omparative effect of dense-and-disperse versus non-repetitive and non-sequential frequencies in electroacupuncture-induced analgesia in a rodent model of peripheral neuropathic pai

Autor(es):Mostrar menos -

Chao, Liaw ^{[1, 2]} ; Goncalves, Alexandre S. R. ^[1] ; Campos, Ana Carolina P. ^[1] ; Assis, V, Daniele ; Jeronimo, Rodrigo ^[3] ; Kuroki, Mayra A. ^[3] ; Sant'Anna, Fernando M. ^[4] ; Meas, Yunsan ^{[5, 6]} ; Rouxeville, Yves ^[7] ; Hsing, Wu ^[2] ; Pagano, Rosana L. ^[3]

Afiliação do(s) autor(es)

^[1] Hosp Sirio Libanes, Lab Neurosci, Rua Prof Daher Cutait 69, BR-01308060 Sao Paulo, SP - Brazil

^[2] Univ Sao Paulo, Hosp Clin, Acupuncture Ctr, Med Sch, Sao Paulo - Brazil

^[3] Assis, Daniele, V, Hosp Sirio Libanes, Lab Neurosci, Rua Prof Daher Cutait 69, BR-01308060 Sao Paulo, SP - Brazil

^[4] Univ Fed Rio de Janeiro, Macae - Brazil

^[5] Ctr Evaluat & Traitement Douleur CETD, Nantes - France

^[6] Ctr Hosp Univ Nantes, Nantes - France

^[7] Int Coll Auriculomed & Auriculotherapy Review, Cd Lazaro Cardenas, Michoacan - Mexico

• Tipo de documento: Artigo Científico
• Fonte: Acupuncture in Medicine; v. 40, n. 2 NOV 2021.
• Citações Web of Science: 0

Resumo

Background: Neuropathic pain (NP) is a complex disease that remains challenging to treat. Low-frequency dense-and-disperse (DD) electroacupuncture (EA) has been used as adjuvant therapy for neuropathic pain; however, its analgesic effect decreases as stimulation time increases, or when it is repeatedly used. We hypothesized that a new frequency parameter could improve the effectiveness of EA, and aimed to compare the efficacy and duration of the analgesic effect between classic DD-EA and non-repetitive and non-sequential frequency (random frequency (RF)-EA) in neuropathic rats. Furthermore, the effect of RF-EA at local traditional acupuncture point locations versus auricular vagus nerve stimulation (aVNS) was evaluated. Methods: Male Wistar rats with peripheral neuropathy were subjected to a single session of DD-EA or RF-EA for 20 or 40 min at ST36 + GB34. An additional group of rats was treated with RF-EA for 20 min using aVNS at the appropriate ear point locations. Paw pressure test, von Frey filaments and spontaneous pain scores were evaluated. Sham-operated rats were used as controls. Results: In all, 20 min of RF-EA reversed hyperalgesia (for 24 h) and allodynia (for 8 h), showing a longer analgesic effect than DD-EA. Both RF-EA and DD-EA induced partial inhibition of spontaneous pain for 8 h. Forty minutes of DD-EA did not interfere with the NP phenomena; however, RF-EA induced significant long-term analgesia. aVNS induced an analgesic effect similar to local stimulation. Conclusion: This pilot study shows that RF-EA at both local traditional acupuncture point and auriculotherapy point locations induces long-lasting analgesia in neuropathic rats, and more effectively so than classical DD-EA. (AU)

• Processo FAPESP: 18/18695-9 - Estimulação cerebral profunda e Doença de Parkinson: controle da neuroinflamação como alvo terapêutico
• Beneficiário: Ana Carolina Pinheiro Campos
• Modalidade de apoio: Bolsas no Brasil - Doutorado Direto