Electro-acupuncture-mediated gene transfer

Ｓｏｍａｔｉｃｇｅｎｅｔｈｅｒａｐｙｉｓｂｅｃｏｍｉｎｇｉｎｃｒｅａｓｉｎｇｌｙｉｍｐｏｒｔａｎｔｆｏｒｐｏｔｅｎｔｉａｌｔｒｅａｔｍｅｎｔｏｆｇｅｎｅｔｉｃａｎｄａｃｑｕｉｒｅｄｄｉｓｏｒｄｅｒｓ,ｗｈｉｃｈｉｓｐｒｏｍｉｓｉｎｇｉｎｃｌｉｎｉｃａｌａｐｐｌｉｃａｔｉｏｎ.ＧｅｎｅｔｒａｎｓｆｅｒｉｓｏｎｅｏｆｔｈｅｋｅｙｔｅｃｈｎｉｑｕｅｓｉｎｇｅｎｅｔｈｅｒａｐｙｔｈａｔａｌｌｏｗｓｉｎｓｔａｌｌａｔｉｏｎａｎｄｅｘｐｒｅｓｓｉｏｎｏｆＤＮＡｄｅｌｉｖｅｒｅｄｉｎｔｏｔａｒｇｅｔｃｅｌｌｓ[1…     

Application of proteomics in research on traditional Chinese medicine

Introduction: Traditional Chinese medicine (TCM) is a widely used complementary alternative medicine approach. Although many aspects of its effectiveness have been approved clinically, rigorous scientific techniques are highly required to translate the promises from TCM into powerful modern therapies. In this respect, proteomics is useful because of its ability to unveil the underlying target proteins and/or protein biomarkers.

Areas covered: In this review, we summarize the recent interplay between proteomics and research on TCM, ranging from exploration of the medicinal materials to the biological basis of TCM concepts, and from pathological studies to pharmacological investigations. We show that proteomic analyses provide preliminary biological evidence of the promises in TCM, and the integration of proteomics with other omics and bioinformatics offers a comprehensive methodology to address the complications of TCM.

Expert commentary: Currently, only limited information can be obtained regarding TCM issues and thus more work is required to resolve the ambiguity. As such, more collaborations between proteomics and other techniques (other omics, network pharmacology, etc.) are essential for deciphering the underlying biological basis in TCM topics.     

尾核阿片μ受体参与电针及皮层SmⅠ区对束旁核伤害性反应的抑制

为探索尾核（ｃａｕｄａｔｅｎｕｃｌｅｕｓ,Ｃｄ）是否参与电针及皮层体感运动Ⅰ区（ｓｅｎｓｏｒｉｍｏｔｏｒａｒｅａⅠｏｆｔｈｅｃｅｒｅｂｒａｌｃｏｒｔｅｘ,ＳｍⅠ）对束旁核（ｐａｒａｆａｓｃｉｃｕｌａｒｎｕｃｌｅｕｓ,Ｐｆ）神经元伤害性反应的调节,以及Ｃｄ中阿片受体是否参与并通过何种受体参与这一调节,本实验用Ｃｄ头部化学毁损及微量注射阿片受体拮抗剂的方法,观察到Ｃｄ毁损前电针及兴奋皮层均可抑制Ｐｆ的伤害性反应,而毁损后这种抑制效应消失;注射纳洛酮或阿片μ受体拮抗剂βＦＮＡ后,电针及兴奋皮层ＳｍⅠ区对Ｐｆ伤害性反应的抑制作用被取消,而分别注射δ和κ受体拮抗剂ＩＣＩ１７４,８６４和ｎｏｒＢＮＩ则不产生影响。基于已证明大脑皮层参与电针对Ｐｆ伤害性反应的调节,本结果提示：Ｃｄ参与针刺镇痛中皮层ＳｍⅠ区对Ｐｆ神经元伤害性反应的抑制,Ｃｄ中阿片肽主要通过μ受体参与抑制作用。     

调督理筋针法联合腰部核心肌力训练对腰椎间盘突出症患者腰椎功能、腰背肌力学效应和血清炎性因子的影响

摘要 目的：探讨调督理筋针法联合腰部核心肌力训练对腰椎间盘突出症患者腰椎功能、腰背肌力学效应和血清炎性因子的影响。方法：选取湖南中医药大学第二附属医院于2020年6月-2022年3月期间收治的120例腰椎间盘突出症（LDH）患者,按照随机数字表法将患者分为对照组（腰部核心肌力训练,60例）和观察组（调督理筋针法联合腰部核心肌力训练,60例）。对比两组疗效、疼痛及腰椎功能指标、腰背肌力学效应和血清炎性因子的情况。结果：与对照组相比,观察组临床总有效率更高（P<0.05）。观察组治疗15 d后日本矫形外科学会（JOA）评分高于对照组,疼痛视觉模拟评分（VAS）评分低于对照组（P<0.05）。观察组治疗15 d后屈曲过程表面肌电值（AEMG）、屈伸松弛比（FRR）低于对照组,伸直过程AEMG高于对照组（P<0.05）。观察组治疗15 d后白介素-6（IL-6）、肿瘤坏死因子-α（TNF-α）、白介素-1β（IL-1β）、C反应蛋白（CRP）低于对照组（P<0.05）。结论：腰部核心肌力训练联合调督理筋针法治疗LDH,可减轻疼痛症状,改善腰背肌力学效应并降低血清炎性因子水平,促进腰椎功能恢复。     

毫火针联合补肾活血方对寻常型白癜风患者外周血炎性因子和免疫指标的影响

目的:探讨毫火针联合补肾活血方对寻常型白癜风患者外周血炎性因子和免疫指标的影响.方法:选取2017年3月～2019年7月期间我院收治的寻常型白瘢风患者75例,根据随机数字表法分为对照组(n=37)和观察组(n=38),对照组予以常规治疗和补肾活血方,观察组在对照组的基础上联合毫火针治疗,比较两组疗效、白癜风皮损面积、炎...     

润肺健脾益肾汤对小儿过敏性咳嗽淋巴细胞亚群绝对计数的影响

目的:探讨润肺健脾益肾汤对小儿过敏性咳嗽淋巴细胞亚群绝对计数的影响。方法:选择自2017年5月至2019年1月在盘锦辽油宝石花医院(我院)儿科就诊的过敏性咳嗽患儿128例,根据随机数字表法把患儿分为中药组与对照组,各64例,对照组给予沙丁胺醇治疗,观察组在对照组治疗对的基础上给予润肺健脾益肾汤治疗,两组都治疗观察14 d,记录淋巴细胞亚群绝对计数变化情况。结果:治疗后中药组的总有效率为98.3%,显著高于对照组的88.3%(P0.05)。两组治疗后的1s用力呼气容积(Forced expiratory volume in one second,FEV1)和1s用力呼气容积肺活量(Forced vital capacity,FVC)值都显著高于治疗前(P0.05),中药组也显著高于对照组(P0.05)。两组治疗后的血清白细胞介素(interleukine,IL)-4、IL-13水平都显著低于治疗前(P0.05),中药组也显著低于对照组(P0.05)。两组治疗后的CD4~+T淋巴细胞绝对计数显著高于治疗前(P0.05),中药组也显著高于对照组(P0.05),两组治疗前后CD8~+T淋巴细胞绝对计数比较无差异(P0.05)。结论:润肺健脾益肾汤治疗小儿过敏性咳嗽能提高CD4~+T淋巴细胞亚群绝对计数水平,抑制炎症因子的表达,从而改善患儿的肺功能,提高治疗效果。     

Acupuncture induces adenosine in fibroblasts through energy metabolism and promotes proliferation by activating MAPK signaling pathway via adenosine3 receptor

Acupuncture has many advantages in the treatment of certain diseases as opposed to drug therapy. Besides, adenosine has been revealed to affect cellular progression including proliferation. Therefore, this study aimed at exploring the mechanism involving acupuncture stress and adenosine in fibroblast proliferation. The fibroblasts from fascia tissues of the acupoint area (Zusanli) were stimulated by different levels of stress, different concentrations of adenosine, and agonist or antagonist of A₃ receptor (A₃R) to investigate the effect of stress stimulation, adenosine, and adenosine-A₃R inhibition on fibroblasts. Then, the fibroblasts were treated with stress stimulation of 200 kPa or/and mitogen-activated protein kinase (MAPK) blocker. We revealed that stress stimulation and the binding of adenosine and A₃R promoted fibroblast proliferation in the fascial tissue, increased the expression of immune-related factors, adenosine and A₃R, and activated the MAPK signaling pathway. MAPK signaling pathway also directly affected the expression of adenosine, A₃R, and immune-related factors. Stress stimulation and adenosine treatment upregulated A₃R expression, and then activated the MAPK signaling pathway, which could in turn upregulate expression of adenosine, A₃R and immune-related factors, and promote cell proliferation. Adenosine is shown to form a positive feedback loop with the MAPK signaling pathway. Collectively, stress stimulation in vitro induces the increase of adenosine in fibroblasts through the energy metabolism and activation of the MAPK signaling pathway through A₃R, ultimately promoting fibroblast proliferation.     

激光针灸对穴位组织温度和血流灌注率的影响

本文在Pennes方程的基础上研究了激光针灸治疗对穴位组织的温度和血流灌注率的影响。结果显示,连续激光与脉冲激光针灸都能使穴位组织的温度和血流灌注率升高,随着激光的功率密度升高则穴位组织的温度和血流灌注率亦升高。通过这些研究为激光针灸的临床实际应用提供了理论基础。     

电针联合归脾汤对产后抑郁大鼠抑郁症状的影响及机制分析

摘要 目的：探讨电针联合归脾汤对产后抑郁大鼠抑郁症状的影响及机制。方法：选择雌性SD大鼠36只,将36只大鼠随机分为正常组、模型组、盐酸氟西汀组、归脾汤组、电针组、归脾汤联合电针组,每组6只大鼠。空白组大鼠不进行任何处理。盐酸氟西汀组给予0.233 g/L盐酸氟西汀。归脾汤组给予1.72 g/mL归脾汤。电针组选择百会、印堂、气海、关元进行电针刺激。归脾汤联合电针组归脾汤用药方法同归脾汤组,电针方法同电针组。正常组及模型组子均给予等量的双蒸水。每组分别在造模后1周、2周时结束给药。对比糖水消耗水平、旷场实验评分及垂直评分、游泳实验不动时间、挣扎时间及游泳时间、血清HPA轴相关激素水平及大鼠脑组织中的5-HT含量。结果：与模型组相比,对照组、盐酸氟西汀组、归脾汤组、电针组大鼠在第1周、第2周时的糖水消耗水平、旷场实验评分、垂直评分、海马、额叶皮质中的5-HT水平较低,游泳实验不动时间、挣扎时间、游泳时间、促肾上腺皮质激素、促肾上腺皮质激素释放激素及皮质醇较高;与对照组相比,盐酸氟西汀组、归脾汤组、电针组大鼠呈相同趋势,与盐酸氟西汀组、归脾汤组、电针组相比,归脾汤联合电针组呈相同趋势（P<0.05）。盐酸氟西汀组、归脾汤组与电针组所有指标组间对比无差异（P>0.05）。结论：电针联合归脾汤可明显改善产后抑郁大鼠抑郁症状,可能与其可调节产后抑郁大鼠的HPA轴相关激素及5-HT水平有关。     

"标本配穴"针灸结合甲钴胺对老年糖尿病周围神经病变患者糖脂代谢、炎性细胞因子和受损神经传导速度的影响

摘要 目的：探讨"标本配穴"针灸结合甲钴胺对老年糖尿病周围神经病变（DPN）患者糖脂代谢、炎性细胞因子和受损神经传导速度的影响。方法：选取2018年3月~2019年12月期间我院收治的93例老年DPN患者，按照随机数字表法将患者分为研究组（n=47）、对照组（n=46），对照组患者予以甲钴胺治疗，研究组在对照组的基础上联合"标本配穴"针灸治疗，比较两组疗效、糖脂代谢、炎性细胞因子、受损神经传导速度及不良反应。结果：研究组治疗4周后的临床总有效率87.23%（41/47）高于对照组69.57%（32/46）（P<0.05）。两组治疗4周后空腹血糖（FPG）、甘油三酯（TG）、总胆固醇（TC）、糖化血红蛋白（HbAlc）均下降，且研究组低于对照组（P<0.05）。两组治疗4周后白介素-6（IL-6）、白介素-1β（IL-1β）、肿瘤坏死因子-α（TNF-α）均下降，且研究组低于对照组（P<0.05）。两组治疗4周后腓总神经运动神经传导速度（MCV）、正中神经MCV、腓总神经感觉神经传导速度（SCV）、正中神经SCV均升高，且研究组高于对照组（P<0.05）。两组均未见明显不良反应发生。结论："标本配穴"针灸结合甲钴胺治疗老年DPN患者疗效确切，可改善患者糖脂代谢、炎性细胞因子和受损神经传导速度，安全可靠。