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(单词翻译:双击或拖选)
Finding could lead to more effective, longer-lasting pain treatment
Faith Lapidus | Washington, DC 07 June 2010
Researchers are closer to unlocking the mysteries of acupuncture1, learning more about why the ancient Chinese needle treatment eases pain.
Scientists have taken another important step toward understanding how acupuncture — the ancient Chinese form of needle therapy — actually eases pain. The technique has been used as a medical treatment for thousands of years, but Western medicine has been slow to adopt the practice, in part because no one could explain how it worked.
One theory was that sticking needles into certain points on the body stimulated2 the central nervous system to release natural pain-killing endorphins in the brain. But Dr. Maiken Nedergaard, a neuroscientist at the University of Rochester Medical Center in New York, saw a problem with that explanation.
"If you have pain in the leg or in the arm, you give acupuncture close to where you have the pain," she explains. "So, a central mechanism3 can't explain that, because [then it] wouldn't matter where you give the acupuncture. So we felt there had to be a local mechanism and that's why we looked into adenosine."
Prodding4 a natural anesthetic5 into action
Adenosine is a natural pain killer6 in our cells, which works like a local anesthetic. It's released after an injury, and inhibits7 nerve signals so the brain never receives the painful messages. Nedergaard explains that an acupuncture needle starts that process.
"In these cells — the muscle cell and the skin cell — they contain adenosine, but normally they don't release it. But the needle...you can look at it as a small injury. It's not really painful, but still injures many cells," says Nedergaard. "As soon as adenosine is released it is very potent8, so even if a few cells are damaged, it would give rise to a fairly substantial amount of adenosine release and reduction of pain."
Acupuncture's effectiveness as a painkiller9 has sometimes been attributed to the placebo10 effect; patients with chronic11 pain expect the procedure to work, and so they feel better after a treatment, even if their pain is not actually lessened12.
Nedergaard and her team worked with mice, who, she points out, have no expectations, so their data has not been compromised by the placebo effect. The mice had discomfort13 in one paw. The researchers measured the level of pain before and after an acupuncture treatment by touching14 the paw with a filament15 and measuring the difference in reaction time.
Nedergaard says understanding the biological basis of acupuncture's effects can lead to improved results.
"Chronic pain is a big issue for patients. We don't have very good painkillers16 for a very large number of patients and they very often get acupuncture treatment," she says. "So, knowing that adenosine is at least one of the mediators of the painkilling17 effect of acupuncture, you can go in and simply slow the removal of adenosine and thereby18 the painkilling effect of acupuncture would last longer."
More than three times longer, Nedergaard found. She says participants at the Purines 2010 scientific meeting in Barcelona, where she presented her team's results, were excited about the findings.
"I think for the field itself, it is very easy to accept because the different steps in the [adenosine] pathway have all been described before. It's always been known that small injury gives rise (to) adenosine release, and it's also been known that adenosine is a painkiller. We just put it together that acupuncture is also injury and you get adenosine release."
Nedergaard is also excited because the drug they used to slow the removal of adenosine — a cancer medication called deoxycoformycin — is already approved by the U.S. government, so human trials may begin soon.
1 acupuncture | |
n.针灸,针刺法,针疗法 | |
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2 stimulated | |
a.刺激的 | |
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3 mechanism | |
n.机械装置;机构,结构 | |
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4 prodding | |
v.刺,戳( prod的现在分词 );刺激;促使;(用手指或尖物)戳 | |
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5 anesthetic | |
n.麻醉剂,麻药;adj.麻醉的,失去知觉的 | |
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6 killer | |
n.杀人者,杀人犯,杀手,屠杀者 | |
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7 inhibits | |
阻止,抑制( inhibit的第三人称单数 ); 使拘束,使尴尬 | |
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8 potent | |
adj.强有力的,有权势的;有效力的 | |
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9 painkiller | |
n.止痛药 | |
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10 placebo | |
n.安慰剂;宽慰话 | |
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11 chronic | |
adj.(疾病)长期未愈的,慢性的;极坏的 | |
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12 lessened | |
减少的,减弱的 | |
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13 discomfort | |
n.不舒服,不安,难过,困难,不方便 | |
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14 touching | |
adj.动人的,使人感伤的 | |
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15 filament | |
n.细丝;长丝;灯丝 | |
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16 painkillers | |
n.止痛药( painkiller的名词复数 ) | |
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17 painkilling | |
[医]止痛的 | |
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18 thereby | |
adv.因此,从而 | |
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