Abstract

In laboratory animals, acupuncture needs to be performed on either anesthetized or, if unanesthetized, restrained subjects. Both procedures up-regulate c-Fos expression in several areas of the central nervous system, representing therefore a major pitfall for the assessment of c-Fos expression induced by electroacupuncture. Thus, in order to reduce the effect of acute restraint we used a protocol of repeated restraint for the assessment of the brain areas activated by electroacupuncture in adult male Wistar rats weighing 180-230 g. Repeated immobilization protocols (6 days, 1 h/day and 13 days, 2 h/day) were used to reduce the effect of acute immobilization stress on the c-Fos expression induced by electroacupuncture at the Zusanli point (EA36S). Animals submitted to immobilization alone or to electroacupuncture (100 Hz, 2-4 V, faradic wave) in a non-point region were compared to animals submitted to electroacupuncture at EA36S (4 animals/subgroup). c-Fos expression was measured in 41 brain areas by simple counting of cells and the results are reported as number of c-Fos-immunoreactive cells/10,000 m . The protocols of repeated immobilization significantly reduced the immobilization-induced c-Fos expression in most of the brain areas analyzed (P < 0.05). Animals of the EA36S groups had significantly higher levels of c-Fos expression in the dorsal raphe nucleus, locus coeruleus, posterior hypothalamus and central medial nucleus of the thalamus. Furthermore, the repeated immobilization protocols intensified the differences between the effects of 36S and non-point stimulation in the dorsal raphe nucleus (P < 0.05). These data suggest that high levels of stress can interact with and mask the evaluation of specific effects of acupuncture in unanesthetized animals.

Highlights

  • Studies of the mapping of neuronal activity using immunocytochemistry to detect cFos have shown that electroacupuncture (EA) at the Zusanli point (36S) up-regulates c-Fos expression in several central nervous system (CNS) areas as compared to EA at nonacupuncture points [1]

  • In animals submitted only to acute immobilization (IMMO woRI group), the pattern of c-Fos expression was similar to that previously described in the literature for stress-induced c-Fos expression [15,16], i.e., c-Fos expression was widely distributed in the brain, with moderate to intense staining in areas involved in the stress response

  • In most of the studied areas, repeated immobilization protocols reduced immobilization-induced background c-Fos expression. Mainly those typically involved in the stress response (paraventricular nucleus of the hypothalamus (PVH), locus coeruleus, medial amygdala nucleus, cingulate cortex), the effect of repeated immobilization was highly significant (P < 0.0001) and post hoc analysis showed that both the repeated immobilization for 6 days (RI6d) and repeated immobilization for 13 days (RI13d) groups differed from the woRI group (Table 1 and Figure 3)

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Summary

Introduction

Studies of the mapping of neuronal activity using immunocytochemistry to detect cFos have shown that electroacupuncture (EA) at the Zusanli point (36S) up-regulates c-Fos expression in several central nervous system (CNS) areas as compared to EA at nonacupuncture points [1]. Acupuncture must be performed on either anesthetized or, if unanesthetized, restrained subjects. Both procedures are known to induce changes in several physiological parameters and can mask specific acupuncture responses. The patterns of neuronal activity induced by habituation to repeated stress are stressor-specific [7,8], allowing the effect of a new stimulus to be observed in animals previously submitted to repeated stress, i.e., habituation does not prevent the effect of a new stimulus [7]. To attenuate the effects of acute restraint on c-Fos expression, we used a protocol of repeated restraint which allowed us to differentiate the brain regions responsive to EA

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