Journal of Traditional Chinese Medicine >
Electroacupuncture stimulation of auricular concha region improves loss of control over stress induced depression-like behavior by modulating 5-hydroxytryptamine 1A receptor
Received date: 2023-10-24
Accepted date: 2024-03-08
Online published: 2025-03-10
Supported by
Natural Science Foundation of Shaanxi Province: Acupuncture’s Anxiolytic Effects in Uncontrollable Stress: Modulation of the Median Raphe Nucleus to Ventral Hippocampus Serotonergic Pathway(2022JQ-949);National Natural Science Foundation of China: Study on the Mechanisms of Learning and Memory Impairment induced by Chronic Pain and the Intervention Effects of Acupuncture(82004489)
OBJECTIVE: To observe whether electroacupuncture stimulation of auricular concha region (EA-ACR) on behavior changes of depression by loss of control over stress model (LOC), and whether its effect is improved by regulating the expression levels of hydroxytryptamine (serotonin, 5-HT) 1A receptor (5-HT1AR)/ hydroxytryptamine (serotonin, 5-HT) 2A receptor (5-HT2AR) in hippocampus.
METHODS: LOC was prepared using a Skinner box, and EA-ACR to observe behavioral changes, and Western Blot was used to detect the changes of 5-HT1AR/5-HT2AR in the hippocampus, and then observe the changes of EA-ACR behavior after microinjection of 5-HT1AR/5-HT2AR antagonist into the hippocampus.
RESULTS: EA-ACR improve depressive-like behavior, up-regulated 5-HT1AR expression and down-regulated 5-HT2AR expression in hippocampal brain area. EA-ACR did not improve depression-like behavior after hippocampal microinjection of 5-HT1AR antagonist, while injection of 5-HT2AR antagonists can improve depression-like behaviors.
CONCLUSION: EA-ACR can improve depressive-like behaviors. Loss of control over stress leads to up-regulation of 5-HT1AR and down-regulation of 5-HT2AR in the hippocampus, while EA-ACR mainly improves depressive behavior by regulating 5-HT1AR in Hip.
Yongfeng LI , Xinyi CHEN , Wei REN , Haifa QIAO . 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 . DOI: 10.19852/j.cnki.jtcm.2025.02.014
| 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. |
| 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 ?Z 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. |
| 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. |
| 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. |
| 8. | Revest JM, Dupret D, Koehl M, et al. Adult hippocampal neurogenesis is involved in anxiety-related behaviors. Mol Psychiatr 2009; 14: 959-67. |
| 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. |
| 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. |
| 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. |
| 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. |
| 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. |
| 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. |
| 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. |
| 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. |
| 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. |
| 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. |
| 25. | Petit-Demouliere B, Chenu F, Bourin M. Forced swimming test in mice: a review of antidepressant activity. Psychopharmacology 2005; 177: 245-55. |
| 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. |
| 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. |
| 38. | McDevitt RA, Neumaier JF. Regulation of dorsal raphe nucleus function by serotonin autoreceptors: a behavioral perspective. J Chem Neuroanat 2011; 41: 234-46. |
| 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. |
| 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. |
| 43. | Diaz SL, Maroteaux L. Implication of 5-HT (2B) receptors in the serotonin syndrome. Neuropharmacology 2011; 61: 495-502. |
/
| 〈 |
|
〉 |