Evidence map›Paper›PMID 42333817›Full record

ArticlePain research & management2026

Acupuncture Alleviates Neuroinflammation in Chronic Migraine by Modulating Lactobacillus and Its Metabolite Pathways.

Shiqi Sun, Longyao Xu, Yuyan Wang, Shuangyuan Hu, Mingsheng Sun, Jing Yuan, Ling Zhao

Abstract read
In one paragraph

Article in Pain research & management, 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

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

1 citing paper in PubMed.

  1. 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

7 authors.

Shiqi SunAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China, cdutcm.edu.cn.ORCID https://orcid.org/0009-0008-3662-3927
Longyao XuAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China, cdutcm.edu.cn.ORCID https://orcid.org/0009-0004-6622-2623
Yuyan WangAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China, cdutcm.edu.cn.ORCID https://orcid.org/0009-0005-1618-8313
Shuangyuan HuAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China, cdutcm.edu.cn.ORCID https://orcid.org/0000-0002-8379-8454
Mingsheng SunAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China, cdutcm.edu.cn.ORCID https://orcid.org/0000-0002-6748-5087
Jing YuanAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China, cdutcm.edu.cn.ORCID https://orcid.org/0000-0002-6695-163X
Ling ZhaoAcupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China, cdutcm.edu.cn.ORCID https://orcid.org/0000-0002-3955-0072

Funding

National Natural Science Foundation of China 82274664National Natural Science Foundation of China 82430124
6 · The paper itself

Abstract

backgroundChronic migraine (CM) is a highly prevalent and disabling neurological disorder lacking universally effective treatments. Acupuncture has shown significant clinical efficacy, yet its precise mechanisms remain unclear. This study aimed to evaluate the therapeutic effects and underlying mechanisms of acupuncture in CM, integrating gut microbiota and metabolomic analyses. MATERIALS AND

methodsForty-two Sprague-Dawley rats were randomly assigned to seven groups: control (Con), CM model (Mod), acupuncture (Acu), model + probiotics (Mod + Pro), model + antibiotics (Mod + Anti), acupuncture + probiotics (Acu + Pro), and acupuncture + antibiotics (Acu + Anti). CM was induced via subcutaneous nitroglycerin injection. Acupuncture was performed for nine days at bilateral Shuaigu (GB8) and Yanglingquan (GB34) points (20 min/day). Probiotics were administered by oral gavage of a mixed Lactobacillus preparation for 9 days; antibiotics were given as an oral cocktail for 2 weeks premodeling. Pain sensitivity and central inflammation were assessed by behavioral tests and ELISA. Gut microbiota and metabolites were profiled using 16S rDNA sequencing and metabolomics.

resultsAcupuncture alleviated pain hypersensitivity and central inflammation, reversing CM-induced gut dysbiosis, with marked effects on Akkermansia muciniphila and Lactobacillus. Metabolomics identified multiple altered metabolites, with strong correlations between Limosilactobacillus and unclassified_Lactobacillaceae and cis-5-dodecenoic acid and dihydrolipoamide. Network analysis revealed Limosilactobacillus as a core node, suggesting modulation of gut-brain axis signaling via specific metabolic pathways. Exogenous Lactobacillus markedly alleviated hyperalgesia and inflammation in model rats, with further analgesic and anti-inflammatory potentiation when combined with acupuncture.

conclusionAcupuncture may exert antimigraine effects by modulating the Lactobacillus-metabolite-inflammation axis, restoring gut homeostasis, and alleviating pain and neuroinflammation. Probiotic supplementation further supports the role of gut microbiota in mediating acupuncture's benefits, offering insight for mechanistic studies and clinical translation.

Indexed as

Acupuncture TherapyGastrointestinal MicrobiomeLactobacillusMigraine DisordersNeuroinflammatory DiseasesAnimalsChronic DiseaseDisease Models, AnimalMaleProbioticsRatsRats, Sprague-Dawleychronic migrainegut–brain axisgut microbiotaLactobacillusmetabolomics

Identifiers

PMID42333817
PMCPMC13287961

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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.