Kininogen-Nitric Oxide Signaling at Nearby Nonexcited Acupoints after Long-Term Stimulation

JID Innov. 2021 Jun 24;1(3):100038. doi: 10.1016/j.xjidi.2021.100038. eCollection 2021 Sep.

Abstract

Acupuncture treatment is based on acupoint stimulation; however, the biological basis is not understood. We stimulated one acupoint with catgut embedding for 8 weeks and then used isobaric tags for relative and absolute quantitation to screen proteins with altered expression in adjacent acupoints of Sprague Dawley rats. We found that kininogen expression was significantly upregulated in the stimulated and the nonstimulated adjacent acupoints along the same meridian. The enhanced kininogen expression was meridian dependent and was most apparent among small vessels in the subcutaneous layer. Enhanced signals of nitric oxide synthases, cGMP-dependent protein kinase, and myosin light chain were also observed at the nonstimulated adjacent acupoints along the same meridian. These findings uncover biological changes at acupoints and suggest the critical role of the kininogen-nitric oxide signaling pathway in acupoint activation.

Keywords: CEP, catgut embedding; KNG, kininogen; MLC, myosin light chain; NO, nitric oxide; NOS, nitric oxide synthase; PKG, protein kinase G; iTRAQ, isobaric tags for relative and absolute quantitation; sCEP, sham catgut embedding.