Electroacupuncture Improves Blood-Brain Barrier and Hippocampal Neuroinflammation in SAMP8 Mice by Inhibiting HMGB1/TLR4 and RAGE/NADPH Signaling Pathways / 中国结合医学杂志

OBJECTIVE@#To investigate the molecular mechanisms underlying the beneficial effect of electroacupuncture (EA) in experimental models of Alzheimer's disease (AD) in vivo.@*METHODS@#Senescence-accelerated mouse prone 8 (SAMP8) mice were used as AD models and received EA at Yingxiang (LI 20, bilateral) and Yintang (GV 29) points for 20 days. For certain experiments, SAMP8 mice were injected intravenously with human fibrin (2 mg). The Morris water maze test was used to assess cognitive and memory abilities. The changes of tight junctions of blood-brain barrier (BBB) in mice were observed by transmission electron microscope. The expressions of fibrin, amyloid- β (Aβ), and ionized calcium-binding adapter molecule 1 (IBa-1) in mouse hippocampus (CA1/CA3) were detected by reverse transcription-quantitative polymerase chain reaction (qRT-PCR), Western blot or immunohistochemical staining. The expression of fibrin in mouse plasma was detected by enzyme-linked immunosorbent assay. The expressions of tight junction proteins zonula occludens-1 and claudin-5 in hippocampus were detected by qRT-PCR and immunofluorescence staining. Apoptosis of hippocampal neurons was detected by terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining.@*RESULTS@#Fibrin was time-dependently deposited in the hippocampus of SAMP8 mice and this was inhibited by EA treatment (P<0.05 or P<0.01). Furthermore, EA treatment suppressed the accumulation of Aβ in the hippocampus of SAMP8 mice (P<0.01), which was reversed by fibrin injection (P<0.05 or P<0.01). EA improved SAMP8 mice cognitive impairment and BBB permeability (P<0.05 or P<0.01). Moreover, EA decreased reactive oxygen species levels and neuroinflammation in the hippocampus of SAMP8 mice, which was reversed by fibrin injection (P<0.05 or P<0.01). Mechanistically, EA inhibited the promoting effect of fibrin on the high mobility group box protein 1 (HMGB1)/toll-like receptor 4 (TLR4) and receptor for advanced glycation end products (RAGE)/nicotinamide adenine dinucleotide phosphate (NADPH) signaling pathways (P<0.01).@*CONCLUSION@#EA may potentially improve cognitive impairment in AD via inhibition of fibrin/A β deposition and deactivation of the HMGB1/TLR4 and RAGE/NADPH signaling pathways.

Unified-planning, graded-administration, and centralized-controlling: a management modality for treating acquired immune deficiency syndrome with Chinese medicine in Henan Province of China / 中国结合医学杂志

Henan Province in China has a major epidemic of human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS). Chinese medicine (CM) has been used throughout the last decade, and a management modality was developed, which can be described by unified-planning, graded-administration, and centralized-controlling (UGC). The UGC modality has one primary concept (patient-centered medicine from CM theory), four basic foundations (classifying administrative region, characteristics of CM on disease treatment, health resource conditions, and distribution of patients living with HIV), six important relationships (the "three uniformities and three combinations," and the six relationships therein guide the treatment of AIDS with CM), and four key sections (management, operation, records, and evaluation). In this article, the authors introduce the UGC modality, which could be beneficial to developing countries or resource-limited areas for the management of chronic infectious disease.

Treatment of acquired immunodeficiency syndrome with Chinese medicine in China: opportunity, advancement and challenges / 中国结合医学杂志

Chinese medicine (CM) has been used in the treatment of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) for 30 years and the demonstrated therapeutic effects of CM, such as reducing plasma HIV viral load, increasing CD4(+)T cell counts, promoting immunity reconstitution, ameliorating symptoms and signs, improving the health related quality of life (HRQOL) and counteracting against the effects of anti-retroviral drugs, were summarized and reviewed in this article. The authors point out that it had been a good opportunity to use CM for the treatment of HIV infection and AIDS in the past and also there are huge challenges ahead for CM research and clinicians to discover more effective CM and its underlying mechanisms for treatment of AIDS.

Analyzing Chinese medicine syndromes of hematotoxicity reaction induced by highly active antiretroviral therapy / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To investigate the main features of Chinese medicine (CM) syndromes and differences of hematotoxicity reaction induced by highly active antiretroviral therapy.</p><p><b>METHODS</b>The information of CM four diagnostic methods was collected by cross-sectional study. Their syndrome features were summed up and their differences were analyzed.</p><p><b>RESULTS</b>Of the 216 patients, the main syndromes were qi-blood deficiency syndrome (142 cases, accounting for 65.7%) and Pi-Shen yang deficiency syndrome (74 cases, accounting for 34.3%). The score of qi-blood deficiency syndrome was obviously lower than that of Pi-Shen yang deficiency syndrome (P < 0.05). The count of CD4+ T cells was higher in qi-blood deficiency syndrome than in Pi-Shen yang deficiency syndrome. There was no statistical difference in the serum viral load between the two groups (P > 0.05). The quality of life was higher in qi-blood deficiency syndrome than in Pi-Shen yang deficiency syndrome, but with no statistical difference (P > 0.05).</p><p><b>CONCLUSIONS</b>Qi-blood deficiency syndrome and Pi-Shen yang deficiency syndrome were main syndromes of hematotoxicity reaction induced by HAART. The pathogenic condition of qi-blood deficiency syndrome patients was milder. There was no obvious difference in the quality of life, CD4+ T cells, and the viral loads between two syndromes.</p>

Micro-acupuncture system in the hairline region of the scalp / 中国针灸

Studying on the acupoints in the hairline region of the scalp, it is discovered that a group of acupoints are orderly arranged in the hairline region of the scalp. Furthermore, the arrangement is highly consistent with the meridian route of zang-fu organs. Manipulating needles at acupoints in the hairline regions of the scalp may treat certain diseases, including insomnia, migraine, and Alzheimer disease. The characteristics of the acupuncture treatment at acupoints in the hairline of scalp resemble the characteristics of ear acupuncture and eye acupuncture. Thus forms a special micro-acupuncture system in the hairline regions of the scalp. This paper states the theoretical basis, the arrangement of acupoints, clinical application and operating norms.

Observation on therapeutic effect of puncturing with needles in alignment at the hairline region on vascular dementia / 中国针灸

<p><b>OBJECTIVE</b>To search for an effective therapy for vascular dementia (VD).</p><p><b>METHODS</b>One hundred and twenty cases of VD were randomly divided into 2 groups, 60 cases in each group. The observation group were treated with puncturing with needles in alignment at the hairline region and the control group with oral administration of Duxil. Hasegawa's dementia scale (HDS), mini-mental state examination (MMSE), functional activity questionnaire (FAQ), nerve function defect (NFD) and main symptoms (MS) scales were used for assessment of symptoms and signs before and after treatment.</p><p><b>RESULTS</b>Changes of scores for HDS, MMSE, FAQ, NFD and MS before and after treatment had statistically very significant differences (P < 0.01) in the two groups, with significant difference between the two groups (P < 0.05). The total effective rate was 88.33% in the observation group and 81.67% in the control group with a significant difference between the two groups (P < 0.05).</p><p><b>CONCLUSION</b>Puncturing with needles in alignment at the hairline region has definite therapeutic effect on vascular dementia.</p>

Study on the morphological evidence of five-shu-point / 中国针灸

<p><b>OBJECTIVE</b>To search for the morphological evidence of five-shu-point so as to explain the theory of the five-shu-point more reasonably.</p><p><b>METHODS</b>Carefully study on Yellow Emperor's Internal Classic and compare with the modern anatomic knowledge.</p><p><b>CONCLUSION</b>The theory of five-shu-point is closely related with the theory of blood vessels. The distributional pattern of the superficial vein on the remote parts of the limbs (below the elbow or the knee joints) is the morphological basis for the theory of five-shu-point.</p>

Effects of different manipulation methods of acupuncture at Zusanli (ST 36) on signal transduction pathway of STAT5 in human PBMC / 中国针灸

<p><b>OBJECTIVE</b>To study on effects of different manipulation methods of acupuncture on the binding ability of signal transducers and activators of transcription (STAT5) in human peripheral blood mononuclear cells (PBMC) with DNA.</p><p><b>METHODS</b>Thirty healthy volunteers were randomly divided into 3 groups; reinforcing method group, reducing method group, normal control group, 10 cases in each group. The expression of STAT5 mRNA and the activation of STAT5 in the human PBMC were detected by reverse transcriptase-polymerase chain reaction (RT-PCR) and electrophoretic mobility shift assay (EMSA).</p><p><b>RESULTS</b>In the reinforcing method group, the basic transcription level of STATS mRNA in human PBMC and the binding ability of STAT5 with DNA significantly increased (P<0.01), but in the reducing method group, they did not significantly change as compared with those in the normal control group (P>0.05).</p><p><b>CONCLUSION</b>Cytokines and JAK/STAT signal transduction pathway are in volved in immunoregulative actions of acupuncture of the reinforcing method, but the reasons of influencing the transcription level of STAT5 mRNA and the binding ability of STAT5 with DNA are unclear.</p>