Mei Ji-Lin, Yang Zhi-Xin, Li Xiao-Ning
Heilongjiang University of Traditional Chinese Medicine, Harbin 150040, China.
Chengde Medical College, Chengde 067000, Hebei Province.
Zhen Ci Yan Jiu. 2023 Jul 25;48(7):699-705. doi: 10.13702/j.1000-0607.20221181.
Inflammatory reaction after spinal cord injury (SCI) is the main obstacle to the recovery of neural function. In the occurrence and development of SCI, the complex regulatory mechanisms are involved in inflammatory reaction, including the activation of inflammatory cells (e.g.macrophages and microglia), and the release of cytokines (e.g. tumor necrosis factor, interleukin and chemokines). Acupuncture-moxibustion is significantly effective in clinical treatment of SCI, and its mechanism is related to adjusting the function of inflammatory cells after SCI, modulating the expression of cytokines and the activation of NLRP3 inflammatory bodies, as well as the expression of high mobility group protein B1 and calcitonin gene related peptide. This article summarizes the research progress of mechanism of inflammatory reaction after SCI and the effects of acupuncture-moxibustion intervention in recent years so that the new ideas can be provided to clarify the pathogenesis of SCI and the effect of acupuncture-moxibustion intervention.
脊髓损伤(SCI)后的炎症反应是神经功能恢复的主要障碍。在SCI的发生发展过程中,炎症反应涉及复杂的调控机制,包括炎症细胞(如巨噬细胞和小胶质细胞)的激活以及细胞因子(如肿瘤坏死因子、白细胞介素和趋化因子)的释放。针灸在SCI的临床治疗中具有显著疗效,其机制与调节SCI后炎症细胞的功能、调控细胞因子的表达和NLRP3炎性小体的激活,以及高迁移率族蛋白B1和降钙素基因相关肽的表达有关。本文综述了近年来SCI后炎症反应机制及针灸干预作用的研究进展,以期为阐明SCI的发病机制及针灸干预效果提供新思路。