

浏览全部资源
扫码关注微信
1.天津中医药大学第一附属医院/国家中医针灸临床医学研究中心,天津市南开区鞍山西道314号,300193
2.天津中医药大学
Received:09 July 2022,
Revised:2022-09-17,
Published:17 January 2023
移动端阅览
闫隆,石江伟,李虹等.基于脑-肠-微生物轴探讨针刺治疗阿尔茨海默病作用机制的研究概述[J].中医杂志,2023,64(02):202-207.
[J]. Journal of Traditional Chinese Medicine, 2023, 64(2): 202-207.
闫隆,石江伟,李虹等.基于脑-肠-微生物轴探讨针刺治疗阿尔茨海默病作用机制的研究概述[J].中医杂志,2023,64(02):202-207. DOI: 10.13288/j.11-2166/r.2023.02.017.
[J]. Journal of Traditional Chinese Medicine, 2023, 64(2): 202-207. DOI: 10.13288/j.11-2166/r.2023.02.017.
阿尔茨海默病(AD)是严重的神经退行性疾病之一。近年来研究发现,脑-肠-微生物轴(BGMA)与神经退行性病变的病理生理相关,而针刺可显著改善AD患者的认知行为和日常生活能力。对近年有关BGMA相关研究及针刺治疗AD机制进行综述,发现针刺能够通过调控肠道微生物群、迷走神经、下丘脑-垂体-肾上腺轴(HPA轴)及神经-免疫过程影响BGMA系统中的信息交流,从而治疗AD。因此,针刺调节BGMA可以在未来成为预防和治疗AD的潜在手段。
SCHELTENS P , DE STROOPER B , KIVIPELTO M , et al . Alzheimer's disease [J]. Lancet , 2021 , 397 ( 10284 ): 1577 - 1590 .
FERRARI C , SORBI S . The complexity of Alzheimer's disease: an evolving puzzle [J]. Physiol Rev , 2021 , 101 ( 3 ): 1047 - 1081 .
ARMSTRONG RA . Risk factors for Alzheimer's disease [J]. Folia Neuropathol , 2019 , 57 ( 2 ): 87 - 105 .
KIM MS , KIM Y , CHOI H , et al . Transfer of a healthy microbiota reduces amyloid and tau pathology in an Alzheimer's disease animal model [J]. Gut , 2020 , 69 ( 2 ): 283 - 294 .
O'MAHONY S M , HYLAND NP , DINAN TG , et al . Maternal separation as a model of brain-gut axis dysfunction [J]. Psychopharmacology (Berl) , 2011 , 214 ( 1 ): 71 - 88 .
DOIFODE T , GIRIDHARAN VV , GENEROSO JS , et al . The impact of the microbiota-gut-brain axis on Alzheimer's disease pathophysiology [J]. Pharmacol Res , 2021 , 164 : 105314 . doi: 10.1016/j.phrs.2020.105314 http://dx.doi.org/10.1016/j.phrs.2020.105314 .
WANG LY , PEI J , ZHAN YJ , et al . Overview of meta-analyses of five non-pharmacological interventions for Alzheimer's disease [J]. Front Aging Neurosci , 2020 , 12 : 594432 . doi: 10.3389/fnagi.2020.594432 http://dx.doi.org/10.3389/fnagi.2020.594432 .
WANG YY , YU SF , XUE HY , et al . Effectiveness and safety of acupuncture for the treatment of Alzheimer's disease: a systematic review and meta-analysis [J]. Front Aging Neurosci , 2020 , 12 : 98 . doi: 10.3389/fnagi. 2020. 00098 http://dx.doi.org/10.3389/fnagi.2020.00098 .
HUANG J , SHEN M , QIN X , et al . Acupuncture for the treatment of Alzheimer's disease: an overview of systematic reviews [J]. Front Aging Neurosci , 2020 , 12 : 574023 . doi: 10.3389/fnagi.2020.574023 http://dx.doi.org/10.3389/fnagi.2020.574023 .
CAI M , LEE JH , YANG EJ . Electroacupuncture attenuates cognition impairment via anti-neuroinflammation in an Alzheimer's disease animal model [J]. J Neuroinflammation , 2019 , 16 ( 1 ): 264 . doi: 10.1186/s12974-019-1665-3 http://dx.doi.org/10.1186/s12974-019-1665-3 .
TU CH , MACDONALD I , CHEN YH . The effects of acupuncture on glutamatergic neurotransmission in depression, anxiety, schizophrenia, and Alzheimer's disease: a review of the literature [J]. Front Psychiatry , 2019 , 10 : 14 . doi: 10.3389/fpsyt.2019.00014 http://dx.doi.org/10.3389/fpsyt.2019.00014 .
WANG Y , WANG Q , REN B , et al . “ Olfactory Three-Needle” enhances spatial learning and memory ability in samp8 mice [J]. Behav Neurol , 2020 , 2020 : 2893289 . doi: 10.1155/2020/2893289 http://dx.doi.org/10.1155/2020/2893289 .
VARESI A , PIERELLA E , ROMEO M , et al . Potential role of gut microbiota in the Alzheimer's disease:from diagnosis to treatment [J]. Nutrients , 2022 , 14 ( 3 ): 668 .
JEONG S , HUANG LK , TSAI MJ , et al . Cognitive function associated with gut microbial abundance in sucrose and S-Adenosyl-L-Methionine (SAMe) metabolic pathways [J]. J Alzheimers Dis , 2022 . doi: 10.3233/JAD-215090 http://dx.doi.org/10.3233/JAD-215090 .
LING Z , ZHU M , YAN X , et al . Structural and functional dysbiosis of fecal microbiota in chinese patients with Alzheimer's disease [J]. Front Cell Dev Biol , 2020 , 8 : 634069 . doi: 10.3389/fcell.2020.634069 http://dx.doi.org/10.3389/fcell.2020.634069 .
GAO Q , WANG Y , WANG X , et al . Decreased levels of circulating trimethylamine N-oxide alleviate cognitive and pathological deterioration in transgenic mice: a potential therapeutic approach for Alzheimer's disease [J]. Aging (Albany NY) , 2019 , 11 ( 19 ): 8642 - 8663 .
KIM DS , ZHANG T , PARK S . Protective effects of Forsythiae fructus and Cassiae semen water extract against memory deficits through the gut-microbiome-brain axis in an Alzheimer's disease model [J]. Pharm Biol , 2022 , 60 ( 1 ): 212 - 224 .
LIU P , WU L , PENG G , et al . Altered microbiomes distinguish Alzheimer's disease from amnestic mild cognitive impairment and health in a Chinese cohort [J]. Brain Behav Immun , 2019 , 80 : 633 - 643 . doi: 10.1016/j.bbi.2019.05.008 http://dx.doi.org/10.1016/j.bbi.2019.05.008 .
VOGT NM , KERBY RL , DILL-MCFARLAND KA , et al . Gut microbiome alterations in Alzheimer's disease [J]. Sci Rep , 2017 , 7 ( 1 ): 13537 . doi: 10.1038/s41598-017-13601-y http://dx.doi.org/10.1038/s41598-017-13601-y .
FORSYTHE P , BIENENSTOCK J , KUNZE WA . Vagal pathways for microbiome-brain-gut axis communication [J]. Adv Exp Med Biol , 2014 , 817 : 115 - 133 . doi: 10.1007/978-1-4939-0897-4_5 http://dx.doi.org/10.1007/978-1-4939-0897-4_5 .
BONAZ B , BAZIN T , PELLISSIER S . The vagus nerve at the interface of the microbiota-gut-brain axis [J]. Front Neurosci , 2018 , 12 : 49 . doi: 10.3389/fnins. 2018. 00049 http://dx.doi.org/10.3389/fnins.2018.00049 .
BRAVO JA , FORSYTHE P , CHEW MV , et al . Ingestion of Lactobacillus strain regulates emotional behavior and central GABA receptor expression in a mouse via the vagus nerve [J]. Proc Natl Acad Sci U S A , 2011 , 108 ( 38 ): 16050 - 16055 .
GOSWAMI C , IWASAKI Y , YADA T . Short-chain fatty acids suppress food intake by activating vagal afferent neurons [J]. J Nutr Biochem , 2018 , 57 : 130 - 135 . doi: 10.1016/j.jnutbio.2018.03.009 http://dx.doi.org/10.1016/j.jnutbio.2018.03.009 .
BISHT K , SHARMA K , MÈTREMBLAY . Chronic stress as a risk factor for Alzheimer's disease: roles of microglia-mediated synaptic remodeling, inflammation, and oxidative stress [J]. Neurobiol Stress , 2018 , 9 : 9 - 21 . doi: 10.1016/j.ynstr.2018.05.003 http://dx.doi.org/10.1016/j.ynstr.2018.05.003 .
CATANIA C , SOTIROPOULOS I , SILVA R , et al . The amyloidogenic potential and behavioral correlates of stress [J]. Mol Psychiatry , 2009 , 14 ( 1 ): 95 - 105 .
LV J , CHEN L , ZHU N , et al . Beta amyloid-induced time-dependent learning and memory impairment: involvement of HPA axis dysfunction [J]. Metab Brain Dis , 2020 , 35 ( 8 ): 1385 - 1394 .
DESBONNET L , GARRETT L , CLARKE G , et al . Effects of the probiotic Bifidobacterium infantis in the maternal separation model of depression [J]. Neuroscience , 2010 , 170 ( 4 ): 1179 - 1188 .
TURNBULL AV , RIVIER C . Regulation of the HPA axis by cytokines [J]. Brain Behav Immun , 1995 , 9 ( 4 ): 253 - 275 .
VAKHARIA K , HINSON JP . Lipopolysaccharide directly stimulates cortisol secretion by human adrenal cells by a cyclooxygenase-dependent mechanism [J]. Endocrinology , 2005 , 146 ( 3 ): 1398 - 1402 .
VIGHI G , MARCUCCI F , SENSI L , et al . Allergy and the gastrointestinal system [J]. Clin Exp Immunol , 2008 , 153 ( Suppl 1 ): 3 - 6 .
ZHANG CX , WANG HY , CHEN TX . Interactions between intestinal microflora/probiotics and the immune system [J]. Biomed Res Int , 2019 , 2019 : 6764919 . doi: 10.1155/2019/6764919 http://dx.doi.org/10.1155/2019/6764919 .
WEAGLEY JS , ZAYDMAN M , VENKATESH S , et al . Products of gut microbial Toll/interleukin-1 receptor domain NADase activities in gnotobiotic mice and Bangladeshi children with malnutrition [J]. Cell Rep , 2022 , 39 ( 4 ): 110738 . doi: 10.1016/j.celrep.2022.110738 http://dx.doi.org/10.1016/j.celrep.2022.110738 .
EL AS , DINAN TG , CRYAN JF . Gut microbiota: the conductor in the orchestra of immune-neuroendocrine communication [J]. Clin Ther , 2015 , 37 ( 5 ): 954 - 967 .
WANG Q , DAVIS PB , QI X , et al . Gut-microbiota-microglia-brain interactions in Alzheimer's disease: knowledge-based, multi-dimensional characterization [J]. Alzheimers Res Ther , 2021 , 13 ( 1 ): 177 . doi: 10. 1186/s13195-021-00917-1 http://dx.doi.org/10.1186/s13195-021-00917-1 .
WANG L , AN J , SONG S , et al . Electroacupuncture preserves intestinal barrier integrity through modulating the gut microbiota in DSS-induced chronic colitis [J]. Life Sci , 2020 , 261 : 118473 . doi: 10.1016/j.lfs. 2020. 118473 http://dx.doi.org/10.1016/j.lfs.2020.118473 .
WANG T , YAN X , ZHOU Q . Effect of acupuncture on gut microbiota in participants with subjective cognitive decline [J]. Medicine (Baltimore) , 2022 , 101 ( 18 ): e27743 . doi: 10.1097/MD.0000000000027743 http://dx.doi.org/10.1097/MD.0000000000027743 .
YANG B , HE M , CHEN X , et al . Acupuncture effect assessment in app/ps1 transgenic mice: on regulating learning-memory abilities, gut microbiota, and microbial metabolites [J]. Comput Math Methods Med , 2022 , 2022 : 1527159 . doi: 10.1155/2022/1527159 http://dx.doi.org/10.1155/2022/1527159 .
JIANG J , LIU H , WANG Z , et al . Electroacupuncture could balance the gut microbiota and improve the learning and memory abilities of Alzheimer's disease animal model [J]. PLoS One , 2021 , 16 ( 11 ): e259530 . doi: 10.1371/journal.pone.0259530 http://dx.doi.org/10.1371/journal.pone.0259530 .
MA X , WANG Q , YUAN W , et al . Electroacupuncture alleviates neuroinflammation and motor dysfunction by regulating intestinal barrier function in a mouse model of Parkinson disease [J]. J Neuropathol Exp Neurol , 2021 , 80 ( 9 ): 844 - 855 .
柳钶 , 姜劲峰 , 卢圣锋 . 针灸调节自主神经研究的效应特点及其途径分析 [J]. 针刺研究 , 2021 , 46 ( 4 ): 335 - 341 .
LI Y , XU G , HU S , et al . Electroacupuncture alleviates intestinal inflammation and barrier dysfunction by activating dopamine in a rat model of intestinal ischaemia [J]. Acupunct Med , 2021 , 39 ( 3 ): 208 - 216 .
WANG X , YANG B , YIN J , et al . Electroacupuncture via chronically implanted electrodes improves gastrointestinal motility by balancing sympathovagal activities in a rat model of constipation [J]. Am J Physiol Gastrointest Liver Physiol , 2019 , 316 ( 6 ): G797 - G805 .
YANG NN , YANG JW , Ye Y , et al . Electroacupuncture ameliorates intestinal inflammation by activating α7nAChR-mediated JAK2/STAT3 signaling pathway in postoperative ileus [J]. Theranostics , 2021 , 11 ( 9 ): 4078 - 4089 .
KIM M , CHOI EJ , KWON OJ , et al . Electroacupuncture plus moxibustion for major depressive disorder: A randomized, sham-controlled, pilot clinical trial [J]. Integr Med Res , 2022 , 11 ( 2 ): 100802 . doi: 10.1016/j.imr.2021.100802 http://dx.doi.org/10.1016/j.imr.2021.100802 .
XU MM , GUO P , MA QY , et al . Can acupuncture enhance therapeutic effectiveness of antidepressants and reduce adverse drug reactions in patients with depression? A systematic review and meta-analysis [J]. J Integr Med , 2022 . doi: 10.1016/j.joim.2022.05.002 http://dx.doi.org/10.1016/j.joim.2022.05.002 .
YANG Y , YU H , BABYGIRIJA R , et al . Electro-acupuncture attenuates chronic stress responses via up-regulated central NPY and GABA (A) receptors in rats [J]. Front Neurosci , 2020 , 14 : 629003 . doi: 10.3389/fnins.2020.629003 http://dx.doi.org/10.3389/fnins.2020.629003 .
CHEN Y , ZHAO Y , LUO DN , et al . Electroacupuncture regulates disorders of gut-brain interaction by decreasing corticotropin-releasing factor in a rat model of IBS [J]. Gastroenterol Res Pract , 2019 , 2019 : 1759842 . doi: 10.1155/2019/1759842 http://dx.doi.org/10.1155/2019/1759842 .
KHAN M , GHAFOOR U , YOO HR , et al . Acupuncture enhances brain function in patients with mild cognitive impairment: evidence from a functional-near infrared spectroscopy study [J]. Neural Regen Res , 2022 , 17 ( 8 ): 1850 - 1856 .
张松江 , 高剑峰 , 孙宁宁 , 等 . 电针对阿尔茨海默病模型幼鼠海马内源性神经干细胞增殖的影响 [J]. 中国针灸 , 2022 , 42 ( 2 ): 167 - 172 .
WANG Y , ZHENG A , YANG H , et al . “ Olfactory three-needle” acupuncture enhances synaptic function in Aβ(1-42)-induced Alzheimer's disease via activating PI3K/AKT/GSK-3β signaling pathway [J]. J Integr Neurosci , 2021 , 20 ( 1 ): 55 - 65 .
ZHENG X , LIN W , JIANG Y , et al . Electroacupuncture ameliorates beta-amyloid pathology and cognitive impairment in Alzheimer disease via a novel mechanism involving activation of TFEB (transcription factor EB) [J]. Autophagy , 2021 , 17 ( 11 ): 3833 - 3847 .
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]. J Inflamm Res , 2021 , 14 : 7191 - 7224 . doi: 10.2147/JIR.S341581 http://dx.doi.org/10.2147/JIR.S341581 .
YANG F , GONG Y , YU N , et al . ST36 acupuncture alleviates the inflammation of adjuvant-induced arthritic rats by targeting monocyte/macrophage modulation [J]. Evid Based Complement Alternat Med , 2021 , 2021 : 9430501 . doi: 10.1155/2021/9430501 http://dx.doi.org/10.1155/2021/9430501 .
汤双红 , 杜艳军 , 陶一鸣 , 等 . 针灸对Aβ 1-42 诱导阿尔茨海默病模型大鼠齿状回神经元及星形胶质细胞超微结构的影响 [J]. 中国针灸 , 2019 , 39 ( 3 ): 281 - 286 .
XIE L , LIU Y , ZHANG N , et al . Electroacupuncture improves M2 Microglia polarization and glia anti-inflammation of hippocampus in Alzheimer's disease [J]. Front Neurosci , 2021 , 15 : 689629 . doi: 10.3389/fnins. 2021. 689629 http://dx.doi.org/10.3389/fnins.2021.689629 .
何川 , 黄重生 , 陈虹茹 , 等 . 预针刺对阿尔茨海默病样大鼠学习记忆能力及海马区NLRP3炎性小体相关蛋白的影响 [J]. 中国针灸 , 2020 , 40 ( 12 ): 1323 - 1327 .
张雪竹 , 刘涛 , 贾玉洁 , 等 . 三焦针法对阿尔茨海默病模型小鼠学习和记忆功能及相关基因的影响 [J]. 中医杂志 , 2019 , 60 ( 12 ): 1056 - 1061 .
朱宏 , 董克礼 , 吴岳 , 等 . 补肾活血针刺法对阿尔茨海默病模型小鼠海马脑红蛋白表达的影响 [J]. 中医杂志 , 2011 , 52 ( 11 ): 955 - 957 .
刘静 , 杜艳军 , 孙国杰 , 等 . 针灸对阿尔茨海默病模型大鼠脑皮层区JAK2、STAT3的调控作用研究 [J]. 江苏中医药 , 2019 , 51 ( 7 ): 86 - 89 .
0
Views
3
下载量
3
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010102007558号