DOI QR코드

DOI QR Code

Clinical Studies of Acupuncture Treatment for Alzheimer's Disease Using Neuroimaging Method: A Review of Literature

알츠하이머병의 신경영상 기법을 이용한 침치료 임상연구: 문헌고찰

  • Lee, Dong Hyuk (College of Korean Medicine, Sangji University) ;
  • Kim, Joo-Hee (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Sangji University) ;
  • Kwon, Bo-In (Department of Pathology, College of Korean Medicine, Sangji University)
  • 이동혁 (상지대학교 한의과대학) ;
  • 김주희 (상지대학교 한의과대학 침구의학교실) ;
  • 권보인 (상지대학교 한의과대학 병리학교실)
  • Received : 2020.03.30
  • Accepted : 2020.07.31
  • Published : 2020.10.25

Abstract

The purpose of this article was to investigate the current state of studies on clinical trials of acupuncture treatment for Alzheimer's disease using neuroimaging method. We searched for clinical trials of acupuncture treatment for Alzheimer's disease(AD) and mild cognitive impairment(MCI) using neuroimaging method in the MEDLINE (Pubmed) database on March 18, 2020. Once the online search was finished, studies were selected manually by the inclusion criteria. Finally, we analyzed the characteristics of selected articles and reviewed the neural substrates of acupuncture treatment in AD. Total ten studies were included in this study. The most frequently applied modality for AD was functional MRI. The most frequently selected acupoints for AD were KI3, LR3 and LI4. One of studies showed that acupuncture treatment could improve the symptoms of MCI. Through the analysis, we demonstrated that neuroimaging method could capture the neural substrates associated with AD. Moreover, acupuncture may induce differential response according to the disease status. Finally, real acupuncture could produce more extensive activation/deactivation than sham acupuncture. We hope that neuroimaging method can contribute to the clinical research of acupuncture treatment for AD through large-scale RCT and diverse imaging modality.

Keywords

References

  1. Lee AY. Vascular Dementia. Chonnam Med J. 2011;47(2):66-71. https://doi.org/10.4068/cmj.2011.47.2.66
  2. Bruscoli M, Lovestone S. Is MCI really just early dementia? A systematic review of conversion studies. Int Psychogeriatr. 2004;16(2):129-40. https://doi.org/10.1017/S1041610204000092
  3. Wang Z, Nie B, Li D, Zhao Z, Han Y, Song H, et al. Effect of acupuncture in mild cognitive impairment and Alzheimer's disease: a functional MRI study. PLos One. 2012;7(8):e4273.
  4. Feng Y, Bai L, Ren Y, Chen S, Wang H, Zhang W, et al. FMRI connectivity analysis of acupuncture effects on the whole brain network in mild cognitive impairment patients. Magn Reson Imaging. 2012;30(5):672-82. https://doi.org/10.1016/j.mri.2012.01.003
  5. Wang Z, Liang P, Zhao Z, Han Y, Song H, Xu J, et al. Acupuncture modulates resting state hippocampal functional connectivity in Alzheimer disease. PLoS One. 2014;9(3):e91160 https://doi.org/10.1371/journal.pone.0091160
  6. Liang P, Wang Z, Qian T, Li K. Acupuncture stimulation of Taichong (Liv3) and Hegu (LI4) modulates the default mode network activity in Alzheimer's disease. Am J Alzheimers Dis Other Demen. 2014;29(8):739-48. https://doi.org/10.1177/1533317514536600
  7. Chen S, Xu M, Li H, Liang J, Yin L, Liu X, et al. Acupuncture at the Taixi (KI3) acupoint activates cerebral neurons in elderly patients with mild cognitive impairment. Neural Regen Res. 2014;9(11):1163-8. https://doi.org/10.4103/1673-5374.135319
  8. Liu Z, Wei W, Bai L, Dai R, You Y, Chen S, et al. Exploring the patterns of acupuncture on mild cognitive impairment patients using regional homogeneity. Plos One. 2014;9(6):e99335. https://doi.org/10.1371/journal.pone.0099335
  9. Jia B, Liu Z, Min B, Wang Z, Zhou A, Li Y, et al. The Effects of Acupuncture at Real or Sham Acupoints on the Intrinsic Brain Activity in Mild Cognitive Impairment Patients. Evid Based Complement Alternat Med. 2015;2015:529675.
  10. Tan TT, Wang D, Huang JK, Zhou XM, Yuan X, Liang JP, et al. Modulatory effects of acupuncture on brain networks in mild cognitive impairment patients. Neural Regen Res. 2017;12(2):250-8. https://doi.org/10.4103/1673-5374.200808
  11. Zheng W, Su Z, Liu X, Zhang H, Han Y, Song H, et al. Modulation of functional activity and connectivity by acupuncture in patients with Alzheimer disease as measured by resting-state fMRI. PLoS One. 2018;13(5):e0196933. https://doi.org/10.1371/journal.pone.0196933
  12. Shan Y, Wang JJ, Wang ZQ, Zhao ZL, Zhang M, Xu JY, et al. Neuronal Specificity of Acupuncture in Alzheimer's Disease and Mild Cognitive Impairment Patients: A Functional MRI Study. Evid Based Complement Alternat Med. 2018;2018:7619197.
  13. Reitz C. Alzheimer's disease and the amyloid cascade hypothesis: a critical review. Int J Alzheimers Dis. 2012;2012:369808.
  14. Johnson KA, Fox NC, Sperling RA, Klunk WE. Brain imaging in Alzheimer disease. Cold Spring Harb Perspect Med. 2012;2(4):a006213. https://doi.org/10.1101/cshperspect.a006213
  15. Wise T, Cleare AJ, Herane A, Young AH, Arnone D. Diagnostic and therapeutic utility of neuroimaging in depression: an overview. Neuropsychiatr Dis Treat. 2014;10:1509-22.
  16. Shenton ME, Whitford TJ, Kubicki M. Structural neuroimaging in schizophrenia: from methods to insights to treatments. Dialogues Clin Neurosci. 2010;12(3):317-32. https://doi.org/10.31887/DCNS.2010.12.3/mshenton
  17. Niethammer M, Feigin A, Eidelberg D. Functional neuroimaging in Parkinson's disease. Cold Spring Harb Perspect Med. 2012;2(5):a009274. https://doi.org/10.1101/cshperspect.a009274
  18. Tang Y, Xu A, Shao S, Zhou Y, Xiong B, Li Z. Electroacupuncture Ameliorates Cognitive Impairment by Inhibiting the JNK Signaling Pathway in a Mouse Model of Alzheimer's Disease. Front Aging Neurosci. 2020;12:23. https://doi.org/10.3389/fnagi.2020.00023
  19. Cai M, Lee JH, Yang EJ. Electroacupuncture attenuates cognition impairment viaanti-neuroinflammation in an Alzheimer's disease animal model. J Neuroinflammation. 2019;16(1):264. https://doi.org/10.1186/s12974-019-1665-3