Journal of Traditional Chinese Medicine ›› 2025, Vol. 45 ›› Issue (2): 326-334.DOI: 10.19852/j.cnki.jtcm.2025.02.014
• Original articles • Previous Articles Next Articles
LI Yongfeng1, CHEN Xinyi1, REN Wei2, QIAO Haifa1()
Received:
2023-10-24
Accepted:
2024-03-08
Online:
2025-04-15
Published:
2025-03-10
Contact:
QIAO Haifa, Acupuncture and Moxibustion College, Shaanxi University of Traditional Chinese Medicine, Xianyang 712046, China. 1511006@sntcm.edu.cn, Telephone: +86-29-38180212
Supported by:
LI Yongfeng, CHEN Xinyi, REN Wei, QIAO Haifa. Electroacupuncture stimulation of auricular concha region improves loss of control over stress induced depression-like behavior by modulating 5-hydroxytryptamine 1A receptor[J]. Journal of Traditional Chinese Medicine, 2025, 45(2): 326-334.
Figure 1 Effects of EA-ACR stimulation on depression-like behavior in LOC mice A: the accumulative shock time during Days 2-7 from the mice of LOC group; B: total number of nosepoker touches during Days 2-7, there was a significant difference in the number of times the nosepoker was touched between the left and right sides; C: there were no observable differences of total distance in the four groups; D: time in the center of the open field; E: time in the darkroom of the Light-dark transition test; F: immobile time of the forced swimming. Control: days 2-4: Ms (0 mA, ≤ 1 min), Enp-off, 30-60s Ri, 5B × 10 s, 10 min Rb; days 5-7: 5b × 10 min us, Enp-invalid; days 8-12 EA-ACR (0 mA/0 Hz) × 20 min × 5 d.; LOC: days 2-4: Ms (0.15 mA, ≤ 1 min), Enp-off, 30-60 s Ri, 5B × 10 s, 10 min Rb; days 5-7: 5b × 10 min us, Enp-invalid; days 8-12 EA-ACR (0 mA/0 Hz) × 20 min × 5 d; Yoked: days 2-7 received the same foot shock intensity and pattern as the LOC, but without control over the shock; days 8-12 EA-ACR (0 mA/0 Hz) × 20 min × 5 d; LOC + EA-ACR: days 2-4: Ms (0.15 mA, ≤ 1 min), Enp-off, 30-60 s Ri, 5B × 10 s, 10 min Rb. days 5-7: 5b × 10 min us, Enp-invalid. days 8-12 EA-ACR (1 mA/2 Hz) × 20 min × 5 d. EA: electroacupuncture; ACR: auricular concha region; LOC: loss of control over stress model; Ms: (0.15 mA, ≤ 1 min) - mild shock (0.15 ma, up to 1 min); Enp-off: effective nose-poke turns off shock 30-60 s; Ri: rest interval (30-60 s), 5B × 10 s: 5 blocks of 10 shocks; 10 min Rb: 10-minute rest between blocks. Statistical analyses were measured using one-way analysis of variance followed by post hoc Bonferroni correction for multiple comparisons. Data are presented as mean ± standard error of mean (n = 11). Compared with control group, aP < 0.01; compared with yoked group, bP < 0.01; compared with LOC group, cP < 0.01.
Figure 2 Effect of EA-ACR on 5-HT1AR and 5-HT2AR protein expression in Hip of LOC mice A1: representative Western blot of 5-HT1AR protein expression in the hippocampus; A2: Western blot analysis of the EA-ACR effect 5-HT1AR protein expression with β-actin as loading control among different groups; B1: representative Western blot of 5-HT2AR protein expression in the hippocampus; B2: western blot analysis of the EA-ACR effect 5-HT2AR protein expression with β-actin as loading control among different groups. Control: days 2-4: Ms (0 mA, ≤ 1 min), Enp-off, 30-60s Ri, 5B × 10 s, 10 min Rb. days 5-7: 5b × 10 min us; days 8-12 EA-ACR (0 mA/0 Hz) × 20 min × 5 d. Enp-invalid; LOC: days 2-4: Ms (0.15 mA, ≤ 1 min), Enp-off, 30-60 s Ri, 5B × 10 s, 10 min Rb; days 5-7: 5b × 10 min us; days 8-12 EA-ACR (0 mA/0 Hz) × 20 min × 5 d; LOC+ EA-ACR: days 2-4: Ms (0.15 mA, ≤ 1 min), Enp-off, 30-60s Ri, 5B × 10s, 10 min Rb; days 5-7: 5b × 10 min us; days 8-12 EA-ACR (1 mA/2 Hz) × 20 min × 5 d. 5-HT1AR: hydroxytryptamine 1A receptor; LOC: loss of control over stress model; EA: electroacupuncture; ACR: stimulation of auricular concha region; Ms: (0.15 mA, ≤ 1 min) - mild shock (0.15 ma, up to 1 min); Enp-off: effective nose-poke turns off shock 30-60s; Ri: rest interval (30-60 s), 5B ×10 s: 5 blocks of 10 shocks; 10 min Rb: 10-minute rest between blocks. Statistical analyses were measured using one-way analysis of variance followed by post hoc Bonferroni correction for multiple comparisons. Data are presented as mean ± standard error of mean (n = 4). Compared with control group, aP < 0.01; compared with LOC group, bP < 0.01.
Figure 3 WAY-100635 antagonizes 5-HT1AR and EA-ACR does not improve LOC-induced depression-like behaviors A: time in the center of the open field; B: time in the darkroom of the Light-dark transition test; C: immobile time of the Forced swimming; D: time in the center of the open field; E: time in the darkroom of the Light-dark transition test; F: immobile time of the forced swimming. WAY-100635: LOC + 0.5 ng/nL 150 ng per side N-[2-[4-(2-methoxyphenyl)piperazin-1-yl] ethyl]-N- pyridin-2-ylcyclo hexane carboxamide (150 ng/side); M100907: LOC + 1 ng/nL 300ng per side (R-(+)-a- (2,3-dimethoxyphenil)-1-[4- fluorophenylethyl)]-4-piperidinemethanol (300 ng/side); WAY-100635 + EA-ACR: LOC + 0.5 ng/nL 150 ng per side WAY-100635 + EA-ACR; M100907+EA-ACR: LOC + 1 ng/nL 300 ng per side M100907 + EA-ACR; Saline: 300 nL 0.9%Nacl; Saline + EA-ACR: 300 nL 0.9%Nacl + EA-ACR. Control: control of non-foot-shock; LOC: loss of control over stress model; EA: electroacupuncture; ACR: stimulation of auricular concha region. Statistical analyses were measured using one-way analysis of variance followed by post hoc Bonferroni correction for multiple comparisons; Data are presented as mean ± standard error of mean (n = 8). Compared with WAY-100635 group, aP < 0.01; compared with WAY-100635 + EA-ACR group, bP < 0.01; compared with saline group, cP < 0.01; Compared with M100907 group, dP < 0.01; compared with M100907 + EA-ACR group, eP < 0.01.
Figure 4 EA-ACR regulates LOC-induced depression-like behavior through 5-HT1AR A1: representative Western blot of 5-HT1AR protein expression in the hippocampus; A2: effect of electrodes on 5-HT1AR protein expression in Hip of LOC mice after antagonism of 5-HT2AR; B1: representative Western blot of 5-HT2AR protein expression in the hippocampus; B2: Effect of electrodes on 5-HT2AR protein expression in Hip of LOC mice after antagonism of 5-HT1AR. WAY-100635: LOC + 0.5 ng/nL 150 ng per side N-[2-[4-(2-methoxyphenyl)piperazin-1-yl] ethyl]-N-pyridin-2-ylcyclo hexane carboxamide (150 ng/side); M100907: LOC + 1 ng/nL 300 ng per side (R-(+)-a- (2,3-dimethoxyphenil)-1-[4- fluorophenylethyl)]-4- piperidinemethanol (300 ng/side); WAY-100635 + EA-ACR: LOC + 0.5 ng/nL 150 ng per side WAY-100635 + EA-ACR; M100907+EA-ACR: LOC + 1 ng/nL 300 ng per side M100907 + EA-ACR; Saline: 300 nL 0.9%Nacl; Saline + EA-ACR: 300 nL 0.9%Nacl + EA-ACR. Control: control of non-foot-shock; LOC: loss of control over stress model; EA: electroacupuncture; ACR: stimulation of auricular concha region. Statistical analyses were measured using one-way analysis of variance followed by post hoc Bonferroni correction for multiple comparisons; Data are presented as mean ± standard error of mean (n = 4). Compared with control group, aP < 0.01; Compared with LOC group, bP < 0.01; compared with saline group, cP < 0.01; compared with M100907 group, dP < 0.01; compared with WAY-100635 group, eP < 0.01; compared with Saline + EA-ACR group, fP < 0.01.
1. |
Hannibal KE, Bishop MD. Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation. Phys Ther 2014; 94: 1816-25.
DOI PMID |
2. | Marin MF, Lord C, Andrews J, et al. Chronic stress, cognitive functioning and mental health. Neurobiol Learn Mem 2011; 96: 583-95. |
3. |
Güdül ÖZ H, Nazik E. The relationship between fear of COVID-19 and depression, anxiety and stress in persons with disabilities: A cross-sectional study. Arch Psychiat Nurs 2023; 43: 15-21.
DOI PMID |
4. |
Yao L, Li Y, Qian Z, et al. Loss of control over mild aversive events produces significant helplessness in mice. Behav Brain Res 2019; 376: 112173.
DOI |
5. | McEwen BS, Nasca C, Gray JD. Stress effects on neuronal structure: hippocampus, amygdala, and prefrontal cortex. Neuropsychopharmacol 2016; 41: 3-23. |
6. | van Tol MJ, van der Wee N JA, van den Heuvel OA, et al. Regional brain volume in depression and anxiety disorders. Arch Gen Psychiat 2010; 67: 1002-11. |
7. |
McEwen BS, Eiland L, Hunter RG, et al. Stress and anxiety: structural plasticity and epigenetic regulation as a consequence of stress. Neuropharmacology 2012; 62: 3-12.
DOI PMID |
8. |
Revest JM, Dupret D, Koehl M, et al. Adult hippocampal neurogenesis is involved in anxiety-related behaviors. Mol Psychiatr 2009; 14: 959-67.
DOI PMID |
9. |
Desrosiers A, Vine V, Klemanski DH, et al. Mindfulness and emotion regulation in depression and anxiety: common and distinct mechanisms of action. Depress Anxiety 2013; 30: 654-61.
DOI PMID |
10. |
Hein E, Nowak M, Kiess O, et al. Auricular transcutaneous electrical nerve stimulation in depressed patients: a randomized controlled pilot study. J Neural Transm 2013; 120: 821-27.
DOI PMID |
11. | Zhang Y, Liu J, Li H, et al. Transcutaneous auricular vagus nerve stimulation at 1 Hz modulates locus coeruleus activity and resting state functional connectivity in patients with migraine: an fMRI study. Neuroimage Clin 2019; 24: 101971. |
12. | Yuan TF, Li A, Sun X, et al. Vagus nerve stimulation in treating depression: a tale of two stories. CURR Curr Mol Med 2016; 16: 33-9. |
13. |
Miller BR, Hen R. The current state of the neurogenic theory of depression and anxiety. Curr Opin Neurobiol 2015; 30: 51-8.
DOI PMID |
14. | Feng L, Xing H, Zhang K. The therapeutic potential of Traditional Chinese Medicine in depression: targeting adult hippocampal neurogenesis. Phytomedicine 2022; 98: 1-21. |
15. |
Dorr AE, Debonnel G. Effect of vagus nerve stimulation on serotonergic and noradrenergic transmission. J Pharmacol Exp Ther 2006; 318: 890-98.
PMID |
16. | Morrissette DA, Stahl SM. Modulating the serotonin system in the treatment of major depressive disorder. Cns Spectrums 2014; 19: 54-68. |
17. | Samuels BA, Mendez-David I, Faye C, et al. Serotonin 1A and serotonin 4 receptors: essential mediators of the neurogenic and behavioral actions of antidepressants. J. Neurosci 2016; 22: 26-45. |
18. |
Xiang M, Jiang Y, Hu Z, et al. Serotonin receptors 2A and 1A modulate anxiety-like behavior in post-traumatic stress disordered mice. Am J Transl Res 2019; 11: 2288.
PMID |
19. |
Taciak PP, Lysenko N, Mazurek AP. Drugs which influence serotonin transporter and serotonergic receptors: pharmacological and clinical properties in the treatment of depression. Pharmacol Rep 2018; 70: 37-46.
DOI PMID |
20. |
Boldrini M, Underwood MD, Mann JJ, et al. Serotonin-1A autoreceptor binding in the dorsal raphe nucleus of depressed suicides. J Psychiatr Res 2008; 42: 433-42.
DOI PMID |
21. | Dasiel BE, Narváez Manuel, Patrizia A, et al. Receptor-receptor interactions in multiple 5-HT1A heteroreceptor complexes in raphe-hippocampal 5-HT transmission and their relevance for depression and its treatment. Molecules 2018; 23: 1341. |
22. |
Kattalai Kailasam V, Anand P, et al. Establishing an animal model for National Acupuncture Detoxification Association (NADA) Auricular Acupuncture Protocol. Neurosci Lett 2016; 624: 29-33.
DOI PMID |
23. |
Light GA, Naatanen R. Mismatch negativity is a breakthrough biomarker for understanding and treating psychotic disorders. Proc Natl Acad Sci USA 2013; 110: 15175-76.
DOI PMID |
24. |
Chang Y, Xu J, Pang X, et al. Mismatch negativity indices of enhanced preattentive automatic processing in panic disorder as measured by a multi-feature paradigm. Biol Psychol 2015; 105: 77-82.
DOI PMID |
25. |
Petit-Demouliere B, Chenu F, Bourin M. Forced swimming test in mice: a review of antidepressant activity. Psychopharmacology 2005; 177: 245-55.
DOI PMID |
26. | Chang Y, Xu J, Shi N, et al. Dysfunction of preattentive visual information processing among patients with major depressive disorder. Biol Psychiatry 2011; 69: 742-7. |
27. | Amodeo DA, Rivera E, Cook Jr EH, et al. 5HT2A receptor blockade in dorsomedial striatum reduces repetitive behaviors in BTBR mice J. Genes Brain Behav 2017; 16: 342-51. |
28. | Jiang YF, Liu J, Yang J, et al. Involvement of the dorsal hippocampus 5-HT1A receptors in the regulation of depressive-like behaviors in hemiparkinsonian rats. Neuropsychobiology 2020; 79: 198-207. |
29. | Beck AT. Cognitive models of depression. Adv Cogn Psychol 2002; 14: 29-61. |
30. |
Dobson KS. A Meta-analysis of the efficacy of cognitive therapy for depression. J Consult Clin Psychol 1989; 57: 414.
PMID |
31. | Rong PJ, Fang JL, Wang LP, et al. Transcutaneous vagus nerve stimulation for the treatment of depression: a study protocol for a double blinded randomized clinical trial. BMC Complement Med Ther 2012; 12: 255. |
32. | Rong P, Liu J, Wang L, et al. Effect of transcutaneous auricular vagus nerve stimulation on major depressive disorder: a nonrandomized controlled pilot study. J Affect Disord 2016; 195: 172-9. |
33. | Zobel A, Joe A, Freymann N, et al. Changes in regional cerebral blood flow by therapeutic vagus nerve stimulation in depression: an exploratory approach. Psychiatry Res 2005; 139: 165-79. |
34. | Yang Y, Wang ZH, Jin S, et al. Opposite monosynaptic scaling of BLP-vCA 1 inputs governs hopefulness- and helplessness-modulated spatial learning and memory. Nat. Commun 2016; 7: 11935. |
35. | Yu J, Xu W, Luo Y, et al. Dynamic monitoring of depressive behavior induced by nonylphenol and its effect on synaptic plasticity in rats. Sci Total Environ 2019; 689: 1012-22. |
36. | Li S, Wang Y, Gao G, et al. Transcutaneous auricular vagus nerve stimulation at 20 Hz improves depression-like behaviors and down -regulates the hyperactivity of HPA axis in chronic unpredictable mild stress model rats. Front Neurosci-Switz 2020; 14: 680. |
37. |
Bowles S, Hickman J, Peng X, et al. Vagus nerve stimulation drives selective circuit modulation through cholinergic reinforcement. Neuron 2022; 110: 2867-85.
DOI PMID |
38. |
McDevitt RA, Neumaier JF. Regulation of dorsal raphe nucleus function by serotonin autoreceptors: a behavioral perspective. J Chem Neuroanat 2011; 41: 234-46.
DOI PMID |
39. | Lei S. Serotonergic modulation of neural activities in the entorhinal cortex. J Physiol Pharmacol 2012; 4: 201-10. |
40. | Quesseveur G, Nguyen HT, Gardier AM, et al. 5-HT2 ligands in the treatment of anxiety and depression. Expert Opin Investig Drugs 2012; 21: 1701-25. |
41. |
Boothman LJ, Sharp T. A role for midbrain raphe gamma aminobutyric acid neurons in 5-hydroxytryptamine feedback control. Neuroreport 2005; 16: 891-6.
PMID |
42. |
Martín-Ruiz R, Puig MV, Celada P, et al. Control of serotonergic function in medial prefrontal cortex by serotonin-2A receptors through a glutamate-dependent mechanism. J Neurosci 2001; 21: 9856-66.
PMID |
43. | Diaz SL, Maroteaux L. Implication of 5-HT (2B) receptors in the serotonin syndrome. Neuropharmacology 2011; 61: 495-502. |
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