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电针作为失眠辅助治疗的分析:针对γ-氨基丁酸介导的微生物-肠道-脑轴的新视角

An analysis of electroacupuncture as adjunctive treatment for insomnia: a new perspective targeting GABA-mediated microbiome-gut-brain axis.

作者信息

Yan Lijuan, Wang Xiao, Liu Xiang, Cai Jiaying, Zhang Zuobing, Yang Bin

机构信息

Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.

Department of Ultrasound, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.

出版信息

Front Neurol. 2025 Apr 30;16:1504316. doi: 10.3389/fneur.2025.1504316. eCollection 2025.


DOI:10.3389/fneur.2025.1504316
PMID:40371088
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12077820/
Abstract

INTRODUCTION: Insomnia is a prevalent psychiatric disorder that significantly impacts mental and physical health. Emerging evidence suggests that gut microbiota, particularly γ-aminobutyric acid (GABA) producing bacteria, plays a critical role in the microbiome-gut-brain axis (MGBA), influencing sleep and mental states. Electroacupuncture (EA) has been shown to have favorable anti-insomnia effects. This research protocol outlines a randomized controlled trial (RCT) designed to investigate the efficacy of EA in modulating GABA levels via the MGBA to alleviate insomnia. METHODS AND ANALYSIS: The study will use glutamate (Glu) concentrations of p-chlorophenylalanine (PCPA) -induced insomnia rat model to examine whether EA at specific acupoints can increase GABA levels in the brain and plasma by enhancing the abundance of GABA-producing gut bacteria. A second experiment will transplant stool from insomnia rats into germ-free mice to evaluate the causal role of microbiota in insomnia pathology. Primary outcome measures include changes in GABA and Glu levels, data about the open field test, and gut microbiota composition. DISCUSSION: This study will provide insights into the therapeutic mechanisms of EA targeting the MGBA in the treatment of insomnia and contribute to the development of novel therapeutic strategies. ETHICS AND DISSEMINATION: This study has been approved by the Laboratory Animal Center of Xiamen University (No. XMULAC20220100). The study findings will be submitted for publication in peer-reviewed academic journals.

摘要

引言:失眠是一种普遍存在的精神疾病,会对身心健康产生重大影响。新出现的证据表明,肠道微生物群,特别是产生γ-氨基丁酸(GABA)的细菌,在微生物-肠道-脑轴(MGBA)中起关键作用,影响睡眠和精神状态。电针(EA)已被证明具有良好的抗失眠效果。本研究方案概述了一项随机对照试验(RCT),旨在研究EA通过MGBA调节GABA水平以缓解失眠的疗效。 方法与分析:该研究将使用对氯苯丙氨酸(PCPA)诱导的失眠大鼠模型的谷氨酸(Glu)浓度,以检查特定穴位的EA是否能通过增加产生GABA的肠道细菌丰度来提高大脑和血浆中的GABA水平。第二个实验将把失眠大鼠的粪便移植到无菌小鼠体内,以评估微生物群在失眠病理中的因果作用。主要结局指标包括GABA和Glu水平的变化、旷场试验数据以及肠道微生物群组成。 讨论:本研究将深入了解EA靶向MGBA治疗失眠的作用机制,并有助于开发新的治疗策略。 伦理与传播:本研究已获得厦门大学实验动物中心批准(编号:XMULAC20220100)。研究结果将提交至同行评审学术期刊发表。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/12077820/2fcacb136038/fneur-16-1504316-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/12077820/6d79dab55fbd/fneur-16-1504316-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/12077820/2fcacb136038/fneur-16-1504316-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/12077820/6d79dab55fbd/fneur-16-1504316-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/12077820/2fcacb136038/fneur-16-1504316-g002.jpg

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引用本文的文献

[1]
Electroacupuncture as adjunctive therapy for insomnia via targeting the GABAergic microbiota-gut-brain axis: a mini review.

Front Psychiatry. 2025-7-18

本文引用的文献

[1]
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Probiotics Antimicrob Proteins. 2025-3-6

[2]
Cerebral Blood Flow Changes and Their Spatial Correlations With GABAa and Dopamine-D1 Receptor Explaining Individual Differences in Chronic Insomnia and the Therapeutic Effects of Acupuncture.

Hum Brain Mapp. 2025-3

[3]
Mental Health in Young Adult University Students During COVID-19 Lockdown: Associations with Physical Activity, Sedentary Behaviors and Sleep Quality.

Int J Environ Res Public Health. 2025-2-8

[4]
Efficacy of electroacupuncture for insomnia in cancer patients: a systematic review and meta-analysis.

Front Neurol. 2025-2-10

[5]
Sleep deprivation accelerates Parkinson's disease via modulating gut microbiota associated microglial activation and oxidative stress.

Microbiol Res. 2025-4

[6]
Towards a personalized prediction, prevention and therapy of insomnia: gut microbiota profile can discriminate between paradoxical and objective insomnia in post-menopausal women.

EPMA J. 2024-6-6

[7]
Electroacupuncture negatively regulates the Nesfatin-1/ERK/CREB pathway to alleviate HPA axis hyperactivity and anxiety-like behaviors caused by surgical trauma.

Chin Med. 2024-8-17

[8]
Protective effects of a probiotic-fermented germinated grain complex on neurotransmitters and sleep quality in sleep-deprived mice.

Front Microbiol. 2024-7-29

[9]
Research progress on insomnia treated by traditional Chinese medicine and acupuncture based on microbial-gut-brain axis theory.

World J Clin Cases. 2024-6-26

[10]
Persistent alterations in gray matter in COVID-19 patients experiencing sleep disturbances: a 3-month longitudinal study.

Neural Regen Res. 2025-10-1

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