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[Effect of ZHU Lian's acupuncture stimulation method on neurological function in rats with ischemic stroke based on the miR-34a-5p/YWHAG pathway].

Zhongguo zhen jiu = Chinese acupuncture & moxibustionยทMarch 2026ยทYang Zhai, Fang Li, Han Wang et al.
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Key Finding

Zhu Lian's acupuncture method improved neurological function and reduced brain infarct size in stroke model rats by downregulating miR-34a-5p and upregulating YWHAG protein expression, demonstrating efficacy comparable to standard pharmaceutical intervention.

What This Means For You

Researchers in China studied whether a specific acupuncture technique developed by Dr. Zhu Lian could help rats recover from strokes. The study looked at how this acupuncture method affects both neurological function and specific molecular pathways in the brain that are involved in stroke recovery. The research team used 72 rats, creating stroke models in most of them and then dividing them into groups receiving different treatments. The acupuncture group received treatment at specific points including Shuigou (GV26), Baihui (GV20), Dazhui (GV14), and bilateral Neiguan (PC6) and Hegu (LI4) using Zhu Lian's stimulation method. Treatments were given daily for 5 days, followed by 2 days of rest, continuing for 21 days total. The results showed that acupuncture significantly improved neurological function in the stroke-affected rats. Specifically, it reduced brain infarct size, decreased neuronal death, and lowered inflammation markers compared to untreated rats. The researchers discovered that acupuncture works by regulating a specific molecular pathway called miR-34a-5p/YWHAG, which appears to play an important role in protecting brain cells after stroke. The acupuncture treatment performed similarly to nimodipine, a standard medication used for stroke. While this is animal research and cannot be directly applied to human stroke treatment, it provides scientific evidence for potential mechanisms by which acupuncture might support neurological recovery. If considering acupuncture for stroke recovery, work with a licensed acupuncturist experienced in neurological conditions and coordinate care with your medical team.

Clinical Notes for Practitioners

This preclinical study investigated Zhu Lian's acupuncture stimulation method in ischemic stroke model rats (n=50 across 5 treatment groups, plus 10 sham controls). Acupuncture was applied at GV26, GV20, GV14, bilateral PC6, and LI4 using Zhu Lian's technique, administered daily for 5 days with 2-day intervals over 21 days. The acupuncture group demonstrated significant improvements compared to model controls: reduced Zea-Longa scores, decreased infarct volume percentage, lower neuronal apoptosis rates, and reduced inflammatory markers (IL-6, TNF-ฮฑ). Molecular analysis revealed acupuncture downregulated miR-34a-5p expression and upregulated YWHAG mRNA and protein levels. Dual-luciferase assay confirmed miR-34a-5p directly targets YWHAG. When miR-34a-5p agonist was administered, it reversed acupuncture's neuroprotective effects, confirming mechanistic involvement of the miR-34a-5p/YWHAG pathway. Treatment efficacy was comparable to nimodipine (10.8 mg/kg). Clinical relevance: This study provides molecular evidence for acupuncture's neuroprotective mechanisms in stroke, supporting its potential as adjunctive therapy in neurological rehabilitation protocols.

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