Li Yong-Ming
American Traditional Chinese Medicine Society, New York 10001, USA.
Zhen Ci Yan Jiu. 2023 Jan 25;48(1):21-7. doi: 10.13702/j.1000-0607.20221176.
Neuroimmunological anti-inflammation is one of the most successful areas of translational medicine in the past 50 years, leading directly to the success of anti-TNF biologics and vagal nerve stimulation therapy for anti-inflammation. The latter has many similarities with traditional acupuncture therapy and further research may reveal more intertwining and enlightenment to acupuncture. This paper briefly reviews the discovery and translational process of Cachectin/TNF, anti-TNF therapy, neural inflammatory reflex arc, vagus nerve stimulation therapy, and Stimulating Peripheral Activity to Relieve Condition (SPARC) project, and also summarizes the experience and lessons learned from the path of translational medicine in this field. The two key steps in the translational process are discussed in details. The purpose is to provide reference for the development of translational medicine in acupuncture. "Minimal injury with significant healing" should be considered as the principal hypothesis to further study the biological mechanism of acupuncture and it may result in more clinical translation in the future.
神经免疫抗炎是过去50年转化医学最成功的领域之一,直接促成了抗TNF生物制剂和迷走神经刺激抗炎疗法的成功。后者与传统针灸疗法有许多相似之处,进一步研究可能会揭示更多与针灸的交织点和启示。本文简要回顾了恶病质素/TNF的发现与转化过程、抗TNF治疗、神经炎性反射弧、迷走神经刺激疗法以及刺激外周活动缓解病症(SPARC)项目,并总结了该领域转化医学道路上的经验教训。详细讨论了转化过程中的两个关键步骤。目的是为针灸转化医学的发展提供参考。“微损伤而大愈合”应被视为进一步研究针灸生物学机制的主要假设,未来可能会带来更多临床转化成果。