PMID- 36105029 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220917 IS - 1943-8141 (Print) IS - 1943-8141 (Electronic) IS - 1943-8141 (Linking) VI - 14 IP - 8 DP - 2022 TI - Acupuncture relieves the visceral pain of diarrhea-predominant irritable bowel syndrome rats by regulating P2X4 expression. PG - 5563-5573 AB - OBJECTIVES: We researched the effect and mechanism of acupuncture treatment for visceral pain in rats with diarrhea-predominant irritable bowel syndrome (IBS-D). METHODS: We set up a rat model of IBS-D with chemical and chronic- and acute-pressure stimulations. Then, the IBS-D rats were treated with acupuncture or 5-BDBD, and the therapeutic efficacy of acupuncture in IBS-D rats was assessed by means of the Bristol scale, diarrhea index, abdominal withdrawal reflex (AWR) score, mast cell count and histologic staining. RESULTS: Acupuncture significantly decreased clinical symptoms in IBS-D rats after a 14 day-treatment. Furthermore, significant down-regulation of P2X4, OX42, BDNF (brain-derived neurotrophic factor) and IRF-5 (interferon regulatory factor 5) expressions were observed in the IBS-D rats, along with the decreased inflammatory factors [interleukin 1 beta (IL-1beta), tumor necrosis factor alpha (TNF-alpha), and interleukin 6 (IL-6)], chemokines [monocyte chemoattractant protein-1 (MCP-1), regulated on activation, normal T cell expressed and secreted (RANTES), and C-X-C motif chemokine ligand 1 (CXCL1)], and neurotransmitters [substance P (SP), 5-hydroxytryptamine (5-HT), and calcitonin gene-related peptide (CGRP)]. 5-BDBD treatment had a similar effect on IBS-D rats. CONCLUSIONS: Acupuncture can effectively alleviate abdominal pain by decreasing visceral hypersensitivity and controlling the expression of P2X4 and spinal microglial inflammation in IBS rats. CI - AJTR Copyright (c) 2022. FAU - Tang, He-Yong AU - Tang HY AD - School of Integrated Traditional Chinese and Western Medicine, Anhui University of Traditional Chinese Medicine Hefei 230012, Anhui, China. FAU - Chen, Xi-Qiuyu AU - Chen XQ AD - School of Integrated Traditional Chinese and Western Medicine, Anhui University of Traditional Chinese Medicine Hefei 230012, Anhui, China. FAU - Wang, Hao AU - Wang H AD - School of Integrated Traditional Chinese and Western Medicine, Anhui University of Traditional Chinese Medicine Hefei 230012, Anhui, China. FAU - Chu, Hao-Ran AU - Chu HR AD - The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine Hefei 230012, Anhui, China. FAU - Zhu, Cai-Feng AU - Zhu CF AD - The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine Hefei 230012, Anhui, China. FAU - Huang, Shun AU - Huang S AD - School of Integrated Traditional Chinese and Western Medicine, Anhui University of Traditional Chinese Medicine Hefei 230012, Anhui, China. FAU - Zhang, Meng-Ting AU - Zhang MT AD - School of Integrated Traditional Chinese and Western Medicine, Anhui University of Traditional Chinese Medicine Hefei 230012, Anhui, China. FAU - Shen, Guo-Ming AU - Shen GM AD - School of Integrated Traditional Chinese and Western Medicine, Anhui University of Traditional Chinese Medicine Hefei 230012, Anhui, China. LA - eng PT - Journal Article DEP - 20220815 PL - United States TA - Am J Transl Res JT - American journal of translational research JID - 101493030 PMC - PMC9452363 OTO - NOTNLM OT - IBS-D rat OT - P2X4 OT - acupuncture OT - visceral pain COIS- None. EDAT- 2022/09/16 06:00 MHDA- 2022/09/16 06:01 PMCR- 2022/08/15 CRDT- 2022/09/15 02:14 PHST- 2022/05/26 00:00 [received] PHST- 2022/07/14 00:00 [accepted] PHST- 2022/09/15 02:14 [entrez] PHST- 2022/09/16 06:00 [pubmed] PHST- 2022/09/16 06:01 [medline] PHST- 2022/08/15 00:00 [pmc-release] PST - epublish SO - Am J Transl Res. 2022 Aug 15;14(8):5563-5573. eCollection 2022.