Protective Effect of Electroacupuncture on Chemotherapy-Induced Salivary Gland Hypofunction in a Mouse Model

Radiotherapy and chemotherapy can impair salivary gland (SG) function, which causes xerostomia and exacerbate other side effects of chemotherapy and oral infection, reducing patients’ quality of life. This animal study aimed to assess the efficacy of electroacupuncture (EA) as a means of preventing...

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Main Authors: Thanh-Hien Vu Nguyen, Kuo-Chou Chiu, Yin-Hwa Shih, Chung-Ji Liu, Tran Van Bao Quach, Shih-Min Hsia, Yi-Hung Chen, Tzong-Ming Shieh
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/14/11654
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author Thanh-Hien Vu Nguyen
Kuo-Chou Chiu
Yin-Hwa Shih
Chung-Ji Liu
Tran Van Bao Quach
Shih-Min Hsia
Yi-Hung Chen
Tzong-Ming Shieh
author_facet Thanh-Hien Vu Nguyen
Kuo-Chou Chiu
Yin-Hwa Shih
Chung-Ji Liu
Tran Van Bao Quach
Shih-Min Hsia
Yi-Hung Chen
Tzong-Ming Shieh
author_sort Thanh-Hien Vu Nguyen
collection DOAJ
description Radiotherapy and chemotherapy can impair salivary gland (SG) function, which causes xerostomia and exacerbate other side effects of chemotherapy and oral infection, reducing patients’ quality of life. This animal study aimed to assess the efficacy of electroacupuncture (EA) as a means of preventing xerostomia induced by 5−fluorouracil (5−FU). A xerostomia mouse model was induced via four tail vein injections of 5−FU (80 mg/kg/dose). EA was performed at LI4 and LI11 for 7 days. The pilocarpine-stimulated salivary flow rate (SFR) and salivary glands weight (SGW) were recorded. Salivary immunoglobulin A (SIgA) and lysozyme were determined via enzyme-linked immunosorbent assay (ELISA). SG was collected for hematoxylin and eosin staining to measure acini number and acinar cell size. <i>Tumor necrosis factor</i>-<i>α (TNF</i>-<i>α)</i>, <i>interleukin</i>-<i>1β (IL</i>-<i>1β)</i>, and <i>aquaporin 5 (AQP5)</i> mRNA expressions in SG were quantified via RT-qPCR. 5−FU caused significant decreases in SFR, SGW, SIgA, lysozyme, <i>AQP5</i> expression, and acini number, while <i>TNF-α</i> and <i>IL-1β</i> expressions and acinar cell size were significantly increased. EA treatment can prevent 5−FU damage to the salivary gland, while pilocarpine treatment can only elevate SFR and AQP5 expression. These findings provide significant evidence to support the use of EA as an alternative treatment for chemotherapy-induced salivary gland hypofunction and xerostomia.
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spelling doaj.art-4aab1ea3a62a4622a893494ff03427042023-11-18T19:42:50ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-07-0124141165410.3390/ijms241411654Protective Effect of Electroacupuncture on Chemotherapy-Induced Salivary Gland Hypofunction in a Mouse ModelThanh-Hien Vu Nguyen0Kuo-Chou Chiu1Yin-Hwa Shih2Chung-Ji Liu3Tran Van Bao Quach4Shih-Min Hsia5Yi-Hung Chen6Tzong-Ming Shieh7Graduate Institute of Acupuncture Science, China Medical University, Taichung 40402, TaiwanDivision of Oral Diagnosis and Family Dentistry, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, TaiwanDepartment of Healthcare Administration, Asia University, Taichung 41354, TaiwanDepartment of Oral and Maxillofacial Surgery, MacKay Memorial Hospital, Taipei 10449, TaiwanSchool of Dentistry, China Medical University, Taichung 40402, TaiwanSchool of Nutrition and Health Sciences, Taipei Medical University, Taipei 110301, TaiwanGraduate Institute of Acupuncture Science, China Medical University, Taichung 40402, TaiwanSchool of Dentistry, China Medical University, Taichung 40402, TaiwanRadiotherapy and chemotherapy can impair salivary gland (SG) function, which causes xerostomia and exacerbate other side effects of chemotherapy and oral infection, reducing patients’ quality of life. This animal study aimed to assess the efficacy of electroacupuncture (EA) as a means of preventing xerostomia induced by 5−fluorouracil (5−FU). A xerostomia mouse model was induced via four tail vein injections of 5−FU (80 mg/kg/dose). EA was performed at LI4 and LI11 for 7 days. The pilocarpine-stimulated salivary flow rate (SFR) and salivary glands weight (SGW) were recorded. Salivary immunoglobulin A (SIgA) and lysozyme were determined via enzyme-linked immunosorbent assay (ELISA). SG was collected for hematoxylin and eosin staining to measure acini number and acinar cell size. <i>Tumor necrosis factor</i>-<i>α (TNF</i>-<i>α)</i>, <i>interleukin</i>-<i>1β (IL</i>-<i>1β)</i>, and <i>aquaporin 5 (AQP5)</i> mRNA expressions in SG were quantified via RT-qPCR. 5−FU caused significant decreases in SFR, SGW, SIgA, lysozyme, <i>AQP5</i> expression, and acini number, while <i>TNF-α</i> and <i>IL-1β</i> expressions and acinar cell size were significantly increased. EA treatment can prevent 5−FU damage to the salivary gland, while pilocarpine treatment can only elevate SFR and AQP5 expression. These findings provide significant evidence to support the use of EA as an alternative treatment for chemotherapy-induced salivary gland hypofunction and xerostomia.https://www.mdpi.com/1422-0067/24/14/11654xerostomiasalivary hypofunctionchemotherapy5-fluorouracilinflammationacupuncture
spellingShingle Thanh-Hien Vu Nguyen
Kuo-Chou Chiu
Yin-Hwa Shih
Chung-Ji Liu
Tran Van Bao Quach
Shih-Min Hsia
Yi-Hung Chen
Tzong-Ming Shieh
Protective Effect of Electroacupuncture on Chemotherapy-Induced Salivary Gland Hypofunction in a Mouse Model
International Journal of Molecular Sciences
xerostomia
salivary hypofunction
chemotherapy
5-fluorouracil
inflammation
acupuncture
title Protective Effect of Electroacupuncture on Chemotherapy-Induced Salivary Gland Hypofunction in a Mouse Model
title_full Protective Effect of Electroacupuncture on Chemotherapy-Induced Salivary Gland Hypofunction in a Mouse Model
title_fullStr Protective Effect of Electroacupuncture on Chemotherapy-Induced Salivary Gland Hypofunction in a Mouse Model
title_full_unstemmed Protective Effect of Electroacupuncture on Chemotherapy-Induced Salivary Gland Hypofunction in a Mouse Model
title_short Protective Effect of Electroacupuncture on Chemotherapy-Induced Salivary Gland Hypofunction in a Mouse Model
title_sort protective effect of electroacupuncture on chemotherapy induced salivary gland hypofunction in a mouse model
topic xerostomia
salivary hypofunction
chemotherapy
5-fluorouracil
inflammation
acupuncture
url https://www.mdpi.com/1422-0067/24/14/11654
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