Evidence map›Paper›PMID 40842100›Full record

SynthesisBrain and behavior2025

Experimental Evidence on Acupuncture Targeting Ferroptosis for Neurological Function Improvement in Cerebral Stroke: A Systematic Review and Meta-Analysis.

Wenyu Zhang, Xiaoxi Liu, Xuyang Feng, Donglei Lu, Ruiyu Li, Haizhen Guo, Kun Nie, Xuezhu Zhang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Phytochemical and Anti-Ischemic Stroke Properties from theDrug design, development and therapy · 2026
    Review
  3. Review
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.

Wenyu ZhangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.ORCID https://orcid.org/0000-0001-7831-3056
Xiaoxi LiuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Xuyang FengGraduate School, Beijing University of Chinese Medicine, Beijing, China.
Donglei LuCollege of Sports Training, Wuhan Sports University, Wuhan, China.ORCID https://orcid.org/0009-0003-3643-9293
Ruiyu LiBeijing University of Chinese Medicine Shenzhen Hospital (Longgang), Shenzhen, China.
Haizhen GuoTianjin University of Traditional Chinese Medicine, Second Affiliated Hospital, Tianjin, China.
Kun NieFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Xuezhu ZhangFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.ORCID https://orcid.org/0009-0006-9859-0716

Funding

the Project of Acupuncture and Moxibustion Research Institute of National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion No.ZJJBGS2024002-1
6 · The paper itself

Abstract

backgroundAcupuncture, a traditional Chinese medicinal practice, has been studied for its ability to regulate ferroptosis and improve neurological function. This systematic review aimed to evaluate the evidence about the effects of acupuncture on ferroptosis and the improvement of neurological function in animal models of cerebral stroke.

methodsThe research was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA 2020) guidelines. We conducted a literature search in web of science, Embase, Ebsco, PubMed, Cochrane library, China biomedical literature database (CBM), China national knowledge infrastructure (CNKI), Wanfang database (WF), and VIP database for Chinese technical periodicals, covering pertinent studies up to May 30, 2024. The inclusion criteria covered experimental animal models of cerebral stroke that underwent acupuncture interventions (electroacupuncture [EA], manual acupuncture [MA], or moxibustion [Moxi]). The primary outcomes consisted of neurological function scores (Longa, modified neurological severity score [mNSS], Zausinger, Garcia, Ludmila Belayev scores, and levels of brain-derived neurotrophic factor [BDNF]). Secondary outcomes encompassed iron metabolism (iron ion content, ferritin heavy chain 1 [FTH1], transferrin receptor 1 [TFR1]), lipid peroxidation (malondialdehyde [MDA], reactive oxygen species [ROS]), antioxidative parameters (glutathione peroxidase 4 [GPX4], glutathione [GSH], superoxide dismutase [SOD]), and ferroptosis markers (long-chain acyl-CoA synthetase 4 [ACSL4]). Two authors independently evaluated the methodological quality of the included studies utilizing the collaborative approach to meta-analysis and review of animal data from experimental studies (CAMARADES) 10-item checklist.

resultsThe meta-analysis indicated that acupuncture markedly enhanced neurological function scores (Longa, Longa [mNSS], Zausinger, Garcia, Ludmila Belayev) and elevated levels of BDNF, GSH, GPX4, and SOD in animal models of cerebral stroke. Furthermore, it significantly reduced the levels of cerebral iron, FTH1, TFR1, MDA, ROS, and ACSL4.

conclusionsAcupuncture effectively inhibits ferroptosis and enhances neurological function in animal models of cerebral stroke by modulating brain iron metabolism, decreasing lipid peroxidation, and improving brain antioxidant capacity.

Indexed as

Acupuncture TherapyFerroptosisStrokeAnimalsDisease Models, AnimalHumansACSL4acupunctureBDNFcerebral strokeferroptosisGPX4MDAmeta‐analysisneurological functionROS

Identifiers

PMID40842100
PMCPMC12370861

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.