XU Wen-jie, CUI Xiang, LIU Kun, et al. Roles of nociceptors in acupoint sensitization: recent advances[J]. Acupuncture research, 2021, 46(12): 1048-1056.
DOI:
XU Wen-jie, CUI Xiang, LIU Kun, et al. Roles of nociceptors in acupoint sensitization: recent advances[J]. Acupuncture research, 2021, 46(12): 1048-1056. DOI: 10.13702/j.1000-0607.20210313.
Roles of nociceptors in acupoint sensitization: recent advances
摘要
痛觉敏化及功能可塑性是敏化穴位的重要表现
研究穴位敏化的神经机制对针灸国际化发展具有重要意义。伤害感受器分布于腧穴及靶器官中
主要分为Aδ和C类两种亚型
负责响应并传递伤害性或针、灸等刺激至脊髓或脊髓上水平。前期研究指出
C类伤害感受器参与穴位敏化的神经机制;而新近研究指出
C类感受器中存在一类具有疾病时被"唤醒"并获得机械响应性的亚型——C类沉默型伤害感受器
与穴位的动态敏化特性十分相近。因此
本文以C类伤害感受器为切入点
结合前期穴位敏化在伤害感受器水平的研究进展
对敏化穴位在痛觉敏化及其功能可塑性方面与C类沉默型伤害感受器的可能性联系进行综述
以期为穴位的科学属性研究提供更多的思路与契机。
Abstract
Hyperalgesia and functional plasticity are the important components of acupoint sensitization. Reveal of the neuromechanism of acupoint sensitization may play a positive role in promoting the development of acupuncturology in the world. The nociceptors
including Aδ and C subtypes distributing in the acupoint region and target organs
are responsible for the transmission of signals of peripheral noxious stimuli and acupuncture-liking stimulation to the dorsal horns of the spinal cord and supraspinal levels. A previous study reveals that the C type nociceptors are involved in the acupoint sensitization. Recent studies indicate that there exists a subtype of mechanical responsiveness in the C type receptors
named “silent nociceptor” which is awa-kened when diseases occur
being very similar to the dynamic sensitization characteristics of acupoints. Hence
we
in the present review
make a discussion about the role of C-type silent nociceptor in the hyperalgesia and functional plasticity of the sensitized acupoint according to previous studies and recent advances
so as to provide more ideas and opportunities for the investigation on the scientific characteristics of acupoints.
Acupoint sensitization: bond of disease diagnosis and therapy
Research progress on the rules of meridian phenomenon and the mechanism in gastrointestinal diseases
Correlation between acupoint sensitization of body surface and pituitary adenylate cyclase activating polypeptide expression in myocardial ischemia mice
Related Author
GAO Xin-yan
VO DAI QUYNH
WANG Jia-qi
XU Zhi-fang
ZHOU Jun
GAO Fei-fei
ZHANG Man
QUYNH VO DAI
Related Institution
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion
School of Acupuncture-Moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine
Experiment Acupuncture Research Center, Tianjin University of Traditional Chinese Medicine
Shaanxi Key Laboratory of Acupuncture and Medicine