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Effect of electroacupuncture on inflammatory signal expression in local tissues of rats with chronic pelvic pain syndrome based on purinergic 2X7 receptor/NOD-like receptor pyrin domain-containing 3 signal pathway
Received date: 2022-04-22
Accepted date: 2022-07-25
Online published: 2022-09-28
Supported by
RNA Sequencing Technology Screening the Mechanism of Acupuncture on Pain in Chronic Pelvic Pain Syndrome Rats(2020-JYB-XJSJJ-018)
OBJECTIVES: To study the expression of inflammatory signal in local prostate tissue of chronic pelvic pain syndrome (CPPS) rats by electroacupuncture (EA) of Guanyuan (CV4), Zhongji (CV3), Huiyang (BL35) and Sanyinjiao (SP6), and to explore the possible mechanism of anti-inflammatory and analgesic effects of EA.
METHODS:A total of 36 Sprague-Dawley male rats were randomly divided into three groups: control, model and EA (n=12 rats/group). The CPPS model was made by injection of CFA into ventral lobes of the prostate (0.1 mL). Electric acupuncture apparatus was applied to stimulate Guanyuan (CV4), Zhongji (CV3), bilateral Huiyang (BL35) and Sanyinjiao (SP6) acupoints in EA group. The general condition of rats was observed and the prostate index (PI) was calculated. The thermal pain threshold was collected after each therapeutic course. Histopathological changes of the prostate tissue were examined by hematoxylin-eosin staining method. The expression levels of tumor necrosis factor α (TNF-α), interleukin-1β (IL-1β) and prostaglandin E2 (PGE2) in prostatic homogenates were measured by enzyme linked immunosorbent assay (ELISA). Moreover, the expression levels of purinergic 2X7 receptor (P2X7R), NOD-like receptor pyrin domain-containing 3 (NLRP3), caspase-1 and interleukin-18 (IL-18) mRNA were quantified by quantitative real-time polymerase chain reaction.
RESULTS: Compared with control group, the PI of rats increased, and the thermal pain threshold decreased significantly in model group. The morphological structure of prostate tissues of rats in model group was severely damaged with a large number of inflammatory cells infiltration. Additionally, the levels of TNF-α, IL-1β and PGE2 were higher, and the expressions of P2X7R, NLRP3, caspase-1 and IL-18 mRNA were higher than those in control group. After EA treatment, the PI was significantly decreased, the thermal pain threshold was significantly increased, and the tissue damage was significantly improved. The expressions of inflammatory cytokines were lower in EA group, and expression of P2X7R/NLRP3 pathway was down-regulated.
CONCLUSION: The effect of EA at Guanyuan (CV4), Zhongji (CV3), Huiyang (BL35) and Sanyinjiao (SP6) can improve inflammation and pain symptoms of CPPS rats induced by Complete Freund's adjuvant (CFA). This suggests that EA at Guanyuan (CV4), Zhongji (CV3), Huiyang (BL35) and Sanyinjiao (SP6) can produce anti-inflammatory analgesia effect by preventing the activation of P2X7R/NLRP3 signal pathway, inhibit the release of inflammatory cytokines in CPPS rats, which may provide a putative novel target for the treatment of CPPS.
Chang XU , Na LI , Xiaoling WU , Xingye DAI , Zhiwen YANG , Qianhui SUN , Tianyu SHI , Yemao CHAI , Dandan PANG , Kai CHENG . Effect of electroacupuncture on inflammatory signal expression in local tissues of rats with chronic pelvic pain syndrome based on purinergic 2X7 receptor/NOD-like receptor pyrin domain-containing 3 signal pathway[J]. Journal of Traditional Chinese Medicine, 2022 , 42(6) : 965 -971 . DOI: 10.19852/j.cnki.jtcm.20220928.003
| [1] | Feng Y, Jiang S, Wang Z, et al. Oyster hydrolysate-zinc complex ameliorates carrageenan-induced rat prostatitis via an anti-inflammatory mechanism and reduced oxidative stress. J Funct Foods 2020; 72: 104066. |
| [2] | Smothers A, Young S, Constantine L. Management of chronic nonbacterial prostatitis and chronic pelvic pain syndrome in the adult male patient with comorbid conditions. J Christ Nurs 2020; 37: E21-6. |
| [3] | Wang W, Muhammad N, Baig M, et al. Experimental rodent models of chronic prostatitis and evaluation criteria. Biomed pharmacother 2018; 108C: 1894-901. |
| [4] | Carter GT, Duong V, Ho S, et al. Side effects of commonly prescribed analgesic medications. Phys Med Rehabil Clin N Am 2014; 25: 457-70. |
| [5] | Natalia RN, Jyothi M, Jordan BK, Junjie M, Brandon KB. Cost-effectiveness of treatment options for neuropathic pain: a systematic review. Pharmaco Economics 2019; 37: 669-88. |
| [6] | Watanabe S, Iwai T, Tanabe M. Intraplantar injection of sialidase reduces mechanical allodynia during inflammatory pain. J Pharmacol Sci 2017; 133: 49-52. |
| [7] | Xu ZF, Hong SH, Wang SJ, et al. Neuroendocrine-immune regulating mechanisms for the anti-inflammatory and analgesic actions of acupuncture. World J Tradit Chin Med 2020; 6: 384-92. |
| [8] | Zhang K, Zeng X, Chen Y, et al. Therapeutic effects of Qian-Yu decoction and its three extracts on carrageenan-induced chronic prostatitis/chronic pelvic pain syndrome in rats. BMC Complement Altern Med 2017; 17: 75. |
| [9] | Liu B, Long W, Wang RR. Electroacupuncture alleviates neuropathic pain by modulating Th2 infiltration and inhibiting microglial activation in the spinal cord of rats with spared nerve injury. World J Tradit Chin Med 2020; 6: 448-55. |
| [10] | Radhakrishnan R, Nallu RS. Development and characterisation of a novel animal model of prostate inflammation-induced chronic pelvic pain. Inflammopharmacology 2009; 17: 23-8. |
| [11] | Huang AC, Liu M, Tsai T, et al. Low-frequency electroacupuncture at acupoints Guanyuan (CV4) and Zhongji (CV3) lengthen ejaculatory latency and improves sexual behavior in male rats. Chin J Physiol 2020; 63: 163-70. |
| [12] | Wu Y, Jiang Y, Shao X, et al. Proteomics analysis of the amygdala in rats with CFA-induced pain aversion with electro-acupuncture stimulation. J Pain Res 2019; 12: 3067-78. |
| [13] | Liu Y, Liu LR, Wang XM. Electroacupuncture at points Baliao and Huiyang(BL35) for post-stroke detrusor overactivity. Neural Regen Res 2013; 8: 1663-72. |
| [14] | Sun WP, Kou DQ, Yu ZJ, et al. A transcriptomic analysis of neuropathic pain in rat dorsal root ganglia following peripheral nerve injury. Neuromol Med 2020; 22: 250-63. |
| [15] | Fang JQ, Fang JF, Liang Y, Du JY. Electroacupuncture mediates extracellular signal-regulated kinase 1/2 pathways in the spinal cord of rats with inflammatory pain. BMC Complem Altern M 2014; 14: 285. |
| [16] | Zhang W, Fang Y, Shi MF, et al. Optimal acupoint and session of acupuncture for patients with chronic prostatitis/chronic pelvic pain syndrome: a Meta-analysis. Transl Androl Urol 2021; 10: 143-53. |
| [17] | Zhang YQ, Ji GC, Wu GC, Zhao ZQ. Excitatory amino acid receptor antagonists and electroacupuncture synergetically inhibit carrageenan-induced behavioral hyperalgesia and spinal fos expression in rats. Pain 2002; 99: 525-35. |
| [18] | Zheng HD, Wang ZQ, Li SS, et al. Effect of acupoints on acupuncture-moxibustion and its therapeutic mechanism. World J Tradit Chin Med 2020; 6:239-48. |
| [19] | Xu ZF, Hong SH, Wang SJ, et al. Neuroendocrine-immune regulating mechanisms for the anti-inflammatory and analgesic actions of acupuncture. World J Tradit Chin Med 2020; 6:384-92. |
| [20] | Lee SH, Lee BC. Use of acupuncture as a treatment method for chronic prostatitis/chronic pelvic pain syndromes. Curr Urol Rep 2011; 12: 288-96. |
| [21] | Yang WY. Clinical observation on electroacupuncture at Zhongliao and Huiyang points in the treatment of overactive bladder. Beijing: Beijing TCM University, 2016: 32. |
| [22] | Shojaei-Zarghani S, Khosroushahi AY, Rafraf M. Oncopreventive effects of theanine and theobromine on dimethylhydrazine-induced colon cancer model. Biomed Pharmacother 2021; 134: 111140. |
| [23] | Li T, Sun L, Huang ZQ. Research progress on the mechanism of acupuncture in the treatment of chronic prostatitis/pelvic pain syndrome. Jiangsu Zhong Yi Yao 2021; 53: 78-82. |
| [24] | Lin SS, Chen YZ, Zhou XY, Wang J. Research progress on anti-inflammatory mechanism of acupuncture therapy for autoimmune diseases based on inflammatory cytokines. Guangming Zhong Yi 2021; 36: 3372-5. |
| [25] | He QX, Li XD. Research progress on the relationship between cytokines and chronic prostatitis. Zhong Hua Nan Ke Xue Za Zhi 2011; 17: 939-42. |
| [26] | Wan HJ. Expression and significance of NLRP3 inflammasome and its downstream factor IL-1β/IL-18 in rat model of allergic rhinitis. Zhengzhou: Zhengzhou University, 2015: 2. |
| [27] | Zhao YD, Wang XF, Wang JW, Han DY, Zhao ZT. Effects of warming-promotion needling on rats with chronic non-bacteriaI prostatitis on TNF-a and IL-β. Zhong Hua Zhong Yi Yao Xue Kan 2016; 34: 129-31. |
| [28] | Zhang J, Li X, Gao Y, et al. Effects of puerarin on the inflammatory role of burn-related procedural pain mediated by P2X7 receptors. Burns 2013; 39: 610-8. |
| [29] | Ismael S, Ahmed HA, Adris T, et al. The NLRP 3 inflammasome: a potential therapeutic target for traumatic brain injury. Neural Regen Res 2021; 16: 49-57. |
| [30] | Zhang Y. Role and significance of P2X7R - mediated IL-1β in chronic abacterial prostatitis model. Anhui: Anhui Medical University, 2019: 28-9. |
| [31] | Garré JM, Silva HM, Lafaille JJ, Yang G. P2X7 receptor inhibition ameliorates dendritic spine pathology and social behavioral deficits in Rett syndrome mice. Nat Commun 2020; 11: 1784. |
| [32] | Friedle SA, Brautigam VM, Nikodemova M, Wright ML, Watters JJ. The P2X7-Egr pathway regulates nucleotide-dependent inflammatory gene expression in microglia. Glia 2011; 59: 1-13. |
| [33] | Wang W, Muhammad N, Baig MMFA, Abbas TM, Zhou X. Experimental rodent models of chronic prostatitis and evaluation criteria. Biomed Pharmacother 2018; 108: 1894-901. |
| [34] | Wagenlehner FME, Van Till JWO, Magri V, et al. National institutes of health chronic prostatitis symptom index (NIH-CPSI) symptom evaluation in multinational cohorts of patients with chronic prostatitis/chronic pelvic pain syndrome. Eur Urol 2013; 63: 953-9. |
| [35] | Yuan Z, Liu XL, Deng WT, et al. Correlation study of chronic nonbacterial prostatitis with the levels of COX-2 and PGE2 in prostatic secretion. Int Urol Nephrol 2014; 46: 1871-5. |
| [36] | Fulgenzi A, Ticozzi P, Gabel CA, et al. Periodate oxidized ATP (oATP) reduces hyperalgesia in mice: involvement of P2X7 receptors and implications for therapy. Int J Immunopath Ph 2008; 21: 61-71. |
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