CUI Lu-ying, DING Ming-xing. Progress of Researches on Central Mechanism of Electroacupuncture Tolerance[J]. Acupuncture research, 2016, 41(6): 550-555.
CUI Lu-ying, DING Ming-xing. Progress of Researches on Central Mechanism of Electroacupuncture Tolerance[J]. Acupuncture research, 2016, 41(6): 550-555. DOI: 10.13702/j.1000-0607.2016.06.013.
针刺耐受中枢机制的研究进展
摘要
电针具有良好的镇痛效应。然而
反复多次电针会引起电针镇痛效应下降
导致电针耐受
严重影响电针的临床疗效。近年来关于电针耐受机制的研究取得了一定进展
主要包括以下方面:(1)电针耐受实验动物模型的建立
包括急性与慢性耐受;(2)电针与吗啡的交叉耐受;(3)抗阿片类物质
如胆囊收缩素、孤啡肽和血管紧张素Ⅱ等
参与电针耐受;(4)其他参与电针耐受的物质
包括谷氨酸受体及转运体、5-羟色胺、去甲肾上腺素等;(5)参与电针耐受的细胞内第二信使
包括环磷酸腺苷、环磷酸鸟苷和Ca2+。目前
电针耐受的研究仍缺乏深入性
对其分子机制和信号通路的研究十分必要。
Abstract
Electroacupuncture(EA)has been demonstrated effective for pain relief.However
repeated application may decline analgesic effect of EA
which is termed EA tolerance
that reduces the clinical efficacy of EA.Therefore
it has attracted attention from researchers in recent years and the progresses include:(1)acute and chronic EA tolerance animal models have been established;(2)cross-tolerance between EA and morphine;(3)Anti-opioid substances
including cholecystokinin
orphanin FQ and angiotensin Ⅱ
have been reported to contribute to EA tolerance;(4)glutamate receptors and transporters
5-hydroxytryptamine and norepinephrine have been revealed involvement in EA tolerance;(5)cyclic adenosine monophosphate
cyclic guanosine monophosphate and Ca
(2+)
have been reported to be the second messengers cellularly in EA tolerance.The current EA tolerance effect lacks in-depth researches.Therefore
studies on its molecular mechanisms and signaling pathway are necessarily required.