness.穴位激发效应的神经免疫微环境。
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