Evidence map›Paper›PMID 41281566›Full record

SynthesisFrontiers in neurology2025

Acupuncture improves blood-brain barrier integrity through multi-targeted mechanisms: a preclinical meta-analysis.

Kexing Zhang, Ying Liang, Yinxin Wang, Tong Yin, Kangwen Ming

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

5 authors.

Kexing ZhangMedical College of Acupuncture-Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, China.
Ying LiangMedical College of Acupuncture-Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, China.
Yinxin WangGuangzhou University of Chinese Medicine, Guangzhou, China.
Tong YinGuangzhou University of Chinese Medicine, Guangzhou, China.
Kangwen MingDepartment of Acupuncture and Rehabilitation, The Affiliated Traditional Chinese Medicine Hospital of Guangzhou Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The objective of this study is to assess the impact of acupuncture regarding Blood-Brain barrier (BBB) permeability and provide a data foundation for clinical practice. Methods: A database search was carried out in PubMed, Embase, Cochrane Library, and Web of Science to collect controlled animal experiments that investigated the impact of acupuncture on BBB permeability. BBB permeability was primarily assessed by indicators such as Evans Blue (EB) extravasation. The SYRCLE risk-of-bias tool was utilized to assess the quality of the comprised studies, and statistical software was employed for data evaluation. For continuous outcomes, a random-effects model was used to calculate pooled standardized mean differences (SMD) with 95% confidence intervals (CI), and heterogeneity was quantified using the Results: Thirty-two papers were incorporated. Outcomes from the meta-analysis showed that acupuncture significantly reduced the EB leakage in brain tissue (SMD = -0.65, 95% CI [-0.94, -0.37], Conclusion: acupuncture may improve BBB integrity by means of multiple mechanisms, including the enhancement of tight junction protein production in endothelial cells, inhibiting MMP-9 mediated extracellular matrix (ECM) degradation, modulating glial cell activation and inflammatory responses, and downregulating AQP4-dependent edema. Systematic review registration: https://inplasy.com/inplasy-2025-2-0102/, identifier: INPLASY202520102.

Indexed as

acupunctureblood–brain barriermeta-analysisneuroinflammationtight junction

Identifiers

PMID41281566
PMCPMC12636094

What OpenQuestion holds

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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.