Evidence map›Paper›PMID 35315239›Full record

ArticleBrain and behavior2022

Direct moxibustion exerts an analgesic effect on cervical spondylotic radiculopathy by increasing autophagy via the Act A/Smads signaling pathway.

Hui-Qian Cai, Xin-Ying Lin, Hai-Yan Chen, Xi Zhang, Yuan-Yuan Lin, Shan-Na Pan, Mei-Xiang Qin, Sheng-Yong Su

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. A narrative review of autophagy in migraine.Frontiers in neuroscience · 2025
    Review
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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

8 authors at 2 institutions in 1 country.

Hui-Qian CaiDepartment of Rehabilitation, The First Affiliated Hospital, Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi Province, China.ORCID 0000-0002-0720-5709
Xin-Ying LinDepartment of First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi Province, China.
Hai-Yan ChenDepartment of Nursing, The First Affiliated Hospital, Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi Province, China.
Xi ZhangDepartment of First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi Province, China.
Yuan-Yuan LinDepartment of First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi Province, China.
Shan-Na PanDepartment of First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi Province, China.
Mei-Xiang QinDepartment of First School of Clinical Medicine, Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi Province, China.
Sheng-Yong SuDepartment of Acupuncture and Moxibustion, The First Affiliated Hospital, Guangxi University of Traditional Chinese Medicine, Nanning, Guangxi Province, China.
Guangxi University · CNThe First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDirect moxibustion (DM) is reported to be useful for cervical spondylotic radiculopathy (CSR), but the analgesic mechanism remains unknown. Autophagy plays a protective role in neuronal apoptosis, Act A/Smads signaling pathway has been confirmed to be associated with the activation of autophagy. The study aimed to explore the effect of DM on autophagy in rats with CSR and the involvement of Act A/Smads signaling pathway.

methodsRats were randomly divided into Sham, CSR, CSR + DM, CSR + DM + 3-MA (PI3K inhibitor), and CSR + DM + SB (Act A inhibitor) group. Three days after establishment of CSR model with a fish line inserted under the axilla of the nerve roots, DM at Dazhui (GV14) was performed six times once for seven consecutive days. Western blot and immunofluorescence staining were used to observe the expression of the neuronal autophagy molecule LC3II/I, Atg7, and Act A/Smads signaling molecule Act A, p-Smad2, and p-Smad3. Bcl-2/Bax mRNA expression was measured by real time PCR.

resultsDM improved the pain threshold and motor function of CSR rats and promoted the expression of Act A, p-Smad2, p-Smad3, LC3II/I, and Atg7 in the entrapped-nerve root spinal dorsal horn. DM reduced the expression of Bax mRNA and decreased the number of apoptotic neurons. 3-MA and Act A inhibitor SB suppressed the expression of above-mentioned proteins and reduced the protective effect of DM on apoptotic neurons.

conclusionDM exerts analgesic effects by regulating the autophagy to reduce cell apoptosis and repair nerve injury, and this feature may be related to the Act A/Smads signaling pathway.

Indexed as

MoxibustionRadiculopathySpondylosisAnimalsAutophagybcl-2-Associated X ProteinPhosphatidylinositol 3-KinasesRatsRNA, MessengerSignal Transductionbcl-2-Associated X ProteinPhosphatidylinositol 3-KinasesRNA, MessengerAct A/Smads signaling pathwayATG 7 apoptosisautophagycervical spondylosis radiculopathydirect moxibustionLC3nerve regeneration

Identifiers

PMID35315239
PMCPMC9014986
OpenAlexW4220876121

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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.