Inhibitory Effect Of Acupuncture Research Articles

Mitigating inflammatory response in breast cancer patients: the inhibitory effect of acupuncture and emotional nursing on the ST8SIA6-AS1/LINC00504/p38 pathway

IntroductionBreast cancer patients often suffer from psychological distress such as anxiety and depression, which can exacerbate inflammation and potentially hinder treatment outcomes. This research investigates the effects of emotional nursing combined with acupuncture on inflammation in breast cancer patients diagnosed with liver depression and stagnation.Material and methodsA total of 40 breast cancer patients with liver depression and stagnation were divided into 2 groups: a control group (n = 20) and an observational group (n = 20). The control group was subjected to standard nursing care, whereas the observational group received a synergised regimen of emotional nursing and acupuncture alongside the regular nursing care. Depression and anxiety levels were assessed using the Self-rating Depression Scale (SDS) and Self-rated Anxiety Scale (SAS). Inflammatory cytokine levels were analysed using ELISA and Western blot, while cell viability and apoptosis rate in breast cancer cells were assessed through specific assays.ResultsEmotional nursing and acupuncture significantly reduced psychological distress and inflammation. Moreover, a significant reduction in ST8SIA6-AS1 and LINC00504 expression levels in tumour tissues was observed following the emotional nursing and acupuncture intervention – 2 entities known to be elevated in breast cancer scenarios and associated with patient survival. Additionally, this therapy restrained the activation of p38 signalling in breast cancer tumour tissues. Furthermore, the silencing of ST8SIA6-AS1 and LINC00504 dampened IL-6-mediated inflammation in breast cancer cells through the p38 pathway.ConclusionsEmotional nursing and acupuncture potentially reduce inflammation in breast cancer patients with liver depression and stagnation by modulating specific factors and deactivating the p38 pathway.

Acupuncture reduces cocaine psychomotor responses by activating the rostromedial tegmental nucleus.

The rostromedial tegmental nucleus (RMTg), a GABAergic afferent to midbrain dopamine (DA) neurons, has emerged as an integral player in both rewarding and nociceptive responses. While previous studies have demonstrated that acupuncture modulates DA transmission in the mesolimbic reward system originating in the ventral tegmental area (VTA) and projecting to the nucleus accumbens (NAc) and can reduce drug self-administration, the central links between peripheral acupuncture signals and brain reward systems are not well-characterized. Thus, we hypothesised that acupuncture would elicit inhibitory signals from RMTg neurons to brain reward systems. Acupuncture reduced acute cocaine-induced locomotor activity and DA release in a point-specific manner, which was blocked by optogenetic silencing or chemical lesion of the RMTg. The acupuncture effect was mimicked by chemical activation of the RMTg. Acupuncture activated RMTg GABA neurons. In addition, the inhibitory effects of acupuncture on acute cocaine-induced locomotor activity were prevented by electrolytic lesions of the lateral habenula (LHb) or fasciculus retroflexus (FR), areas known to project to the RMTg. These findings suggest that acupuncture recruits the RMTg to reduce the psychomotor responses enhanced by acute cocaine.

Inhibitory Effect of Acupuncture on Vibration-Induced Finger Flexion Reflex in Humans: Comparisons Among Radial, Median, and Ulnar Nerve Stimulation.

Vibration-induced finger flexion reflex (VFR) is inhibited with acupuncture to TE 5 or LI 4 at the skin innervated by the radial nerve. The aim of this study was to determine if acupoints in regions innervated by the radial nerve are specific to inhibit VFR. This experiment was performed using a crossover design with 3 acupuncture groups (needle insertion to the right LU 11, PC 9, or SI 1) and a control group (no needle treatment). Each acupoint was randomly needled on separate days. Ten healthy volunteers were recruited for this study. VFR was induced by applying vibration on the volar side of the right middle fingertip. An acupuncture needle was inserted in the acupoint and retained for 5 minutes. For the main outcome measure, maximum finger flexion force (MFFF) was measured during vibration and was compared among four groups. MFFFs in the acupuncture groups were significantly lower (p<0.05) than that in the control group. However, no significant difference was observed in MFFFs in the three intervention groups after acupuncture to LU 11, PC 9, and SI 1. Acupuncture to the right LU 11, PC 9, or SI 1 point inhibited the ipsilateral VFR, which suggests that afferent inputs from the radial nerve with needle insertion were not specific, compared with those from the median and ulnar nerves to suppress neuronal activities in the VFR reflex circuits.

Neuromodulation in treatment of hypertension by acupuncture: A neurophysiological prospective

Hypertension is a major public health problem affecting over one billion individuals worldwide. This disease is the result of complex interactions between genetic and life-style factors and the central nervous system. Sympathetic hyperactivity has been postulated to be present in most forms of hypertension. Pharmaceutical therapy for hypertension has not been perfected, often requires a multidrug regimen, and is associated with adverse side effects. Acupuncture, a form of somatic afferent nerve stimulation has been used to treat a host of cardiovascular diseases such as hypertension. It has long been established that the two major contributors to systemic hypertension are the intrarenal reninangiotensin system and chronic activation of the sympathetic nervous system. A number of important studies on the baroreflex response and its response to acupuncture are discussed. The inhibitory effects of acupuncture on the rostral ventrolateral medulla (rVLM) reduces sympathetic nerve activity and blood pressure suggesting overactivity of the angiotensin system in this nucleus may play a role in the maintenance of hypertension. Our experimental studies have shown that electroacupuncture stimulation activates neurons in the arcuate nucleus, ventro-lateral gray, and nucleus raphe to inhibit the neural activity in the rVLM in a model of visceral reflex stimulation-induced hypertension. The significant role of spinal cord opioids and nociceptin are also reviewed. Although clinical studies of acupuncture to date have met some success, they are rarely scientifically robust and do not feature randomization and long-term follow up. Based on a great deal of basic scientific evidence, large trials are desperately needed to study the effects of acupuncture on the hyperensive man.

Neuroprotective changes of thalamic degeneration-related gene expression by acupuncture in an MPTP mouse model of parkinsonism: Microarray analysis

Acupuncture stimulations at GB34 and LR3 inhibit the reduction of tyrosine hydroxylase in the nigrostriatal dopaminergic neurons in the parkinsonism animal models. Especially, behavioral tests showed that acupuncture stimulations improved the motor dysfunction in a previous study by almost 87.7%. The thalamus is a crucial area for the motor circuit and has been identified as one of the most markedly damaged areas in Parkinson's disease (PD), so acupuncture stimulations might also have an effect on the thalamic damage. In this study, gene expression changes following acupuncture at the acupoints were investigated in the thalamus of a 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced parkinsonism model using a whole transcript array. It was confirmed that acupuncture at these acupoints could inhibit the decrease of tyrosine hydroxylase in the thalamic regions of the MPTP model, while acupuncture at the non-acupoints could not suppress this decrease by its level shown in the acupoints. GeneChip gene array analysis showed that 18 (5 annotated genes: Dnase1l2, Dusp4, Mafg, Ndph and Pgm5) of the probes down-regulated in MPTP, as compared to the control, were exclusively up-regulated by acupuncture at the acupoints, but not at the non-acupoints. In addition, 14 (3 annotated genes; Serinc2, Sp2 and Ucp2) of the probes up-regulated in MPTP, as compared to the control, were exclusively down-regulated by acupuncture at the acupoints, but not at the non-acupoints. The expression levels of the representative genes in the microarray were validated by real-time RT-PCR. These results suggest that the 32 probes (8 annotated genes) which are affected by MPTP and acupuncture may be responsible for exerting the inhibitory effect of acupuncture in the thalamus which can be damaged by MPTP intoxication.

Acupuncture attenuates cocaine-induced expression of behavioral sensitization in rats: Possible involvement of the dopaminergic system in the ventral tegmental area

Acupuncture is widely used for the treatment of many functional disorders, such as substance abuse, and has the suppressive effect on the central nervous system. Many studies have suggested that behavioral sensitization by repeated injections of cocaine produce an increase in locomotor activity and an increase in the expression of tyrosine hydroxylase (TH), in the central dopaminergic system. In order to investigate the effects of acupuncture on the repeated cocaine-induced neuronal and behavioral sensitization alternations, we examined the influence of acupuncture on the repeated cocaine-induced locomotor activity and the expression of TH in the brain using immunohistochemistry. Male SD rats were given repeated injections of cocaine hydrochloride (15 mg/kg, i.p. for 10 consecutive days) followed by one challenge injection on the 4th day after the last daily injection. Cocaine challenge produced a large increase in the locomotor activity and the expression of TH in the ventral tegmental area (VTA). Treatment with acupuncture bilaterally at the Shenman (HT7) points for 1 min significantly inhibited the increase of locomotor activity as well as the TH expression in the VTA. Our data demonstrated that the inhibitory effects of acupuncture on cocaine-induced expression of behavioral sensitization were closely associated with the reduction of dopamine (DA) biosynthesis and the postsynaptic neuronal activity. These results provide evidence that acupuncture may be effective for inhibiting the behavioral effects of cocaine by possible modulation of the central dopaminergic system.

Clinical Observation of Adiponectin in Inhibiting Fatty Toxicity by Acupuncture

Objective: To investigate if acupuncture has an inhibitory effect on fatty toxicity and its possible mechanism.Methods: Thirty-four patients with simple obesity were clinically treated with acupuncture for 3 courses. Before and after treatment, body mass index(BMI) and fat percentage (F%) were determined, and serum insulin and adiponectin were measured by enzyme linked immunoassay, blood lipid and sugar by biochemical colorimetry and eight kinds of free fatty acids (FFAs) by high performance liquid chromatography. Twenty normal persons were selected as a control.Results: The total efficacy rate was 88.2%. Acupuncture could increase the decreased insulin sensitivity index(ISI) in the patients(t=−5.103,P=0.000). The correlation of a decrease in F% with an increase in unsaturated fatty acid after acupuncture was of significance (r=0.402,P=0.019) and its correlation with an increase in the ratio between unsaturated fatty acid and saturated fatty acid was also of significance (r=0.348,P=0.044). The correlation between increases in high density lipoprotein and in eicosapentaenoic acid was of significance (r=0.352,p=0.041). The correlation between a decrease in BMI and an increase in high density lipoprotein was of significance (r=0.357),P=0.038). Adiponectin level significantly rose after acupuncture (compared with pre-treatment,P=0.000). The correlation between a decrease in FFAs and an increase in adiponectin was of significance (r=−0.349,P=0.043).Conclusion: Acupuncture can lower the levels of free fatty acids in the patients and increase their sensitivity to insulin to inhibit the fatty toxicity. The inhibitory effect of acupuncture on fatty toxicity is somewhat related to a rise in adiponectin level.

Acupuncture for functional gastrointestinal disorders

Functional gastrointestinal (GI) symptoms are common in the general population. Especially, motor dysfunction of the GI tract and visceral hypersensitivity are important. Acupuncture has been used to treat GI symptoms in China for thousands of years. It is conceivable that acupuncture may be effective in patients with functional GI disorders because it has been shown to alter acid secretion, GI motility, and visceral pain. Acupuncture at the lower limbs (ST-36) causes muscle contractions via the somatoparasympathetic pathway, while at the upper abdomen (CV-12) it causes muscle relaxation via the somatosympathetic pathway. In some patients with gastroesophageal reflux disease (GERD) and functional dyspepsia (FD), peristalsis and gastric motility are impaired. The stimulatory effects of acupuncture at ST-36 on GI motility may be beneficial to patients with GERD or FD, as well as to those with constipation-predominant irritable bowel syndrome (IBS), who show delayed colonic transit. In contrast, the inhibitory effects of acupuncture at CV-12 on GI motility may be beneficial to patients with diarrhea-predominant IBS, because enhanced colonic motility and accelerated colonic transit are reported in such patients. Acupuncture at CV-12 may inhibit gastric acid secretion via the somatosympathetic pathway. Thus, acupuncture may be beneficial to GERD patients. The antiemetic effects of acupuncture at PC-6 (wrist) may be beneficial to patients with FD, whereas the antinociceptive effects of acupuncture at PC-6 and ST-36 may be beneficial to patients with visceral hypersensitivity. In the future, it is expected that acupuncture will be used in the treatment of patients with functional GI disorders.

The inhibitory effect of acupuncture on l-dopa-induced hyperactivity of rat's bladder

Purpose: To investigate the inhibitory effect of acupuncture on l-dopa-induced hyperactivity of rat's bladder and its neurobiological mechanism. Methods: Vesical catheterization was performed for cystometry in rats. In the conscious and free-moving rats, l-dopa was intraperitoneally injected to induce bladder hyperactivity. The inhibitory effect of acupuncture (A) of point Zhonglushu (B29) on the hyperactivity was investigated by continuous cystometry and its neurobiological mechanism, by changes in dopamine β-hydroxylase (DBH) and choline acetyltransferase (ChAT) in the pontine and spinal micturition centers, respectively. DBH and ChAT were measured by immunohistochemistry.

Vibration-induced finger flexion reflex and inhibitory effect of acupuncture on this reflex in cervical spinal cord injury patients

The vibration-induced finger flexion reflex (VFR) and the inhibitory effect of acupuncture on this reflex were studied in five cervical spinal cord injury patients (C-SCIs). VFR, which is a tonic finger flexion reflex induced by vibratory stimulation on the finger tip, was induced before and after acupuncture was carried out on the same hand. A stainless steel needle was inserted to the Hoku point. As in healthy subjects, VFR was performed and it was significantly inhibited by acupuncture in the C-SCIs; mean maximum VFR was 204.2 ± S.E. 68.6 g before and 119.8 ± S.E. 42.2 g after acupuncture. The present results suggest that at least part of the reflex center for VFR is located in the spinal cord and that part of VFR inhibition by acupuncture may be mediated via the spinal cord.

Inhibitory effect of acupuncture on the vibration-induced finger flexion reflex in man

Experiments were performed on 12 young and healthy subjects. The palmar side of the index finger was vibrated with a triangular wave form at randomly changed inter-stimulus intervals. This vibratory stimulation elicited a flexion movement of the index finger, which was depressed by acupuncture at ‘Wai-Kuan.’ It was generally observed that the depressive effect developed slowly and lasted for a long time. The depressive effect of acupuncture on this reflex was analyzed using a cross-correlation between the vibratory stimuli and motor unit spikes recorded from the flexor digitorum communis muscle. Cross-correlograms revealed two types of reflex responses. One of them showed a peak of time-locked spikes to the vibratory stimuli at a latency of 25 msec, which indicates monosynaptic activity of the motoneuron, and also showed time-unlocked spikes distributed in both sides of the peak, which implies polysynaptic activity. This type of response was frequently observed and was supposed to be elicited by the proprioceptive tonic vibration reflex. The other revealed no peaks, which indicates that only time-unlocked spikes to the stimuli are generated, and that these spikes are evoked via polysynaptic pathway. This type of response was supposed to be elicited by so-called exteroceptive vibration-induced finger flexion reflex. Since both types of reflex responses, i.e., mono- and polysynaptic ones, were equally depressed during acupuncture, it was concluded that the excitability of the motoneuron, a common output of this reflex, is lowered by acupuncture.

Quantitative changes in liver dehydrogenase activity during and after temporary ischemia of the limbs

Experiments were performed on rabbits with electrochemotrodes implanted into the left and right dorsal hippocamp. The evidence was obtained for the first time as to the marked inhibitory effect of acupuncture on epileptogenic foci created by penicillin microinjections into the hippocamp. The most effective was stimulation of the Min-Men point. The antiepileptic effect was potentiated on combined stimulation of the Min-Men and Yao-Yan-Guan points. The efficacy of the procedure was significantly decreased on stimulation of the points of another acupunctural canal. The epileptiform activity was potentiated by affecting the knowingly inactive points. The antiepileptic effect of acupuncture was significantly reduced with an increase in the number of acupunctures. This might be connected with the development of tolerance to enkephalins by which the effect of acupuncture is most likely mediated.

Inhibitory effect of acupuncture on the vibration-induced grasp reflex in man

The effect of acupuncture on the grasp reflex caused by mechanical vibrations of fingers produced by a cylinder-type vibrator (120 Hz) was studied in healthy man. As the hand grasped the vibrator during vibration, the volar surface of all fingers was simultaneously stimulated, resulting in a gradually increased force of the grasp, the vibration-induced grasp reflex (VGR). The VGR was inhibited by acupuncture with needles inserted into three acupuncture points (Shou Sanli, Chicheng and Szutu), but not into other sites in the hand.

The inhibitory effect of acupuncture on the tonic vibration reflex (TVR) in man

The effect of acupuncture on the tonic vibration reflex (TVR) has been examined in healthy men. Vibrations (100 Hz) were applied over the muscle bellies of either finger flexion muscles or extension muscles, while finger flexions and extensions were measured by a strain gauge attached to the middle finger. A stainless steel acupuncture needle was inserted for 10 min into an acupuncture point named ‘Chu-Chih (LI-II)’. After the application of acupuncture, TVRs in both flexion and extension muscles were significantly less than those observed before the application of acupuncture. The inhibitory effect of acupuncture almost disappeared 10 min after removing the needle. Acupuncture transiently inhibits TVR in extension and flexion muscles in man.

Inhibitory effect of acupuncture on human vibration-induced flexion reflex : I. Homma and Y. Endo (Tokyo, Japan)

Inhibitory effect of acupuncture on human vibration-induced flexion reflex : I. Homma and Y. Endo (Tokyo, Japan)

Inhibitory effect of acupuncture on the vibration-induced finger flexion reflex in man

The effect of acupuncture on the tonic finger flexion reflex caused by mechanical vibration of the index finger was studied in healthy man. The volar side of the index finger was tapped by a vibrator (100 Hz), while flexion forces were recorded. A silver needle inserted into the acupuncture point (Wai-Kuan) inhibited the vibration-induced finger flexion reflex. In this study, the inhibitory effect of acupuncture on the reflex contraction, rather than pain sensation and analgesia, was demonstrated.