Journal
NEUROGASTROENTEROLOGY AND MOTILITY
Volume 31, Issue 1, Pages -Publisher
WILEY
DOI: 10.1111/nmo.13474
Keywords
autonomic functions; chemotherapy-associated dyspeptic syndrome; electroacupuncture; gastric slow wave; gastrointestinal motility
Funding
- Shannxi National Science Foundation [2018JM7148]
- Shannxi Traditional Chinese Medicine administration Foundation [JCMS004]
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Background Chemotherapy-associated dyspepsia syndrome (CADS) is among the most intensive side effects and critical concerns for patients with cancer. To investigate the effects and mechanisms of chronic electroacupuncture (EA) at ST36 on chemotherapy-associated dyspeptic symptoms (CADS) in rats. Methods Cisplatin (8 mg/kg, ip) was given once to establish CADS model. EA or sham-EA treatment was then performed one hour daily for 21 days. Key Results (a) EA treatment decreased kaolin intake within 24 hours (1.67 +/- 0.23 g vs 2.36 +/- 0.37 g in sham-EA, P < 0.05); EA increased food intake (9.43 +/- 2.28 vs 4.32 +/- 1.26 in sham-EA, P < 0.05) and cisplatin-induced reduction of body weight (426.38 +/- 13.25 vs 407.92 +/- 13.26 in sham-EA, P = 0.05). (b) The incidence of normal behavioral satiety sequence (53%) in EA group was greater than that in sham-EA (32%) group (X-2 = 17.68, P < 0.01). (c) EA increased the percentage of normal gastric slow waves (82.6 +/- 5.98 vs 22.8 +/- 1.90 in sham-EA, P < 0.05). (d) EA normalized cisplatin delayed gastric emptying (71.3% +/- 6.8% vs 44.6% +/- 11.2% in control, P < 0.05). (e) EA decreased ratio of heart rate variability (0.30 +/- 0.03 vs 0.56 +/- 0.05 in sham-EA, P < 0.05). (f) EA decreased fasting ghrelin, glucagon-like peptide-1 and peptide YY (P < 0.01 vs sham-EA for all). Conclusions and Inferences Chronic EA ameliorates dyspepsia symptom and improves gastric dysmotility induced by Cisplatin, mediated via the vagal and gastrointestinal hormonal mechanisms.
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