Research on the mechanism of core acupoints in electroacupuncture for functional constipation based on data mining and network acupuncture
AimFunctional Constipation (FC) is a common gastrointestinal disorder that imposes a considerable strain on global health. It negatively impacts the quality of life and results in significant healthcare expenditures. Current treatments, such as lifestyle changes and medications, fail to meet patient...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2024.1482066/full |
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| author | Shun Seng Ong Ting Tang Lianjie Xu Canwei Xu Qi Li Xiaoyue Deng Peihua Shen Yi Chen Yang Song Hai Lu Ling Fang |
| author_facet | Shun Seng Ong Ting Tang Lianjie Xu Canwei Xu Qi Li Xiaoyue Deng Peihua Shen Yi Chen Yang Song Hai Lu Ling Fang |
| author_sort | Shun Seng Ong |
| collection | DOAJ |
| description | AimFunctional Constipation (FC) is a common gastrointestinal disorder that imposes a considerable strain on global health. It negatively impacts the quality of life and results in significant healthcare expenditures. Current treatments, such as lifestyle changes and medications, fail to meet patient satisfaction due to efficacy and safety issues. Electroacupuncture (EA), with its precise stimulation control and standardized protocols, shows promise in FC management. However, optimal EA parameters for FC treatment are yet to be established. Our study reviews EA applications in FC to inform a standardized treatment approach and explore EA’s therapeutic mechanisms.MethodsThis comprehensive study utilized research literature from databases including PubMed, Embase, OVID, Web of Science, the Cochrane Library, CNKI, VIP, and Wanfang to perform a descriptive analysis of acupoint selection and EA parameters. It proceeded to analyze high-frequency acupoint groupings and stimulus parameters, followed by the excavation and analysis of core acupoint prescriptions. Subsequent steps integrated potential target identification for these core formulas, the assembly of a “core acupoint-prescription-target-constipation” network, and the construction of a protein–protein interaction (PPI) network to extract central targets. Additionally, Gene Ontology (GO) and KEGG enrichment analyses were conducted to prognosticate the underlying mechanisms by which EA may exert its therapeutic effects on FC.ResultsIn our study, we analyzed 141EA prescriptions for FC and identified a core set of acupoints including Tianshu (ST25), Fujie (SP14), Shangjuxu (ST37), and Zusanli (ST36) through data mining. The frequency of use was highest for Tianshu (ST25) with 119 occurrences, followed by Fujie (SP14) with 59, Shangjuxu (ST37) with 42, and Zusanli (ST36) with 23. PPI network analysis revealed key targets such as NFKB1, IL6, MyD88, TLR4, TNF, TLR2, and IL1B. GO and KEGG analyses of 49 constipation-associated targets identified 257 BP, 37 CC, and 41 MF terms, and 154 significant pathways, with the top 20 visualized for further analysis.ConclusionThe core acupoint prescription of EA for FC can exert its therapeutic effects by acting on multiple targets and pathways synergistically especially on NFKB1, IL6, MyD88, TLR4, TNF, TLR2, and IL1B. The research findings have preliminarily validated the fundamental effects and related mechanisms of EA parameters and core prescriptions, providing direction for further in-depth exploration of the mechanisms of action. |
| format | Article |
| id | doaj-art-96a440274aaf47c2b51a0eadc6086022 |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-96a440274aaf47c2b51a0eadc60860222024-12-11T14:55:00ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-12-011110.3389/fmed.2024.14820661482066Research on the mechanism of core acupoints in electroacupuncture for functional constipation based on data mining and network acupunctureShun Seng Ong0Ting Tang1Lianjie Xu2Canwei Xu3Qi Li4Xiaoyue Deng5Peihua Shen6Yi Chen7Yang Song8Hai Lu9Ling Fang10Department of Traditional Chinese Medicine, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Chinese Medicine, The Affiliated Taizhou’s People Hospital of Nanjing Medical University, Taizhou, ChinaDepartment of Traditional Chinese Medicine, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Traditional Chinese Medicine, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Traditional Chinese Medicine, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Traditional Chinese Medicine, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Traditional Chinese Medicine, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Traditional Chinese Medicine, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Traditional Chinese Medicine, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Traditional Chinese Medicine, Nanjing Drum Tower Hospital, Clinical College of Nanjing University of Chinese Medicine, Nanjing, ChinaDepartment of Chinese Medicine, The Affiliated Taizhou’s People Hospital of Nanjing Medical University, Taizhou, ChinaAimFunctional Constipation (FC) is a common gastrointestinal disorder that imposes a considerable strain on global health. It negatively impacts the quality of life and results in significant healthcare expenditures. Current treatments, such as lifestyle changes and medications, fail to meet patient satisfaction due to efficacy and safety issues. Electroacupuncture (EA), with its precise stimulation control and standardized protocols, shows promise in FC management. However, optimal EA parameters for FC treatment are yet to be established. Our study reviews EA applications in FC to inform a standardized treatment approach and explore EA’s therapeutic mechanisms.MethodsThis comprehensive study utilized research literature from databases including PubMed, Embase, OVID, Web of Science, the Cochrane Library, CNKI, VIP, and Wanfang to perform a descriptive analysis of acupoint selection and EA parameters. It proceeded to analyze high-frequency acupoint groupings and stimulus parameters, followed by the excavation and analysis of core acupoint prescriptions. Subsequent steps integrated potential target identification for these core formulas, the assembly of a “core acupoint-prescription-target-constipation” network, and the construction of a protein–protein interaction (PPI) network to extract central targets. Additionally, Gene Ontology (GO) and KEGG enrichment analyses were conducted to prognosticate the underlying mechanisms by which EA may exert its therapeutic effects on FC.ResultsIn our study, we analyzed 141EA prescriptions for FC and identified a core set of acupoints including Tianshu (ST25), Fujie (SP14), Shangjuxu (ST37), and Zusanli (ST36) through data mining. The frequency of use was highest for Tianshu (ST25) with 119 occurrences, followed by Fujie (SP14) with 59, Shangjuxu (ST37) with 42, and Zusanli (ST36) with 23. PPI network analysis revealed key targets such as NFKB1, IL6, MyD88, TLR4, TNF, TLR2, and IL1B. GO and KEGG analyses of 49 constipation-associated targets identified 257 BP, 37 CC, and 41 MF terms, and 154 significant pathways, with the top 20 visualized for further analysis.ConclusionThe core acupoint prescription of EA for FC can exert its therapeutic effects by acting on multiple targets and pathways synergistically especially on NFKB1, IL6, MyD88, TLR4, TNF, TLR2, and IL1B. The research findings have preliminarily validated the fundamental effects and related mechanisms of EA parameters and core prescriptions, providing direction for further in-depth exploration of the mechanisms of action.https://www.frontiersin.org/articles/10.3389/fmed.2024.1482066/fullelectroacupunctureFunctional Constipation (FC)data miningnetwork acupunctureassociation analysis |
| spellingShingle | Shun Seng Ong Ting Tang Lianjie Xu Canwei Xu Qi Li Xiaoyue Deng Peihua Shen Yi Chen Yang Song Hai Lu Ling Fang Research on the mechanism of core acupoints in electroacupuncture for functional constipation based on data mining and network acupuncture Frontiers in Medicine electroacupuncture Functional Constipation (FC) data mining network acupuncture association analysis |
| title | Research on the mechanism of core acupoints in electroacupuncture for functional constipation based on data mining and network acupuncture |
| title_full | Research on the mechanism of core acupoints in electroacupuncture for functional constipation based on data mining and network acupuncture |
| title_fullStr | Research on the mechanism of core acupoints in electroacupuncture for functional constipation based on data mining and network acupuncture |
| title_full_unstemmed | Research on the mechanism of core acupoints in electroacupuncture for functional constipation based on data mining and network acupuncture |
| title_short | Research on the mechanism of core acupoints in electroacupuncture for functional constipation based on data mining and network acupuncture |
| title_sort | research on the mechanism of core acupoints in electroacupuncture for functional constipation based on data mining and network acupuncture |
| topic | electroacupuncture Functional Constipation (FC) data mining network acupuncture association analysis |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2024.1482066/full |
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