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针刺治疗孤独症谱系障碍的作用机制

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孤独症谱系障碍(ASD)是一组早发性神经发育障碍疾病,研究表明针灸能有效减轻ASD的症状,其作用机制研究也不断深入.文章总结了针灸干预ASD的机制包括调控神经递质如精氨酸加压素、催产素、5-羟色胺水平,上调脑源性神经营养因子表达,改善神经元功能及可塑性(包括传导神经冲动、改善突触的形态结构、调节突触相关蛋白表达),抑制神经元凋亡,抑制炎症反应包括抑制小胶质细胞过度激活和炎症因子释放,抵抗氧化损伤,调节脑区能量代谢,调节脑-肠轴功能.文章还通过总结分子功能通路推测针刺治疗ASD主要通过作用于突触信号结合而发挥疗效.
Mechanism of acupuncture on the treatment of autism spectrum disorder
Autism spectrum disorder(ASD)is a group of early-onset neurodevelopmental disorders.Studies have shown that acupuncture can effectively alleviate ASD symptoms,and its mechanism has been further studied.This paper summarizes the mechanism of acupuncture in treating ASD and showing that the mechanism are mainly related to regulating neurotransmitters,such as arginine vasopressin(AVP),oxytocin(OXT),and serotonin levels,up-regulating the expression of brain-derived neurotrophic factor(BDNF),improving neuronal function and plasticity includes nerve impulse conduction,improving the morphological structure of synapses,and regulating the expression of synapse-associated proteins,inhibiting neuronal apoptosis,inhibiting inflammatory reaction includes inhibiting the excessive activation of microglia and the release of inflammatory factors,resisting oxidative damage,regulating energy metabolism in brain,and regulating brain-gut axis function.By summarizing the molecular functional pathways,the article also hypothesized that acupuncture exerts its efficacy mainly by acting on synaptic signal binding.

Autism spectrum disorder(ASD)AutismAcupunctureMechanism

邓楚玉、唐纯志

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广州中医药大学,广州 510006

孤独症谱系障碍 自闭症 针灸 机制

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(3)
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