Effect of Acupuncture on the p38 Signaling Pathway in Several Nervous System Diseases: A Systematic Review.

Acupuncture is clinically used to treat various diseases and exerts positive local and systemic effects in several nervous system diseases. Advanced molecular and clinical studies have continually attempted to decipher the mechanisms underlying these effects of acupuncture. While a growing understanding of the pathophysiology underlying several nervous system diseases shows it to be related to inflammation and impair cell regeneration after ischemic events, the relationship between the therapeutic mechanism of acupuncture and the p38 MAPK signal pathway has yet to be elucidated. This review discusses the latest advancements in the identification of the effect of acupuncture on the p38 signaling pathway in several nervous system diseases. We electronically searched databases including PubMed, Embase, and the Cochrane Library from their inception to April 2020, using the following keywords alone or in various combinations: "acupuncture", "p38 MAPK pathway", "signaling", "stress response", "inflammation", "immune", "pain", "analgesic", "cerebral ischemic injury", "epilepsy", "Alzheimer's disease", "Parkinson's disease", "dementia", "degenerative", and "homeostasis". Manual acupuncture and electroacupuncture confer positive therapeutic effects by regulating proinflammatory cytokines, ion channels, scaffold proteins, and transcription factors including TRPV1/4, Nav, BDNF, and NADMR1; consequently, p38 regulates various phenomena including cell communication, remodeling, regeneration, and gene expression. In this review article, we found the most common acupoints for the relief of nervous system disorders including GV20, GV14, ST36, ST37, and LI4. Acupuncture exhibits dual regulatory functions of activating or inhibiting different p38 MAPK pathways, contributing to an overall improvement of clinical symptoms and function in several nervous system diseases.

Transient receptor potential V1 modulates neuroinflammation in Parkinson's disease dementia: Molecular implications for electroacupuncture and rivastigmine.

OBJECTIVES: Parkinson's disease (PD) is a common progressive neurodegeneration disease. Its incidence increases with age and affects about 1% of people over 60. Incidentally, transient receptor potential V1 (TRPV1) and its relation with neuroinflammation in mouse brain has been widely reported. MATERIALS AND METHODS: We used 6-hydroxydopamine (6-OHDA) to induce PDD in mice. We then used the Morris water maze and Bio-Plex to test learning and inflammatory mediators in mouse plasma. Western blotting and immunostaining were used to examine TRPV1 pathway in the hippocampus and medial prefrontal cortex (mPFC). RESULTS: On acquisition days 3 (Control = 4.40 ± 0.8 sec, PDD = 9.82 ± 1.52 sec, EA = 5.04 ± 0.58 sec, Riva = 4.75 ± 0.87 sec; P=0.001) and 4, reversal learning days 1, 2, 3 (Control = 2.86 ± 0.46 sec, PDD = 9.80 ± 1.83 sec, EA = 4.6 ± 0.82 sec, Riva = 4.6 ± 1.03 sec; P=0.001) and 4, PDD mice showed significantly longer escape latency than the other three groups. Results showed that several cytokines were up-regulated in PDD mice and reversed by EA and rivastigmine. TRPV1 and downstream molecules were up-regulated in PDD mice and further reversed by EA and rivastigmine. Interestingly, α7 nicotinic receptors and parvalbumin levels in both the hippocampus and prefrontal cortex increased in EA-treated mice, but not in rivastigmine-treated mice. CONCLUSION: Our results showed that TRPV1 played a role in the modulation of neuroinflammation of PDD, and could potentially be a new target for treatment.

Digestion-Specific Acupuncture Effect on Feeding Intolerance in Critically Ill Post-Operative Oral and Hypopharyngeal Cancer Patients: A Single-Blind Randomized Control Trial.

Malnourishment is prevalent in patients suffering from head and neck cancer. The postoperative period is crucial in terms of nutritional support, especially after composite resection and reconstruction surgery. These patients present with a number of risk factors that aggravate feeding intolerance, including postoperative status, prolonged immobility, decreased head elevation, mechanical ventilation, and applied sedative agents. Routine management protocols for feeding intolerance include prokinetic drug use and post-pyloric tube insertion, which could be both limited and accompanied by detrimental adverse events. This single-blind clinical trial aimed to investigate the effects of acupuncture in postoperative feeding intolerance in critically ill oral and hypopharyngeal cancer patients. Twenty-eight patients were randomized into two groups: Intervention group and Control group. Interventions were administered daily over three consecutive postoperative days. The primary outcome revealed that the intervention group reached 70% and 80% of target energy expenditure (EE) significantly earlier than the control group (4.00 ± 1.22 versus 6.69 ± 3.50 days, p = 0.012), accompanied by higher total calorie intake within the first postoperative week (10263.62 ± 1086.11 kcals versus 8384.69 ± 2120.05 kcals, p = 0.004). Furthermore, the intervention group also needed less of the prokinetic drug (Metoclopramide, 20.77 ± 48.73 mg versus 68.46 ± 66.56 mg, p = 0.010). In conclusion, digestion-specific acupuncture facilitated reduced postoperative feeding intolerance in oral and hypopharyngeal cancer patients.

Ray-Based Exploration of Large Time-Varying Volume Data Using Per-Ray Proxy Distributions.

The analysis and visualization of data created from simulations on modern supercomputers is a daunting challenge because the incredible compute power of modern supercomputers allow scientists to generate datasets with very high spatial and temporal resolutions. The limited bandwidth and capacity of networking and storage devices connecting supercomputers to analysis machines become the major bottleneck for data analysis such that simply moving the whole dataset from the supercomputer to a data analysis machine is infeasible. A common approach to visualize high temporal resolution simulation datasets under constrained I/O is to reduce the sampling rate in the temporal domain while preserving the original spatial resolution at the time steps. Data interpolation between the sampled time steps alone may not be a viable option since it may suffer from large errors, especially when using a lower sampling rate. We present a novel ray-based representation storing ray based histograms and depth information that recovers the evolution of volume data between sampled time steps. Our view-dependent proxy allows for a good trade off between compactly representing the time-varying data and leveraging temporal coherence within the data by utilizing interpolation between time steps, ray histograms, depth information, and codebooks. Our approach is able to provide fast rendering in the context of transfer function exploration to support visualization of feature evolution in time-varying data.

Simplified small-scale backlight unit tester.

A novel design is the concept of using charge coupled device camera embedded with calibrated image processing algorithm as a two-dimensional luminance meter to measure the luminance and uniformity of small-scale backlight of unit. A small-scale backlight unit tester was successfully realized and performed to verify this concept.

Residence time distribution of a cylindrical microreactor.

The residence time distribution for the flow of liquid reactants containing electrolytes in a cylindrical microreactor is derived under the conditions of constant surface potential and negligible end effects. The influences of the key parameters, including the thickness of the double layer, the strength of the applied electric field, and the magnitude of the applied pressure gradient, on the behavior of residence time distribution are discussed. The results obtained provide necessary information for the design and optimization of microreactors which involve liquid electrolyte reactants. The results of the numerical simulation reveal that a thin double layer, a strong applied electric field, and a greater applied pressure gradient lead to a faster fluid flow and, therefore, a short residence time. We show that if kappaa /= 500, the residence time distribution can be approximated by that for the case of a plug flow, with kappa and a being the reciprocal Debye length and the radius of the microreactor, respectively.