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下丘脑室旁核参与针刺治疗疾病的机制

[Mechanisms by Which Paraventricular Hypothalamic Nucleus Participates in the Acupuncture Treatment of Diseases].

作者信息

Bai Ziyou, Zhang Chaoran, Rao Yiqing, Lin Qishun, Yu Lingling, Liu Jiabao, Jing Xianghong, Li Man

机构信息

( 430030) Key Laboratory of Neurological Diseases of Hubei Province and National Education Ministry, School of Basic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2025 Jan 20;56(1):26-34. doi: 10.12182/20250160202.

Abstract

In recent years, a growing body of research has demonstrated that acupuncture can be used to effectively treat a diverse range of diseases, including functional gastrointestinal disorders, cardiovascular diseases, as well as anxiety and depression, through the modulation of the paraventricular hypothalamic nucleus (PVN). Acupuncture may exert its therapeutic effect either by modulating specific neurons within the PVN, such as corticotropin releasing hormone (CRH) neurons, or by regulating the release of hormones, such as oxytocin (OXT) and vasopressin (VP), and the activity of neural circuits associated with the PVN. This review summarizes the mechanisms by which PVN is involved in acupuncture treatment, including its regulatory mechanisms in gastrointestinal diseases, cardiovascular diseases, and negative emotions and pain. Future research should be conducted to further explore the precise mechanisms by which acupuncture regulates PVN to treat diseases, focusing on clarifying the specific processes of signaling pathway transduction, and exploring the specific effects of acupunture of different acupoint combinations and stimulation frequencies and intensity on PVN.

摘要

近年来,越来越多的研究表明,针刺可通过调节下丘脑室旁核(PVN),有效治疗多种疾病,包括功能性胃肠疾病、心血管疾病以及焦虑和抑郁。针刺可能通过调节PVN内的特定神经元,如促肾上腺皮质激素释放激素(CRH)神经元,或通过调节激素的释放,如催产素(OXT)和血管加压素(VP),以及与PVN相关的神经回路的活动,来发挥其治疗作用。本综述总结了PVN参与针刺治疗的机制,包括其在胃肠疾病、心血管疾病以及负面情绪和疼痛中的调节机制。未来的研究应进一步探索针刺调节PVN治疗疾病的确切机制,重点是阐明信号通路转导的具体过程,并探索不同穴位组合、刺激频率和强度的针刺对PVN的具体影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb18/11914022/d186e1bd8c24/scdxxbyxb-56-1-26-1.jpg

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