Electroacupuncture at ST36 Alleviates Visceral Hypersensitivity and Anxiety via ACC-AIC Circuit Modulation in IBS Rats.

Neuropsychiatr Dis Treat

Research Institute of Acupuncture and Moxibustion, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, 250355, People's Republic of China.

Published: August 2025


Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

Purpose: This study aimed to explore the effects of Electroacupuncture (EA) at the Zusanli (ST36) point on Irritable Bowel Syndrome (IBS), along with its associated visceral hypersensitivity and anxiety-like behaviors.

Methods: To establish the IBS rat model, Water Avoidance Stress (WAS) was used. After successful modeling, rats were randomly divided into four groups: Normal group, IBS group, ST36 group, and Sham EA group. The ST36 group received EA at bilateral ST36 acupoints, while the Sham EA group underwent identical procedures without electrical stimulation. Visceral hypersensitivity was assessed using abdominal withdrawal reflex (AWR) scores, and anxiety-like behaviors were evaluated through open field test and elevated plus maze. Neuronal activation was measured via c-Fos expression, and multi-channel electrophysiological recordings from the anterior cingulate cortex (ACC) and anterior insular cortex (AIC) regions were analyzed for neural activity patterns. Autonomic nervous function was assessed through heart rate variability analysis.

Results: EA at ST36 acupoint effectively alleviated visceral hypersensitivity and anxiety-like behaviors in IBS rats. The treatment normalized abnormal neural activity and local field potential (LFP) oscillations in the ACC and AIC regions. Specifically, EA corrected the pathologically increased firing rates and irregular discharge patterns in both neuronal types within these brain regions. Furthermore, EA reduced the pathologically enhanced synchronization between ACC and AIC in delta (0.5-3 Hz) and theta (3-8 Hz) frequency bands. EA also ameliorated autonomic nervous dysfunction associated with IBS manifestations.

Conclusion: These findings indicate that EA at ST36 acupoint modulates neuronal activity in the ACC and AIC regions, thereby alleviating visceral hypersensitivity and anxiety-like behaviors in IBS rats, and improving autonomic nervous function.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396234PMC
http://dx.doi.org/10.2147/NDT.S535518DOI Listing

Publication Analysis

Top Keywords

visceral hypersensitivity
20
ibs rats
12
hypersensitivity anxiety-like
12
anxiety-like behaviors
12
aic regions
12
autonomic nervous
12
acc aic
12
group st36
8
st36 group
8
sham group
8

Similar Publications

Chronic gastrointestinal pain is a hallmark of most intestinal pathologies, yet effective treatments remain elusive given the complexity of the underlying mechanisms. Aiming to investigate the intestinal epithelium contribution to visceral pain modulation in dysbiosis context, we first demonstrated that intracolonic instillation of microbe-free fecal supernatants from mice with post-inflammatory dysbiosis induced by dextran sodium sulfate (FS) provokes visceral hypersensitivity in recipient mice. Epithelium involvement in the response to FS was analyzed through a novel approach comprising murine epithelial colon organoids and primary dorsal root ganglia (DRG) neurons.

View Article and Find Full Text PDF

Electroacupuncture at ST36 Alleviates Visceral Hypersensitivity and Anxiety via ACC-AIC Circuit Modulation in IBS Rats.

Neuropsychiatr Dis Treat

August 2025

Research Institute of Acupuncture and Moxibustion, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, 250355, People's Republic of China.

Purpose: This study aimed to explore the effects of Electroacupuncture (EA) at the Zusanli (ST36) point on Irritable Bowel Syndrome (IBS), along with its associated visceral hypersensitivity and anxiety-like behaviors.

Methods: To establish the IBS rat model, Water Avoidance Stress (WAS) was used. After successful modeling, rats were randomly divided into four groups: Normal group, IBS group, ST36 group, and Sham EA group.

View Article and Find Full Text PDF

A Novel CHRM3-Driven Preclinical Model of Irritable Bowel Syndrome.

FASEB J

September 2025

Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.

Irritable bowel syndrome (IBS) is a prevalent functional gastrointestinal disorder that significantly reduces patients' quality of life. However, current animal models have limitations in replicating the complex pathophysiology of IBS. In this study, we successfully developed a mouse model by mating intestinal epithelium-specific Cre tool mice with chemically modified human muscarinic acetylcholine receptor 3 (hCHRM3) mice, resulting in specific expression of the hCHRM3 in the intestinal epithelial cells.

View Article and Find Full Text PDF

Enteric glial cells (EGCs) play an important role in the pathogenesis of irritable bowel syndrome (IBS). Phosphodiesterase-4 (PDE4) functions as a catalyzing enzyme targeting hydrolyzation of intracellular cyclic adenosine monophosphate (cAMP). Increased PDE4 activity promotes excessive production of pro-inflammatory cytokines and chemokines in various immune and epithelial cells, exacerbating immune cell activation and infiltration in inflamed tissues, inhibition of PDE4 has been proven to be an important strategy for inflammatory and autoimmune diseases.

View Article and Find Full Text PDF

Background: Visceral hypersensitivity (VH) is a key pathophysiological feature of irritable bowel syndrome (IBS), contributing to chronic abdominal pain and discomfort. While electroacupuncture (EA) has demonstrated efficacy in alleviating IBS symptoms, the mechanisms underlying its effects at the Baliao acupoint remain unclear.

Methods: In this translational study, we enrolled 40 IBS patients (gender-balanced, aged 30-60 years) who received standardized EA treatment at Baliao acupoints, with pain intensity assessed using visual analogue scale (VAS) scoring.

View Article and Find Full Text PDF