1.甘肃中医药大学针灸推拿学院,兰州 730000
2.甘肃中医药大学附属医院针灸中心,兰州 730000
Received:28 August 2026,
Revised:2026-09-29,
Accepted:09 October 2026,
Published:23 October 2026
移动端阅览
Li Xing,Liu Cui,Wei Long,et al.Research progress on acupuncture in treating ischemic stroke via novel regulated cell death modalities[J].Journal of Chongqing Medical University,
Li Xing,Liu Cui,Wei Long,et al.Research progress on acupuncture in treating ischemic stroke via novel regulated cell death modalities[J].Journal of Chongqing Medical University, DOI:10.13406/j.cnki.cyxb..
缺血性卒中(ischemic stroke,IS)是一种高发病率、高致残率、高死亡率的脑血管疾病,严重危害人类健康。针刺作为中医特色疗法,可有效改善IS后神经功能缺损,但分子机制未明。细胞死亡是IS的核心病理环节,而焦亡、铁死亡、铜死亡及双硫死亡等新型细胞死亡方式的发现,为揭示针刺作用机制提供了新视角。本文系统综述针刺调控上述新型细胞死亡方式的机制及其在治疗IS中的研究进展,同时分析当前研究的局限性及未来发展方向,以期为针刺通过调控细胞死亡治疗IS提供理论依据和研究思路。
Ischemic stroke(IS) is a cerebrovascular disease characterized by high incidence,disability,and mortality rates,which seriously endangers human health. Acupuncture,a characteristic therapy of traditional Chinese medicine,can effectively ameliorate neurological deficits after IS,yet its molecular mechanisms remain unclear. Cell death constitutes a core pathological event in IS. The discovery of novel regulated cell death modalities including pyroptosis,ferroptosis,cuproptosis,and disulfidptosis provides a new perspective for elucidating the mechanisms underlying acupuncture. This paper systematically reviews the research progress on the mechanisms of acupuncture in regulating the above-mentioned novel cell death modalities for the treatment of IS,analyzes the limitations of existing studies,and outlines future research directions,so as to provide a theoretical basis and research ideas for the application of acupuncture targeting cell death in IS treatment.
董佳豪 , 高子涵 , 韩 飞 , 等 . 脂质体递送神经保护剂治疗缺血性脑卒中的研究进展 [J ] . 中国中药杂志 , 2025 , 50 ( 22 ): 6205 - 6214 .
Dong JH , Gao ZH , Han F , et al . Advances in liposome-delivered neuroprotective agents in treatment of ischemic stroke [J ] . China J Chin Mater Med , 2025 , 50 ( 22 ): 6205 - 6214 .
张 彤 , 解品慧 , 于建星 , 等 . 1990—2023年中国缺血性脑卒中疾病负担及未来趋势预测 [J ] . 实用心脑肺血管病杂志 , 2026 , 34 ( 10 ): 11 - 16,22 .
Zhang T , Xie PH , Yu JX , et al . Disease burden of ischemic stroke in China from 1990 to 2023 and its trend prediction [J ] . Pract J Card Cereb Pneumal Vasc Dis , 2026 , 34 ( 10 ): 11 - 16,22 .
谷利洋 , 宗丽萍 , 郑闪闪 , 等 . Bobath技术联合针刺疗法在缺血性脑卒中的应用 [J ] . 实用中西医结合临床 , 2025 , 25 ( 5 ): 107 - 110 .
Guli Y , Zong LP , Zheng SS , et al . Application of Bobath technique combined with acupuncture therapy in ischemic stroke [J ] . Pract Clin J Integr Tradit Chin West Med , 2025 , 25 ( 5 ): 107 - 110 .
Zhao YF , Zhang XJ , Chen XY , et al . Neuronal injuries in cerebral infarction and ischemic stroke:From mechanisms to treatment(Review) [J ] . Int J Mol Med , 2022 , 49 ( 2 ): 15
Kim Y , Park J , Choi YK . The role of astrocytes in the central nervous system focused on BK channel and heme oxygenase metabolites:a review [J ] . Antioxidants , 2019 , 8 ( 5 ): 121 .
Shi JJ , Zhao Y , Wang K , et al . Cleavage of GSDMD by inflammatory caspases determines pyroptotic cell death [J ] . Nature , 2015 , 526 ( 7575 ): 660 - 665 .
Liston A , Masters SL . Homeostasis-altering molecular processes as mechanisms of inflammasome activation [J ] . Nat Rev Immunol , 2017 , 17 ( 3 ): 208 - 214 .
Linder A , Hornung V . Irgm2 and Gate‐16 put a break on caspase‐11 activation [J ] . EMBO Rep , 2020 , 21 ( 11 ): EMBR202051787 .
Huang YL , Liu JJ , Lin CL , et al . Impact of Caspase3/GSDME-mediated pyroptosis on tumor immune microenvironment and clinical prognosis across multiple cancers [J ] . Cancer Manag Res , 2024 , 16 : 1663 - 1683 .
Wang YP , Gao WQ , Shi XY , et al . Chemotherapy drugs induce pyroptosis through caspase-3 cleavage of a gasdermin [J ] . Nature , 2017 , 547 ( 7661 ): 99 - 103 .
Feng YS , Wu Y , Wang NH . Research progress of the impacts of acupuncture on programmed cell death in treatment of ischemic stroke [J ] . Acupunct Res , 2023 , 48 ( 7 ): 713 - 717 .
冯亚硕 , 吴 毅 , 王念宏 . 针刺影响细胞程序性死亡治疗缺血性脑卒中的研究进展 [J ] . 针刺研究 , 2023 , 48 ( 7 ): 713 - 717 .
Feng YS , Wu Y , Wang NH . Research progress of the impacts of acu⁃puncture on programmed cell death in treatment of ischemic stroke [J ] . Acupunct Res , 2023 , 48 ( 7 ): 713 - 717 .
刘晏禧 , 李艳玲 , 李秋乐 , 等 . TLR4/NF-κB信号通路在小胶质细胞介导的脑缺血神经炎症中的作用及中药干预研究进展 [J ] . 天津中医药大学学报 , 2025 , 44 ( 10 ): 950 - 960 .
Liu YX , Li YL , Li QL , et al . The role of TLR4/NF-κB signaling pathway in microglia-mediated cerebral ischemic neuroinflammation and advances in traditional Chinese medicine intervention [J ] . J Tianjin Univ Tradit Chin Med , 2025 , 44 ( 10 ): 950 - 960 .
Wang Z , Hu W , Lu CX , et al . Targeting NLRP3(nucleotide-binding domain,leucine-rich-containing family,pyrin domain-containing-3) inflammasome in cardiovascular disorders [J ] . Arterioscler Thromb Vasc Biol , 2018 , 38 ( 12 ): 2765 - 2779 .
Mo Y , Sun YY , Liu KY . Autophagy and inflammation in ischemic stroke [J ] . Neural Regen Res , 2020 , 15 ( 8 ): 1388 - 1396 .
童婷婷 , 王 颖 , 李奎武 , 等 . “通督调神”电针预处理对脑缺血再灌注损伤大鼠脑皮质PPARγ介导的细胞焦亡的影响 [J ] . 中国针灸 , 2023 , 43 ( 7 ): 783 - 792 .
Tong TT , Wang Y , Li KW , et al . Effect of Tongdu Tiaoshen electroacupuncture pretreatment on PPARγ-mediated pyroptosis of cerebral cortex in rats with cerebral ischemia reperfusion injury [J ] . Chin Acupunct Moxibustion , 2023 , 43 ( 7 ): 783 - 792 .
罗 敷 , 封蔚彬 , 刘丹妮 , 等 . 电针“百会“”人中”对脑缺血再灌注损伤模型大鼠脑脊液炎症因子及皮质缺血区脑组织GSDMD表达的影响 [J ] . 中医杂志 , 2022 , 63 ( 2 ): 164 - 168 .
Luo F , Feng WB , Liu DN , et al . Effect of electroacupuncture at “Baihui” (DU20) and “renzhong”(DU26) on inflammatory factors in cerebrospinal fluid and gasdermin D expression in cerebral tissue in cortex ischemia area in cerebral ischemia reperfusion injury model rats [J ] . J Tradit Chin Med , 2022 , 63 ( 2 ): 164 - 168 .
董苗苗 , 赖 涵 , 李曼玲 , 等 . 电针干预脑缺血再灌注损伤模型大鼠核苷酸结合寡聚化结构域样受体蛋白3/半胱天冬氨酸蛋白酶1表达的变化 [J ] . 中国组织工程研究 , 2022 , 26 ( 5 ): 749 - 755 .
Dong MM , Lai H , Li ML , et al . Effect of electroacupuncture on expression of nucleotide binding oligomerization domain-like receptor protein 3/cysteinyl aspartate specific proteinase 1 in rats with cerebral ischemia/reperfusion injury [J ] . Chin J Tissue Eng Res , 2022 , 26 ( 5 ): 749 - 755 .
许秀洪 , 周国平 , 董苗苗 , 等 . 电针对脑缺血再灌注损伤大鼠海马区细胞焦亡相关蛋白酶Caspase-1的影响 [J ] . 世界科学技术-中医药现代化 , 2020 , 22 ( 2 ): 446 - 451 .
Xu XH , Zhou GP , Dong MM , et al . Effects of electroacupuncture on pyroptosis-related caspase-1 expression in hippocampus region of rats with cerebral ischemia-reperfusion injury [J ] . Mod Tradit Chin Med Mater Med World Sci Technol , 2020 , 22 ( 2 ): 446 - 451 .
Dixon SJ , Lemberg KM , Lamprecht MR , et al . Ferroptosis:an iron-dependent form of nonapoptotic cell death [J ] . Cell , 2012 , 149 ( 5 ): 1060 - 1072 .
Li D , Jiang CJ , Mei GB , et al . Quercetin alleviates ferroptosis of pancreatic β cells in type 2 diabetes [J ] . Nutrients , 2020 , 12 ( 10 ): 2954 .
杜开颜 , 祁晨旭 , 曹静钰 , 等 . 铁死亡参与脊髓损伤调控的研究进展 [J ] . 生物技术进展 , 2022 , 12 ( 6 ): 869 - 874 .
Du KY , Qi CX , Cao JY , et al . Research progress on the regulatory mechanism of ferroptosis in spinal cord injury [J ] . Curr Biotechnol , 2022 , 12 ( 6 ): 869 - 874 .
Guo J , Tuo QZ , Lei P . Iron,ferroptosis,and ischemic stroke [J ] . J Neurochem , 2023 , 165 ( 4 ): 487 - 520 .
Wang L , Zhang X , Xiong XX , et al . Nrf2 regulates oxidative stress and its role in cerebral ischemic stroke [J ] . Antioxidants , 2022 , 11 ( 12 ): 2377 .
袁 嘉 , 陈俐彤 , 刘晓月 , 等 . 基于不同时间点观察针刺对脑缺血再灌注损伤大鼠缺血半暗带铁死亡相关因子表达的影响 [J ] . 湖南中医药大学学报 , 2025 , 45 ( 12 ): 2316 - 2324 .
Yuan J , Chen LT , Liu XY , et al . Effects of acupuncture on the expression of ferroptosis-related factors in the ischemic penumbra of rats with cerebral ischemia-reperfusion injury at different time points [J ] . J Hunan Univ Chin Med , 2025 , 45 ( 12 ): 2316 - 2324 .
王 琪 , 李 澎 , 许军峰 . 从铁死亡途径分析针刺对脑缺血再灌注损伤大鼠脑保护的作用机制 [J ] . 辽宁中医杂志 , 2024 , 51 ( 6 ): 196 - 200, I 0011 .
Wang Q , Li P , Xu JF . Discussion on protective mechanism of acupuncture on brain of cerebral ischemia reperfusion injury rats by ferroptosis pathway [J ] . Liaoning J Tradit Chin Med , 2024 , 51 ( 6 ): 196 - 200, I 0011 .
Ye YJ , Xie XX , Bi YM , et al . Nrf2 alleviates acute ischemic stroke induced ferroptosis via regulating xCT/GPX4 pathway [J ] . Free Radic Biol Med , 2025 , 231 : 153 - 162 .
朱 薇 . 电针通过调控Nrf2抑制铁死亡改善脑缺血再灌注损伤模型大鼠运动功能机制研究 [D ] . 合肥 : 安徽中医药大学 , 2024 .
Zhu W . Electroacupuncture improves the mechanism of motor function in cerebral ischemia reperfusion injury model rats by regulating Nrf2 to inhibit ferroptosis [D ] . Hefei : Anhui University of Chinese Medicine , 2024 .
杨晰宸 . 电针通过促进Nrf2核转位激活SLC7A11/GPX4通路抑制缺血性脑卒中后神经元铁死亡的机制研究 [D ] . 昆明 : 云南中医药大学 , 2024 .
Yang XC . Electroacupuncture attenuates ferroptosis by promoting Nrf2 nuclear translocation and activating SLC7A11/GPX4 pathway in ischemic stroke [D ] . Kunming : Yunnan University of Traditional Chinese Medicine , 2024 .
吴若楠 , 武莉华 , 齐士魁 , 等 . “疏肝调神”针刺调控脂质过氧化抑制前额叶皮层神经元铁死亡改善大鼠脑卒中后抑郁 [J ] . 针刺研究 , 2025 , 50 ( 9 ): 1037 - 1045 .
Wu RN , Wu LH , Qi SK , et al . “ Shugan Tiaoshen” needling regulates lipid oxidative stress and inhibits ferroptosis of prefrontal neurons to improve post-stroke depression [J ] . Acupunct Res , 2025 , 50 ( 9 ): 1037 - 1045 .
Tsang T , Davis CI , Brady DC . Copper biology [J ] . Curr Biol , 2021 , 31 ( 9 ): R421 - R427 .
Zhou SM , Liu JL , Wan AD , et al . Epigenetic regulation of diverse cell death modalities in cancer:a focus on pyroptosis,ferroptosis,cuproptosis,and disulfidptosis [J ] . J Hematol Oncol , 2024 , 17 ( 1 ): 22 .
Tsvetkov P , Coy S , Petrova B , et al . Copper induces cell death by targeting lipoylated TCA cycle proteins [J ] . Science , 2022 , 375 ( 6586 ): 1254 - 1261 .
Vo TTT , Peng TY , Nguyen TH , et al . The crosstalk between copper-induced oxidative stress and cuproptosis:a novel potential anticancer paradigm [J ] . Cell Commun Signal , 2024 , 22 ( 1 ): 353 .
王纯吉 , 黄浏姣 . 从浊邪害清与铜死亡视角探讨缺血性脑卒中的病机内涵 [J ] . 中国医药导报 , 2025 , 22 ( 11 ): 184 - 187 .
Wang CJ , Huang LJ . Discussion on the pathogenesis of ischemic stroke from the perspective of turbid pathogen affecting clearness and cuproptosis [J ] . China Med Her , 2025 , 22 ( 11 ): 184 - 187 .
李 芊 , 肖露波 , 罗小精 , 等 . 针刺“大椎”“百会”“水沟”对脑缺血再灌注损伤大鼠缺血半暗带铜死亡的影响 [J ] . 针刺研究 , 2025 , 50 ( 12 ): 1396 - 1403 .
Li Q , Xiao LB , Luo XJ , et al . Effect of acupuncture on cuproptosis in the ischemic penumbra of rats with cerebral ischemia-reperfusion injury [J ] . Acupunct Res , 2025 , 50 ( 12 ): 1396 - 1403 .
孙梦月 , 王圣澎 , 樊程程 , 等 . 基于CTR1/FDX1通路探讨眼针对脑缺血再灌注损伤大鼠神经细胞铜死亡的影响 [J ] . 时珍国医国药 , 2025 , 36 ( 13 ): 2573 - 2579 .
Sun MY , Wang SP , Fan CC , et al . Investigating the effect of eye acupuncture on neurocyte cuproptosis in rats with cerebral ischemia-reperfusion injury based on the CTR1/FDX1 pathway [J ] . J Li Shizhen Tradit Chin Med , 2025 , 36 ( 13 ): 2573 - 2579 .
赵 艺 . 针刺调控铜死亡提高脑梗死大鼠溶栓安全性的实验研究 [D ] . 南京 : 南京中医药大学 , 2025 .
Zhao Y . An experimental study on the regulation of cuproptosis by acupuncture improves the safety of thrombolysis in cerebral infarction [D ] . Nanjing : Nanjing University of Chinese Medicine , 2025 .
Liu XG , Nie LT , Zhang YL , et al . Actin cytoskeleton vulnerability to disulfide stress mediates disulfidptosis [J ] . Nat Cell Biol , 2023 , 25 ( 3 ): 404 - 414 .
Liu XG , Zhuang L , Gan BY . Disulfidptosis:disulfide stress-induced cell death [J ] . Trends Cell Biol , 2024 , 34 ( 4 ): 327 - 337 .
Machesky LM . Deadly actin collapse by disulfidptosis [J ] . Nat Cell Biol , 2023 , 25 ( 3 ): 375 - 376 .
Ju HQ , Lin JF , Tian T , et al . NADPH homeostasis in cancer:functions,mechanisms and therapeutic implications [J ] . Signal Transduct Target Ther , 2020 , 5 : 231 .
马小成 , 曹林忠 , 拦玉鑫 , 等 . RANKL/RANK/OPG信号通路对双硫死亡影响机制研究 [J ] . 中国骨质疏松杂志 , 2025 , 31 ( 4 ): 604 - 608 .
Ma XC , Cao LZ , Lan YX , et al . Mechanism study of the effect of RANKL/RANK/OPG signaling pathway on disulfidptosis [J ] . Chin J Osteoporos , 2025 , 31 ( 4 ): 604 - 608 .
Wei YM , Wang R , Teng JF . Inhibition of calcium/calmodulin-dependent protein kinase IIα suppresses oxidative stress in cerebral ischemic rats through targeting glucose 6-phosphate dehydrogenase [J ] . Neurochem Res , 2019 , 44 ( 7 ): 1613 - 1620 .
Liu XG , Olszewski K , Zhang YL , et al . Cystine transporter regulation of pentose phosphate pathway dependency and disulfide stress exposes a targetable metabolic vulnerability in cancer [J ] . Nat Cell Biol , 2020 , 22 ( 4 ): 476 - 486 .
Li QQ , Li JY , Zhou M , et al . Targeting neuroinflammation to treat cerebral ischemia - The role of TIGAR/NADPH axis [J ] . Neurochem Int , 2021 , 148 : 105081 .
Wang XX , Wang F , Mao GH , et al . NADPH is superior to NADH or edaravone in ameliorating metabolic disturbance and brain injury in ischemic stroke [J ] . Acta Pharmacol Sin , 2022 , 43 ( 3 ): 529 - 540 .
Suh SW , Aoyama K , Chen YM , et al . Hypoglycemic neuronal death and cognitive impairment are prevented by poly(ADP-ribose) polymerase inhibitors administered after hypoglycemia [J ] . J Neurosci , 2003 , 23 ( 33 ): 10681 - 10690 .
Qin RX , Huang LJ , Xu W , et al . Identification of disulfidptosis-related genes and analysis of immune infiltration characteristics in ischemic strokes [J ] . Math Biosci Eng , 2023 , 20 ( 10 ): 18939 - 18959 .
赵 岚 , 沈 鹏 , 韩鹦赢 , 等 . 不同教育背景研究者对多发梗塞性痴呆的针刺效应不同 [J ] . 辽宁中医药大学学报 , 2011 , 13 ( 11 ): 46 - 49 .
Zhao L , Shen P , Han YY , et al . Different acupuncture effects on multi-infarct dementia by researchers with different educational background [J ] . J Liaoning Univ Tradit Chin Med , 2011 , 13 ( 11 ): 46 - 49 .
曹玉婷 , 杨娅婕 , 赵 宁 . 经颅磁刺激联合针刺对缺血性卒中患者的血清代谢组学调节作用 [J ] . 世界科学技术-中医药现代化 , 2021 , 23 ( 11 ): 4327 - 4337 .
Cao YT , Yang YJ , Zhao N . Effect of transcranial magnetic stimulation combined with acupuncture on serum metabonomics in patients with ischemic stroke [J ] . Mod Tradit Chin Med Mater Med World Sci Technol , 2021 , 23 ( 11 ): 4327 - 4337 .
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621
