PMID- 37511411 OWN - NLM STAT- MEDLINE DCOM- 20230731 LR - 20230801 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 14 DP - 2023 Jul 19 TI - Protective Effect of Electroacupuncture on Chemotherapy-Induced Salivary Gland Hypofunction in a Mouse Model. LID - 10.3390/ijms241411654 [doi] LID - 11654 AB - Radiotherapy and chemotherapy can impair salivary gland (SG) function, which causes xerostomia and exacerbate other side effects of chemotherapy and oral infection, reducing patients' quality of life. This animal study aimed to assess the efficacy of electroacupuncture (EA) as a means of preventing xerostomia induced by 5-fluorouracil (5-FU). A xerostomia mouse model was induced via four tail vein injections of 5-FU (80 mg/kg/dose). EA was performed at LI4 and LI11 for 7 days. The pilocarpine-stimulated salivary flow rate (SFR) and salivary glands weight (SGW) were recorded. Salivary immunoglobulin A (SIgA) and lysozyme were determined via enzyme-linked immunosorbent assay (ELISA). SG was collected for hematoxylin and eosin staining to measure acini number and acinar cell size. Tumor necrosis factor-alpha (TNF-alpha), interleukin-1beta (IL-1beta), and aquaporin 5 (AQP5) mRNA expressions in SG were quantified via RT-qPCR. 5-FU caused significant decreases in SFR, SGW, SIgA, lysozyme, AQP5 expression, and acini number, while TNF-alpha and IL-1beta expressions and acinar cell size were significantly increased. EA treatment can prevent 5-FU damage to the salivary gland, while pilocarpine treatment can only elevate SFR and AQP5 expression. These findings provide significant evidence to support the use of EA as an alternative treatment for chemotherapy-induced salivary gland hypofunction and xerostomia. FAU - Nguyen, Thanh-Hien Vu AU - Nguyen TV AUID- ORCID: 0009-0002-7280-0616 AD - Graduate Institute of Acupuncture Science, China Medical University, Taichung 40402, Taiwan. AD - School of Dentistry, China Medical University, Taichung 40402, Taiwan. FAU - Chiu, Kuo-Chou AU - Chiu KC AD - Division of Oral Diagnosis and Family Dentistry, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan. FAU - Shih, Yin-Hwa AU - Shih YH AUID- ORCID: 0000-0003-0893-4185 AD - Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan. FAU - Liu, Chung-Ji AU - Liu CJ AUID- ORCID: 0000-0002-0385-869X AD - Department of Oral and Maxillofacial Surgery, MacKay Memorial Hospital, Taipei 10449, Taiwan. FAU - Bao Quach, Tran Van AU - Bao Quach TV AD - School of Dentistry, China Medical University, Taichung 40402, Taiwan. FAU - Hsia, Shih-Min AU - Hsia SM AUID- ORCID: 0000-0003-2888-2618 AD - School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110301, Taiwan. AD - Nutrition Research Center, Taipei Medical University Hospital, Taipei 110301, Taiwan. FAU - Chen, Yi-Hung AU - Chen YH AUID- ORCID: 0000-0002-8946-7939 AD - Graduate Institute of Acupuncture Science, China Medical University, Taichung 40402, Taiwan. AD - Chinese Medicine Research Center, China Medical University, Taichung 40402, Taiwan. AD - Department of Photonics and Communication Engineering, Asia University, Taichung 41354, Taiwan. FAU - Shieh, Tzong-Ming AU - Shieh TM AUID- ORCID: 0000-0003-1759-9120 AD - School of Dentistry, China Medical University, Taichung 40402, Taiwan. LA - eng GR - MOST 111-2314-B-039-027-MY3 and NSTC 111-2811-B-039-034./Ministry of Science and Technology/ GR - CMU111-S-36 and CMU111-MF-38/China Medical University/ PT - Journal Article DEP - 20230719 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - EC 3.2.1.17 (Muramidase) RN - 01MI4Q9DI3 (Pilocarpine) RN - 0 (Tumor Necrosis Factor-alpha) RN - U3P01618RT (Fluorouracil) RN - 0 (Antineoplastic Agents) RN - 0 (Immunoglobulin A, Secretory) SB - IM MH - Mice MH - Animals MH - Muramidase/genetics MH - Pilocarpine MH - *Electroacupuncture MH - Quality of Life MH - Tumor Necrosis Factor-alpha/genetics MH - Salivary Glands MH - *Xerostomia/chemically induced/therapy MH - Fluorouracil/adverse effects MH - *Antineoplastic Agents MH - Immunoglobulin A, Secretory PMC - PMC10380826 OTO - NOTNLM OT - 5-fluorouracil OT - acupuncture OT - chemotherapy OT - inflammation OT - salivary hypofunction OT - xerostomia COIS- The authors declare no conflict of interest. EDAT- 2023/07/29 11:50 MHDA- 2023/07/31 06:42 PMCR- 2023/07/19 CRDT- 2023/07/29 01:24 PHST- 2023/06/07 00:00 [received] PHST- 2023/07/10 00:00 [revised] PHST- 2023/07/14 00:00 [accepted] PHST- 2023/07/31 06:42 [medline] PHST- 2023/07/29 11:50 [pubmed] PHST- 2023/07/29 01:24 [entrez] PHST- 2023/07/19 00:00 [pmc-release] AID - ijms241411654 [pii] AID - ijms-24-11654 [pii] AID - 10.3390/ijms241411654 [doi] PST - epublish SO - Int J Mol Sci. 2023 Jul 19;24(14):11654. doi: 10.3390/ijms241411654.