Liao Hsien-Yin, Lin Yi-Wen
College of Chinese Medicine, School of Post-Baccalaureate Chinese Medicine, China Medical University, Taichung, 40402, Taiwan.
College of Chinese Medicine, Graduate Institute of Acupuncture Science, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402, Taiwan.
Chin Med. 2021 Jun 3;16(1):43. doi: 10.1186/s13020-021-00451-0.
The treatment, and efficacy thereof, is considered to be inadequate with specificity to alleviation of Fibromyalgia and its associated pain. Fibromyalgia patients suffer from chronic and persistent widespread pain and generalized tenderness. Transient receptor potential V1 (TRPV1), which is reported as a Ca permeable ion channel that can be activated by inflammation, is reported to be involved in the development of fibromyalgia pain.
The current study explored the TRPV1 channel functions as a noxious sensory input in mice cold stress model. It remains unknown whether electroacupuncture (EA) attenuates fibromyalgia pain or affects the TRPV1 pathway.
We show that cold stress increases mechanical and thermal pain (day 7: mechanical: 1.69 ± 0.41 g; thermal: 4.68 ± 0.56 s), and that EA and Trpv1 deletion counter this increase. EA and Trpv1 deletion reduced the cold stress-induced increase in inflammatory mediators and TRPV1-related molecules in the hypothalamus, periaqueductal gray (PAG), and cerebellum of mice.
Our results imply that EA has an analgesic effect associated with TRPV1 downregulation. We provide novel evidence that these inflammatory mediators can modulate the TRPV1 signaling pathway and suggest new potential therapeutic targets for fibromyalgia pain.
对于纤维肌痛及其相关疼痛的缓解,其治疗方法及其疗效被认为是不充分的。纤维肌痛患者遭受慢性持续性广泛性疼痛和全身性压痛。据报道,瞬时受体电位香草酸亚型1(TRPV1)是一种可被炎症激活的钙通透性离子通道,参与纤维肌痛疼痛的发生发展。
本研究在小鼠冷应激模型中探究TRPV1通道作为有害感觉输入的功能。电针(EA)是否能减轻纤维肌痛疼痛或影响TRPV1通路尚不清楚。
我们发现冷应激会增加机械性和热痛(第7天:机械性:1.69±0.41克;热痛:4.68±0.56秒),而电针和Trpv1基因缺失可对抗这种增加。电针和Trpv1基因缺失减少了冷应激诱导的小鼠下丘脑、导水管周围灰质(PAG)和小脑中炎症介质和TRPV1相关分子的增加。
我们的结果表明电针具有与TRPV1下调相关的镇痛作用。我们提供了新的证据,证明这些炎症介质可调节TRPV1信号通路,并为纤维肌痛疼痛提出了新的潜在治疗靶点。