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腧穴调节炎性反应的效应特征与神经免疫调控

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针刺腧穴的抗炎效应已得到大量研究的证实,部分揭示了腧穴调控炎性反应的作用机制和途径.然而这些研究多集中在针刺的系统性抗炎效应,对不同腧穴调控炎性反应的效应特征尚未形成规律性的认识.随着对神经与免疫系统的相互作用及免疫-炎性反应稳态调节的不断探索,尤其是对区域免疫和部分非免疫器官的局部神经免疫调控的深入了解,为认识腧穴调控不同脏器炎性反应的效应特征提供了新的启示,也为阐明腧穴对相关靶器官局部区域免疫-炎性反应的调控规律提供了新的内容.本文从不同水平的神经免疫调控入手,分析腧穴的局部、靶器官及系统性抗炎效应之间的关系,为明确针刺腧穴调节炎性反应的作用规律提供新思路.
Characteristics of acupoint effects on inflammation and neuro-immune interaction
A large number of studies have confirmed the anti-inflammatory effects of acupuncture,and some of the mechanisms and pathways regulating inflammatory response have been revealed.However,most of these researches focused on the effect of acupuncture on systemic anti-inflammation,and there is no consensus about the effect characteristics of different acupoints on regulating inflammatory response.It is noteworthy that increasing attention and exploration have been paid to the neuro-immune interactions and regulation of immune-inflammatory homeostasis.Importantly,the understanding of local neuroimmune regulation of non-immune organs has been deepening,which was known as the regional immunity.This new concept lays a scientific foundation for elucidating the characteristics of acupoints on the inflammation,especially the modulation of target visceral organs by the relevant acupoint stimulation.In this paper,the local effects(e.g.activating regional nerve components to induce local neuroimmuno-inflammatory regulation,etc),target visceral organ effects(e.g.regulating activities of visceral resident immune cells to initiate regional immunity regulation mediated by locally resident lymphocytes to promote inflammatory response degradation and to restore the homeostasis of regional immunity in the internal organs,via somato-visceral neuro-segmental connection,etc.)and systemic anti-inflammatory effects(e.g.regulating cholinergic anti-inflammatory pathway,including activating the vagus nerve to exert systemic anti-inflammatory effects through neuroimmune regulatory network,etc.)of acupoint stimulation were analyzed from different levels of neuroimmunological regulation,so as to provide new insights for clarifying the role of acupoints in improving inflammatory diseases.

Acupoint effectsNeuro-immune interactionLocal effectsSpecific target organ effectsSystemic effects

张知云、万红叶、宿杨帅、何伟、景向红

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中国中医科学院针灸研究所,北京 100700

腧穴效应 神经免疫调控 局部效应 靶器官效应 系统性效应

国家重点研发计划资助项目中国中医科学院科技创新工程项目中国中医科学院科技创新工程项目

2022YFC3500702CI2021B011CI2021A03404

2024

针刺研究
中国中医研究院针灸研究所,中国针灸学会

针刺研究

CSTPCD北大核心
影响因子:1.656
ISSN:1000-0607
年,卷(期):2024.49(9)