Wang Fei-Xuan, Jin Lu-Wei
Department of Clinical Medical College, Qilu Medical College, Zibo, Shandong, People's Republic of China.
Department of Acupuncture and Tuina, Wenzhou Hospital of Traditional Chinese Medicine, Wenzhou, Zhejiang, People's Republic of China.
J Asthma Allergy. 2024 May 29;17:495-516. doi: 10.2147/JAA.S462262. eCollection 2024.
Asthma is a high-risk disease based on airway hyperresponsiveness (AHR). In this review, we found that there are many studies on clinical therapy for asthma that focus on the efficacy of acupuncture therapy and its mechanisms, including the functional connectivity of different brain regions, with the aid of functional magnetic resonance imaging (fMRI), immune responses/cell recognition (innate lymphoid cells and balance of Th1/Th2 and Treg/Th17), intracellular mechanism (autophagy, endoplasmic reticulum stress, and epigenetic alteration), and ligand-receptor/chemical signaling pathway (neurotransmitter, hormone, and small molecules). In this review, we summarized the clinical and experimental evidence for the mechanisms of acupuncture therapy in asthma to offer insights into drug discovery and clinical therapy. Given the paucity of clinical studies on the mechanisms of acupuncture in the treatment of asthma, this review notably included studies based on animal models to investigate the mechanisms of acupuncture in the treatment of asthma.
哮喘是一种基于气道高反应性(AHR)的高危疾病。在本综述中,我们发现有许多关于哮喘临床治疗的研究聚焦于针刺疗法的疗效及其机制,包括借助功能磁共振成像(fMRI)研究不同脑区的功能连接、免疫反应/细胞识别(固有淋巴细胞以及Th1/Th2和Treg/Th17的平衡)、细胞内机制(自噬、内质网应激和表观遗传改变)以及配体-受体/化学信号通路(神经递质、激素和小分子)。在本综述中,我们总结了针刺疗法治疗哮喘机制的临床和实验证据,以期为药物研发和临床治疗提供见解。鉴于针刺治疗哮喘机制的临床研究较少,本综述特别纳入了基于动物模型的研究,以探究针刺治疗哮喘的机制。