Department of Neurology, University-Town Hospital of Chongqing Medical University, Chongqing, China.
College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, Wuhan, China.
Acupunct Med. 2023 Dec;41(6):345-353. doi: 10.1177/09645284231160193. Epub 2023 Apr 20.
OBJECTIVE: Insomnia is the most common sleep disorder and is often comorbid with mental and physical diseases. The present study was designed to investigate the hypnotic effect of electroacupuncture (EA) of the cymba concha to stimulate the auricular branch of the vagus nerve (ABVN). METHODS: Mice were intraperitoneally injected with p-chlorophenylalanine (PCPA, 300 mg/kg·d) for 2 days to induce insomnia and subsequently received EA or manual acupuncture (MA) of the cymba concha for 30 min once daily for 5 consecutive days, or no treatment. The phenobarbital-induced sleep test was used to analyze the hypnotic effects and the open field test was used to analyze the locomotor activities and anxiolytic effects of EA/MA of the cymba concha. In addition, the levels of gamma-aminobutyric acid (GABA) and glutamate (Glu) in the hypothalamus and peripheral blood were determined by enzyme-linked immunosorbent assay (ELISA). RESULTS: PCPA injection significantly decreased sleep duration, increased sleep latency and induced anxiety-like behaviors in mice. In PCPA-insulted mice, EA of the cymba concha improved the sleep disturbance by significantly prolonging sleep duration, while no change in sleep latency was observed. Moreover, EA of the cymba concha improved PCPA-induced anxiety-like behaviors without decreasing locomotor activities in the open field test. EA of the cymba concha increased the level of GABA in the hypothalamus and peripheral blood, while Glu concentrations remained unchanged. CONCLUSION: These findings indicate that EA of the region innervated by the ABVN upregulates GABA levels in the hypothalamus and ameliorates the symptoms of insomnia and anxiety, suggesting that EA of the cymba concha might have potential value as an intervention for insomnia.
目的:失眠是最常见的睡眠障碍,常与精神和躯体疾病共病。本研究旨在探讨电针对迷走神经耳支(ABVN)刺激耳甲区的催眠作用。
方法:将小鼠腹腔内注射对氯苯丙氨酸(PCPA,300mg/kg·d)2 天诱导失眠,随后每天接受电针或耳针(MA)治疗 30 分钟,连续 5 天,或不治疗。采用苯巴比妥诱导睡眠试验分析催眠作用,采用旷场试验分析电针/MA 对耳甲区的运动活动和抗焦虑作用。此外,通过酶联免疫吸附试验(ELISA)测定下丘脑和外周血中γ-氨基丁酸(GABA)和谷氨酸(Glu)的水平。
结果:PCPA 注射显著缩短了睡眠持续时间,延长了睡眠潜伏期,并引起了小鼠的焦虑样行为。在 PCPA 攻击的小鼠中,电针耳甲区通过显著延长睡眠持续时间改善了睡眠障碍,而睡眠潜伏期没有变化。此外,电针耳甲区改善了 PCPA 引起的焦虑样行为,而在旷场试验中运动活动没有减少。电针耳甲区增加了下丘脑和外周血中的 GABA 水平,而 Glu 浓度保持不变。
结论:这些发现表明,ABVN 支配区域的电针上调了下丘脑的 GABA 水平,并改善了失眠和焦虑症状,表明耳甲区的电针可能具有作为失眠干预的潜在价值。
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