瞬时受体电位香草酸亚家族1介导针刺治疗病理性疼痛的作用  

Role of transient receptor potential vanilloid subfamily 1 in mediating the analgesic effects of acupuncture on pathological pain

作　　者：陈志翰 杨霖 闫国瑞 刘琪 曹娇娇 时方圆 徐枝芳 郭义[2,4] 林小伟 Zhi-han CHEN;Lin YANG;Guo-rui YAN;Qi LIU;Jiao-jiao CAO;Fang-yuan SHI;Zhi-fang XU;Yi GUO;Xiao-wei LIN(School of Acupuncture&Moxibustion and Tuina,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Research Center of Experimental Acupuncture Science,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300381,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China;School of Traditional Chinese Medicine,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学针灸推拿学院,天津301617 [2]天津中医药大学实验针灸学研究中心,天津301617 [3]天津中医药大学第一附属医院,天津300381 [4]国家中医针灸临床研究中心,天津300381 [5]天津中医药大学中医学院,天津301617

出　　处：《World Journal of Acupuncture-Moxibustion》2023年第3期204-212,共9页世界针灸杂志（英文版）

基　　金：Supported by the National Natural Science Foundation of China:No.82030125;82105024;the National Natural Science Foundation of Tianjin:No.20JCQNJC00280;20JCQNJC00920;the Tianjin Health Commission:No.2021056。

摘　　要：Acupuncture,a traditional oriental intervention for chronic pain,has been gaining worldwide popularity.Transient receptor potential vanilloid subfamily 1(TRPV1)is a key factor mediating pain production and sensitization.According to multiple studies,TRPV1 is involved the acupuncture-induced relief of pathological pain.Herein,we systematically screened the experimental reports on TRPV1 involvement in acupuncture analgesia,and reviewed the role of TRPV1 in acupuncture in inhibiting different pathological pain and unresolved problems,including inflammatory pain,neuropathic pain,visceral pain,fibromyalgia and cancer pain.At localized acupoints,TRPV1 was involved in the initiation of acupuncture signals.Acupuncture could inhibit the development of pathological pain as well as the transmission of pain signals by suppressing TRPV1 expression and opening activity from the peripheral dorsal root ganglia to the central spinal cord.Furthermore,acupuncture can not only inhibit the expression of TRPV1,but also promote the expression of TRPV1 in the brain to alleviate pain sensation and depression-like behavior.Moreover,the mechanism by which acupuncture regulates TRPV1 may involve neuro-immune crosstalk.In conclusion,the regulation of TRPV1 expression and function may be one of the primary mechanisms by which acupuncture relieves pathological pain,laying the groundwork for future basic research on acupuncture's pain-relieving effects.

关 键 词：Acupuncture ANALGESIA Pathological pain Transient Receptor Potential Vanilloid subfamily1(TRPV1) Molecular mechanism 

分 类 号：R245[医药卫生—针灸推拿学]