Evidence map›Paper›PMID 26628909›Full record

ArticleChinese medicine2015

What do we understand from clinical and mechanistic studies on acupuncture treatment for hypertension?

Ling Cheng, Peng Li, Stephanie Cheeyee Tjen-A-Looi, John Charles Longhurst

Open access · goldAbstract read
In one paragraph

Article in Chinese medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Spotlight on acupuncture in laboratory animal medicine.Veterinary medicine (Auckland, N.Z.) · 2017
    Review
  13. Lifestyle Approaches to White Coat Hypertension.American journal of lifestyle medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Ling ChengDepartment of Acupuncture, East Hospital, Shanghai, China.
Peng LiSusan-Samueli Center for Integrative Medicine, School of Medicine, University of California, Irvine, USA.
Stephanie Cheeyee Tjen-A-LooiSusan-Samueli Center for Integrative Medicine, School of Medicine, University of California, Irvine, USA.
John Charles LonghurstSusan-Samueli Center for Integrative Medicine, School of Medicine, University of California, Irvine, USA.
University of California, Irvine · USShanghai East Hospital · CN

Funding

University of California Health Participation in the National COVID Cohort Collaborative (N3C)UL1TR001414 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M, VILAIN, ERIC J. · 2015 to 2023
$35.1M
Institute for Clinical and Translational ScienceUL1TR000153 · NCATS · UNIVERSITY OF CALIFORNIA-IRVINE · PI COOPER, DAN M · 2012 to 2015
$12.1M
Neural Substrates of Electroacupuncture in Cardiovascular ControlR01HL072125 · NHLBI · UNIVERSITY OF CALIFORNIA-IRVINE · PI MALIK, SHAISTA, TJEN-A-LOOI, STEPHANIE CHEE-YEE · 2003 to 2016
$5.3M
Mechanisms of CNS Autonomic Regulation by EAR01HL063313 · NHLBI · UNIVERSITY OF CALIFORNIA-IRVINE · PI LONGHURST, JOHN C · 2000 to 2013
$4.0M
NCATS NIH HHS UL1 TR000153NCATS NIH HHS UL1 TR001414NHLBI NIH HHS R01 HL063313NHLBI NIH HHS R01 HL072125
6 · The paper itself

Abstract

The outcome of acupuncture on hypertension treatment is inconclusive. This study aims to evaluate the influence of acupuncture on hypertension, based on findings from mechanistic studies over the course of decades particularly those conducted at the University of California, Irvine. Low-current and low-frequency electroacupuncture (EA) at P5-6 (overlying the median nerve) and S36-37 (overlying the deep peroneal nerve) reduced high blood pressure in a subset of patients (~70 %) with mild-to-moderate hypertension, in a slow-onset (4-8 weeks) but long-lasting (1-2 months) manner. EA inhibited cardiovascular sympathoexcitatory neurons through activation of neurons in the arcuate nucleus of the hypothalamus, the ventrolateral periaqueductal gray in the midbrain and the nucleus raphe pallidus in the medulla, through inhibiting the activity of premotor sympathetic neurons in the rostral ventrolateral medulla (rVLM). Several neurotransmitters such as glutamate, acetylcholine, opioids, GABA, nociceptin, serotonin and endocannabinoids were involved in this EA-induced hypotensive response. The long-lasting inhibition of hypertension induced by EA was related to opioids and GABA in the rVLM, neural circuitry between the arcuate and ventrolateral periaqueductal gray, and prolongation of the increase in preproenkephalin mRNA levels and enkephalin levels in the rVLM and arcuate. Moreover, the long-lasting inhibition of sympathetic activity by EA was confirmed in EA-treated hypertensive patients with decreased levels of norepinephrine, renin and aldosterone.

Identifiers

PMID26628909
PMCPMC4666174
OpenAlexW2181485695

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.