Aberrant parasympathetic responses in acupuncture therapy for restoring immune homeostasis
Jing Liu, Shun Dong, Shenbin Liu
Aberrant parasympathetic responses in acupuncture therapy for restoring immune homeostasis
Acupuncture is an effective therapy used worldwide to treat various diseases, including infections, allergic disorders, autoimmune diseases, and immunodeficiency syndromes. Except for the hypothalamic-pituitary-adrenal axis, acupuncture exerts its regulatory effect mainly by producing autonomic reflexes, including somatic-sympathetic and somatic-parasympathetic reflexes. In this review, we discuss the updated progress of the cholinergic vagal efferent pathway, vagal-adrenal axis, local spinal sacral-parasympathetic pathway, and the somatotopic evocation of parasympathetic responses related to restoring immune homeostasis within acupuncture therapy. Targeting the parasympathetic reflex offers scientific instruction for the design of acupuncture protocols for immunological diseases, providing more specialized comprehensive treatment recommendations.
Acupuncture / Immunoregulation / Inflammation / Parasympathetic nerve
[[1]] |
Chae Y, Lee IS, Jung WM, et al.Psychophysical and neurophysiological responses to acupuncture stimulation to incorporated rubber hand. Neurosci Lett 2015;591:48-52.
|
[[2]] |
Hui KK, Marina O, Liu J, et al.Acupuncture, the limbic system, and the anticorrelated networks of the brain. Auton Neurosci 2010;157(1-2):81-90.
|
[[3]] |
Wang X, Chan ST, Fang J, et al.Neural encoding of acupuncture needling sensations: evidence from a FMRI study. Evid Based Complement Alternat Med 2013;2013:483105.
|
[[4]] |
Yin Z, Geng G, Xu G, et al.Acupuncture methods for allergic rhinitis: a systematic review and Bayesian meta-analysis of randomized controlled trials. Chin Med 2020;15:109.
|
[[5]] |
Wang Z, Lu M, Ren J, et al.Electroacupuncture inhibits mast cell degranulation via cannabinoid CB2 receptors in a rat model of allergic contact dermatitis. Acupunct Med 2019;37(6):348-355.
|
[[6]] |
Ban L, Pu Y, Huang H, et al.Acupuncture enhances gastrointestinal motility and improves autonomic nervous function in patients with septic gastrointestinal dysfunction. Comput Math Methods Med 2022;2022:1653290.
|
[[7]] |
Xian J, Wang L, Zhang CY, et al.Efficacy and safety of acupuncture as a complementary therapy for sepsis: a systematic review and meta-analysis. Acupunct Med 2023;41(1):3-15.
|
[[8]] |
Wang J, Zhu F, Huang W, et al.Therapeutic effect and mechanism of acupuncture in autoimmune diseases. Am J Chin Med 2022;50(3):639-652.
|
[[9]] |
Guan H, Wang J, Zhu Y, et al. Effectiveness of acupuncture for multiple sclerosis: a protocol for systematic review and meta-analysis. Medicine (Baltim) 2022;101(13):e29150e29150.
|
[[10]] |
Ge AX, Ryan ME, Holland SM, et al.Acupuncture for symptom management in patients with hyper-IgE (Job's) syndrome. J Altern Complement Med 2011;17(1):71-76.
|
[[11]] |
Chang BH, Sommers E.Acupuncture and the relaxation response for treating gastrointestinal symptoms in HIV patients on highly active antiretroviral therapy. Acupunct Med 2011;29(3):180-187.
|
[[12]] |
Torres-Rosas R, Yehia G, Pena G, et al.Dopamine mediates vagal modulation of the immune system by electroacupuncture. Nat Med 2014;20(3):291-295.
|
[[13]] |
Li S, Huang J, Guo Y, et al.PAC1 receptor mediates electroacupuncture- induced neuro and immune protection during cisplatin chemotherapy. Front Immunol 2021;12:714244.
|
[[14]] |
Chavan SS, Tracey KJ.Regulating innate immunity with dopamine and electroacupuncture. Nat Med 2014;20(3):239-241.
|
[[15]] |
Kupari J, Ernfors P.Pricking into autonomic reflex pathways by electrical acupuncture. Neuron 2020;108(3):395-397.
|
[[16]] |
Ulloa L.Electroacupuncture activates neurons to switch off inflammation. Nature 2021;598(7882):573-574.
|
[[17]] |
Gong Y, Li N, Lyu Z, et al.The neuro-immune microenvironment of acupoints-initiation of acupuncture effectiveness. J Leukoc Biol 2020;108(1):189-198.
|
[[18]] |
Langevin HM.Acupuncture, connective tissue, and peripheral sensory modulation. Crit Rev Eukaryot Gene Expr 2014;24(3):249-253.
|
[[19]] |
Wang LN, Wang XZ, Li YJ, et al.Activation of subcutaneous mast cells in acupuncture points triggers analgesia. Cells 2022;11(5):809.
|
[[20]] |
Wang J, Lu S, Yang F, et al.The role of macrophage polarization and associated mechanisms in regulating the anti-inflammatory action of acupuncture: a literature review and perspectives. Chin Med 2021;16(1):56.
|
[[21]] |
Ma Q.Somato-autonomic reflexes of acupuncture. Med Acupunct 2020;32(6):362-366.
|
[[22]] |
Iwa M, Matsushima M, Nakade Y, et al.Electroacupuncture at ST-36 accelerates colonic motility and transit in freely moving conscious rats. Am J Physiol-Gastr L 2006;290(2):G285-G292.
|
[[23]] |
Wang H, Koyama Y, Jodo E, et al.Suppressive effect of acupuncture stimulation to the sacral segment on the state of vigilance and the brainstem cholinergic neurons. Fukushima J Med Sci 2006;52(2):125-134.
|
[[24]] |
Liu YL, Zhang LD, Ma TM, et al.Feishu acupuncture inhibits acetylcholine synthesis and restores muscarinic acetylcholine receptor M2 expression in the lung when treating allergic asthma. Inflammation 2018;41(3):741-750.
|
[[25]] |
Li YW, Li W, Wang ST, et al.The autonomic nervous system: a potential link to the efficacy of acupuncture. Front Neurosci- Switz 2022;16:1038945.
|
[[26]] |
Li N, Guo Y, Gong Y, et al.The anti-inflammatory actions and mechanisms of acupuncture from acupoint to target organs via neuro-immune regulation. J Inflamm Res 2021;14:7191-7224.
|
[[27]] |
Pan WX, Fan AY, Chen S, et al.Acupuncture modulates immunity in sepsis: toward a science-based protocol. Auton Neurosci 2021;232:102793.
|
[[28]] |
Ulloa L, Quiroz-Gonzalez S, Torres-Rosas R.Nerve stimulation: immunomodulation and control of inflammation. Trends Mol Med 2017;23(12):1103-1120.
|
[[29]] |
Zhao JJ, Rong PJ, Shi L, et al.Somato stimulation and acupuncture therapy. Chin J Integr Med 2016;22(5):394-400.
|
[[30]] |
Andersson U, Tracey KJ.Reflex principles of immunological homeostasis. Annu Rev Immunol 2012;30:313-335.
|
[[31]] |
van Westerloo DJ, Giebelen IA, Florquin S, et al. The cholinergic anti-inflammatory pathway regulates the host response during septic peritonitis. J Infect Dis 2005;191(12):2138-2148.
|
[[32]] |
Murray K, Reardon C. The cholinergic anti-inflammatory pathway revisited. Neurogastroent Motil 2018;30(3):10.1111/nmo.13288.
|
[[33]] |
Oh JE, Kim SN.Anti-inflammatory effects of acupuncture at ST36 point: a literature review in animal studies. Front Immunol 2022;12:813748.
|
[[34]] |
Cho ZH, Hwang SC, Wong EK, et al.Neural substrates, experimental evidences and functional hypothesis of acupuncture mechanisms. Acta Neurol Scand 2006;113(6):370-377.
|
[[35]] |
Borovikova LV, Ivanova S, Nardi D, et al.Role of vagus nerve signaling in CNI-1493-mediated suppression of acute inflammation. Auton Neurosci 2000;85(1-3):141-147.
|
[[36]] |
Czura CJ, Schultz A, Kaipel M, et al.Vagus nerve stimulation regulates hemostasis in swine. Shock 2010;33(6):608-613.
|
[[37]] |
Huston JM, Rosas-Ballina M, Xue X, et al.Cholinergic neural signals to the spleen down-regulate leukocyte trafficking via CD11b. J Immunol 2009;183(1):552-559.
|
[[38]] |
Rosas-Ballina M, Ochani M, Parrish WR, et al.Splenic nerve is required for cholinergic antiinflammatory pathway control of TNF in endotoxemia. Proc Natl Acad Sci U S A 2008;105(31):11008-11013.
|
[[39]] |
Kressel AM, Tsaava T, Levine YA, et al.Identification of a brainstem locus that inhibits tumor necrosis factor. P Natl Acad Sci USA 2020;117(47):29803-29810.
|
[[40]] |
Cox MA, Duncan GS, Lin GHY, et al.Choline acetyltransferase- expressing T cells are required to control chronic viral infection. Science 2019;363(6427):639-644.
|
[[41]] |
Rosas-Ballina M, Olofsson PS, Ochani M, et al.Acetylcholinesynthesizing T cells relay neural signals in a vagus nerve circuit. Science 2011;334(6052):98-101.
|
[[42]] |
Xie J, Shi CW, Huang HB, et al.Induction of the IL-10-producing regulatory B cell phenotype following Trichinella spiralis infection. Mol Immunol 2021;133:86-94.
|
[[43]] |
Vasamsetti SB, Florentin J, Coppin E, et al. Sympathetic neuronal activation triggers myeloid progenitor proliferation and differentiation. Immunity 2018;49(1):93-106.e7.
|
[[44]] |
McKinley MJ, Martelli D, Trevizan-Bau P, et al. Divergent splanchnic sympathetic efferent nerve pathways regulate interleukin- 10 and tumour necrosis factor-alpha responses to endotoxaemia. J Physiol 2022;600(20):4521-4536.
|
[[45]] |
Huston JM, Ochani M, Rosas-Ballina M, et al.Splenectomy inactivates the cholinergic antiinflammatory pathway during lethal endotoxemia and polymicrobial sepsis. J Exp Med 2006;203(7):1623-1628.
|
[[46]] |
Lim HD, Kim MH, Lee CY, et al.Anti-inflammatory effects of acupuncture stimulation via the vagus nerve. PLoS One 2016;11(3):e0151882.
|
[[47]] |
Kimura K, Kitagawa Y, Tajima F.Effects of a single session of acupuncture treatment on blood pressure and heart rate variability in patients with mild hypertension. J Altern Complement Med 2021;27(4):342-348.
|
[[48]] |
Matteoli G, Gomez-Pinilla PJ, Nemethova A, et al.A distinct vagal anti-inflammatory pathway modulates intestinal muscularis resident macrophages independent of the spleen. Gut 2014;63(6):938-948.
|
[[49]] |
de Jonge WJ, van der Zanden EP, The FO, et al. Stimulation of the vagus nerve attenuates macrophage activation by activating the Jak2-STAT3 signaling pathway. Nat Immunol 2005;6(8):844-851.
|
[[50]] |
The FO, Boeckxstaens GE, Snoek SA, et al.Activation of the cholinergic anti-inflammatory pathway ameliorates postoperative ileus in mice. Gastroenterology 2007;133(4):1219-1228.
|
[[51]] |
Langness S, Kojima M, Coimbra R, et al. Enteric glia cells are critical to limiting the intestinal inflammatory response after injury. Am J Physiol Gastrointest Liver Physiol2017;312(3):G27 4-G282.
|
[[52]] |
Yang NN, Yang JW, Ye Y, et al.Electroacupuncture ameliorates intestinal inflammation by activating alpha7nAChR-mediated JAK2/STAT3 signaling pathway in postoperative ileus. Theranostics 2021;11(9):4078-4089.
|
[[53]] |
Geng YX, Chen D, Zhou J, et al.Role of cholinergic anti-inflammatory pathway in treatment of intestinal ischemia-reperfusion injury by electroacupuncture at Zusanli. Evid-Based Compl Alt 2017;2017:6471984.
|
[[54]] |
Zhang L, Wu Z, Zhou J, et al.Electroacupuncture ameliorates acute pancreatitis: a role for the vagus nerve-mediated cholinergic anti-inflammatory pathway. Front Mol Biosci 2021;8:647647.
|
[[55]] |
Zhang XF, Xiang SY, Geng WY, et al.Electro-acupuncture regulates the cholinergic anti-inflammatory pathway in a rat model of chronic obstructive pulmonary disease. J Integr Med 2018;16(6):418-426.
|
[[56]] |
Xin JJ, Zhao YX, Liu Q, et al.New thoughts about study on cholinergic anti-inflammatory pathway in mediating delaying effect of electroacupuncture on myocardial remodeling of chronic hypertension. Zhen Ci Yan Jiu 2020;45(9):762-766.
|
[[57]] |
Zhang L, Huang Z, Shi X, et al.protective effect of electroacupuncture at Zusanli on myocardial injury in septic rats. Evid Based Complement Alternat Med 2018;2018:6509650.
|
[[58]] |
Cao Y, Wang L, Lin LT, et al.Acupuncture attenuates cognitive deficits through alpha7nAChR mediated anti-inflammatory pathway in chronic cerebral hypoperfusion rats. Life Sci 2021;266:118732.
|
[[59]] |
Liu SB, Wang ZF, Su YS, et al.A neuroanatomical basis for electroacupuncture to drive the vagal-adrenal axis. Nature 2021;598(7882):641-645.
|
[[60]] |
Tao J, Campbell JN, Tsai LT, et al. Highly selective brain-to-gut communication via genetically defined vagus neurons. Neuron 2021;109(13):2106-2115.e4.
|
[[61]] |
Feketeova E, Li Z, Joseph B, et al.Dopaminergic control of inflammation and glycemia in sepsis and diabetes. Front Immunol 2018;9:943.
|
[[62]] |
Shimojo G, Joseph B, Shah R, et al.Exercise activates vagal induction of dopamine and attenuates systemic inflammation. Brain Behav Immun 2019;75:181-191.
|
[[63]] |
Joseph B, Shimojo G, Li Z, et al.Glucose activates vagal control of hyperglycemia and inflammation in fasted mice. Sci Rep 2019;9(1):1012.
|
[[64]] |
Murabayashi H, Kuramoto H, Kawano H, et al.Immunohistochemical features of substance P-immunoreactive chromaffin cells and nerve fibers in the rat adrenal gland. Arch Histol Cytol 2007;70(3):183-196.
|
[[65]] |
Jahng JW, Houpt TA, Joh TH, et al.Expression of catecholamine- synthesizing enzymes, peptidylglycine alpha-amidating monooxygenase, and neuropeptide Y mRNA in the rat adrenal medulla after acute systemic nicotine. J Mol Neurosci 1997;8(1):45-52.
|
[[66]] |
Akoolo L, Djokic V, Rocha SC, et al.Sciatic-vagal nerve stimulation by electroacupuncture alleviates inflammatory arthritis in lyme disease-susceptible C3H mice. Front Immunol 2022;13:930287.
|
[[67]] |
Cheng J, Shen H, Chowdhury R, et al.Potential of electrical neuromodulation for inflammatory bowel disease. Inflamm Bowel Dis 2020;26(8):1119-1130.
|
[[68]] |
Pasricha TS, Zhang H, Zhang N, et al.Sacral nerve stimulation prompts vagally-mediated amelioration of rodent colitis. Physiol Rep 2020;8(1):e14294.
|
[[69]] |
Guo J, Jin H, Shi Z, et al.Sacral nerve stimulation improves colonic inflammation mediated by autonomic-inflammatory cytokine mechanism in rats. Neurogastroenterol Motil 2019;31(10):e13676.
|
[[70]] |
Huang Z, Li S, Foreman RD, et al.Sacral nerve stimulation with appropriate parameters improves constipation in rats by enhancing colon motility mediated via the autonomic-cholinergic mechanisms. Am J Physiol Gastrointest Liver Physiol 2019;317(5):G609-G617.
|
[[71]] |
Tu L, Gharibani P, Yin J, et al.Sacral nerve stimulation ameliorates colonic barrier functions in a rodent model of colitis. Neurogastroenterol Motil 2020;32(10):e13916.
|
[[72]] |
Li YQ, Zhu B, Rong PJ, et al.Neural mechanism of acupuncture- modulated gastric motility. World J Gastroenterol 2007;13(5):709-716.
|
[[73]] |
Song JG, Li HH, Cao YF, et al.Electroacupuncture improves survival in rats with lethal endotoxemia via the autonomic nervous system. Anesthesiology 2012;116(2):406-414.
|
[[74]] |
Sato A.Neural mechanisms of autonomic responses elicited by somatic sensory stimulation. Neurosci Behav Physiol 1997;27(5):610-621.
|
[[75]] |
Uchida S, Kagitani F, Sato-Suzuki I.Somatoautonomic reflexes in acupuncture therapy: a review. Auton Neurosci 2017;203:1-8.
|
[[76]] |
Liu SB, Wang ZF, Su YS, et al. Somatotopic organization and intensity dependence in driving distinct NPY-expressing sympathetic pathways by electroacupuncture. Neuron2020;108(3):436-450. e7.
|
[[77]] |
Zhang Z, Yu Q, Zhang X, et al.Electroacupuncture regulates inflammatory cytokines by activating the vagus nerve to enhance antitumor immunity in mice with breast tumors. Life Sci 2021;272:119259.
|
[[78]] |
Johnston MF, Ortiz Sanchez E, Vujanovic NL, et al.Acupuncture may stimulate anticancer immunity via activation of natural killer cells. Evid Based Complement Alternat Med 2011;2011:481625.
|
[[79]] |
Huang J, Li SS, Wang B, et al.Research advances in the mechanism of acupuncture in regulating tumor immunosuppression. Zhen Ci Yan Jiu 2020;45(9):767-770.
|
[[80]] |
Yu WL, Park JY, Park HJ, et al.Changes of local microenvironment and systemic immunity after acupuncture stimulation during inflammation: a literature review of animal studies. Front Neurol 2022;13:1086195.
|
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