Evidence Details for Fengfu
PMID Title Journal Year Abstract
29550760 Effect of acupuncture on the TLR2/4-NF-kappaB signalling pathway in a rat model of traumatic brain injury. Acupunct Med. 2018 Aug;36(4):247-253. doi: 10.1136/acupmed-2017-011472. Epub 2018 Mar 17. 2018 Aug OBJECTIVE: To study the effect of acupuncture on the TLR2/4-NF-kappaB signalling pathway in the cortex of Sprague-Dawley rats following traumatic brain injury (TBI), and investigate the possible mechanism underlying the effects of acupuncture on scar repair. METHODS: TBI was established using Feeney's free-falling epidural percussion model. In total, 108 rats were randomly divided into a normal group (n=18), untreated TBI model group (TBI group, n=36) and manual acupuncture-treated TBI group (TBI+MA, n=36). Each group of rats was subdivided into three time groups: 3-day (3d), 7-day (7d) and 14-day (14d). No treatment was given to rats in the normal and TBI groups. The TBI+MA group received manual acupuncture at GV20, GV26, GV16 through GV15, and bilateral LI4. mRNA expression of TLR2, TLR4, NF-kappaB and protein in the rat cortices was quantified using real-time fluorescence quantitative polymerase chain reaction (qPCR) and Western blot analyses. RESULTS: The modified neurological severity score (mNSS) scores of the TBI+MA group were improved compared with baseline scores 12 hours after modelling, and improved at 7d and 14d compared with the TBI group (P<0.05), while the score of the TBI group did not improve until 14d compared to baseline. mRNA and protein expression of TLR2, TLR4 and NF-kappaB in the TBI group were higher than the normal group at 3d (P<0.05), reached a peak at 7d, then began to decrease at 14d. mRNA and protein expression of TLR2, TLR4 and NF-kappaB were higher in the TBI+MA group compared with the TBI group at 3d (P<0.05), were significantly down-regulated at 7d (P<0.01), and decreased to normal levels at 14d. CONCLUSIONS: Acupuncture has a bidirectional regulatory effect on the TLR2/4-NF-kappaB signalling pathway-related genes TLR2, TLR4 and NF-kappaB in the TBI rat cortex, promoting their expression in the early stage and inhibiting it in the later stage."

Evidence Sentence: Based on ‘Experimental Acupuncture’,15 we selected acupuncture points GV20 (Baihui), GV25 (Renzhong), GV16 (Fengfu) through GV15 (Yamen), and bilateral LI4 (Hegu).