Evidence map›Paper›PMID 41764545›Full record

ArticleChinese medicine2026

A top-down neural circuit for affective-motivational responses of pain relief induced by electroacupuncture.

Hui Liu, Xin Jia, Zouqin Huang, Yong Xia, Jun Rong, Meiyu Chen, Can Wang, Chuan Qin, Jiaqi Lu, Qiuyong Li and 3 more

Abstract read
In one paragraph

Article in Chinese medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

1 citing paper in PubMed.

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4 · The record

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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

13 authors.

Hui Liu *Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Xin Jia *Department of Neurology and Neurological Rehabilitation, Shanghai Yangzhi Rehabilitation Hospital, School of Medicine, Tongji University, Shanghai, 201619, China.
Zouqin Huang *Shanghai Pudong New Area Hospital of Traditional Chinese Medicine, Shanghai, 201300, China.
Yong Xia *Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Jun RongHangzhou Red Cross Hospital, Hangzhou, 310003, China.
Meiyu ChenShanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Can WangShanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Chuan QinShanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Jiaqi LuShanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Qiuyong LiShanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Xueyong ShenShanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. sxy1@shutcm.edu.cn.
Ling ZhangDepartment of Neurology and Neurological Rehabilitation, Shanghai Yangzhi Rehabilitation Hospital, School of Medicine, Tongji University, Shanghai, 201619, China. lzhang0808@tongji.edu.cn.
Sheng LiuShanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. liusheng@shutcm.edu.cn.

Funding

Famous Traditional Chinese Medicine Studio Construction Project of Shanghai Pudong New Area Health Commission PDZY-2025-0707National Natural Science Foundation of China 32271058National Natural Science Foundation of China 81873379New Quality Clinical Specialty Program of High-end Medical Disciplinary Construction in Shanghai Pudong New Area 2025-PWXZ-17Shanghai Key Laboratory of acupuncture mechanism and acupoint function 21DZ2271800Shanghai Natural Science Foundation 24ZR1466300
6 · The paper itself

Abstract

backgroundPeripheral neuromodulation, which can be considered as a flow of signals from the body to the brain, influences mental and psychological states. However, whether peripheral neuromodulation, particularly electroacupuncture (EA), may regulate specific neural circuits and evoke affective‒motivational responses remains elusive. Here, we investigate the affective-motivational responses of pain relief following the application of EA in human and animal models in the context of pain.

methodsThe conditioned place preference (CPP), open field test and elevated plus maze tests were used to examine the affective‒motivational responses of pain relief induced by EA in different animal models of pain. EA at acupoint ST36 (2 Hz) was administered. Multi‒electrode array recording, optogenetics, retrograde neuronal tracing, chemogenetics and immunohistochemistry were used to explore the neural circuit mechanisms involved. rAAV virus were used to identify the target projection neurons. A battery of self-report questionnaire was used to assess affective‒motivational responses after EA in patients with chronic low back pain.

resultsEA analgesia induced CPP only in pain states in different animal models of pain. Chronic pain induced negative affective valence of pain. EA attenuated anxious- or depressive-like behaviors in spared nerve injury (SNI) rats. EA robustly activated glutamatergic neurons in the infralimbic cortex (IL) in a pain-dependent manner. The optogenetic activation of IL glutamatergic (IL

conclusionsThese results illustrate an example in which the emotional dimension of pain is directly influenced through the peripheral neuromodulation and provide the basis for the use of EA to target top down neural circuits to relieve chronic pain in psychological and clinical situations.

trial registrationChiCTR1800020029.

Indexed as

Accumbens shellAffective-motivational behaviorsElectroacupunctureGlutamateInfralimbic cortexPain

Identifiers

PMID41764545
PMCPMC12950241

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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.