Abstract
Alzheimer’s disease (AD) is a neurodegenerative disease that costs a growing burden on patients, family members, healthcare systems, and society worldwide. Currently, none of the approaches can slow down or stop the damage and destruction of neurons or the progression of the disease. Acupuncture is a unique non-pharmacologic therapy. In recent years, there has been increasing evidence that acupuncture may be an effective and safe way to treat AD. In this chapter, we summarize the acupuncture treatment for AD from the aspects of clinical research and mechanism. In the future, we need more high-quality evidence to confirm the effectiveness and to further explore its mechanism.
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Abbreviations
- AD:
-
Alzheimer’s disease
- Aβ:
-
amyloid β
- ADAS-cog:
-
Alzheimer’s Disease Assessment Scale-cognitive section
- ADL:
-
activities of daily living
- BDNF:
-
brain-derived neurotrophic factor
- fMRI:
-
functional magnetic resonance imaging
- GFAP:
-
glial fibrillary acidic protein
- GRADE:
-
Grading of Recommendation, Assessment, Development, and Evaluation
- HPO:
-
hypothalamus-pituitary-ovary
- MMSE:
-
Mini-Mental State Examination
- NDRG2:
-
N-myc downstream-regulated gene 2
- RCTs:
-
randomized controlled trials
- SAMP8:
-
senescence accelerated mouse P8
References
Alzheimer’s Association (2016) Alzheimer’s disease facts and figures. Alzheimers Dement 12:459–509
Alzheimer’s Association (2020) Alzheimer’s disease facts and figures. Alzheimers Dement. https://doi.org/10.1002/alz.12068
Alzheimer’s Disease International (2015) World Alzheimer report 2015-the global impact of dementia: an analysis of prevalence incidence, cost and trends. https://www.alz.co.uk/research/world-report-2015. Accessed Aug 2015.
Arranz AM, De Strooper B (2019) The role of astroglia in Alzheimer’s disease: pathophysiology and clinical implications. Lancet Neurol 18(4):406–414. https://doi.org/10.1016/S1474-4422(18)30490-3
Arvanitakis Z, Shah RC, Bennett DA (2019) Diagnosis and management of dementia: review. JAMA 322:1589–1599. https://doi.org/10.1001/jama.2019.4782
Bagyinszky E, Giau VV, Shim K, Suk K, An SSA, Kim S (2017) Role of inflammatory molecules in the Alzheimer’s disease progression and diagnosis. J Neurol Sci. 376:242–254. https://doi.org/10.1016/j.jns.2017.03.031
Bradburn S, Murgatroyd C, Ray N (2019) Neuroinflammation in mild cognitive impairment and Alzheimer’s disease: a meta-analysis. Ageing Res Rev 50:1–8. https://doi.org/10.1016/j.arr.2019.01.002
Cao Y, Zhang LW, Wang J, Du SQ, Xiao LY, Tu JF et al (2016) Mechanisms of acupuncture effect on Alzheimer’s disease in animal-based researches. Curr Top Med Chem 16:574–578. https://doi.org/10.2174/1568026615666150813144942
Chan KY, Wang W, Wu JJ, Liu L, Theodoratou E, Car J et al (2013) Epidemiology of Alzheimer’s disease and other forms of dementia in China, 1990–2010: a systematic review and analysis. Lancet. 381:2016–2023. https://doi.org/10.1016/s0140-6736(13)60221-4
Du YJ, Tang SH, Xiao JH, Wang Y, Tian Q, Sun GJ (2018) Influence of electroacupuncture therapy of tonifying the kidney and regulating governor vessel on Aβ related degradation enzymes in the hippocampus of a rat model of Alzheimer’s disease induced by Aβ 1–42. World J Acupunct-Moxibustion 28(3):185–190. https://doi.org/10.1016/j.wjam.2018.09.00
Epperly T, Dunay MA, Boice JL (2017) Alzheimer disease: pharmacologic and nonpharmacologic therapies for cognitive and functional symptoms. Am Fam Physician 95:771–778
Fišar Z, Jirák R, Zvěřová M, Setnička V, Habartová L, Hroudová J, Vaníčková Z, Raboch J (2019) Plasma amyloid beta levels and platelet mitochondrial respiration in patients with Alzheimer’s disease. Clin Biochem. 72:71–80. https://doi.org/10.1016/j.clinbiochem.2019.04.003
Gao Y, Tan L, Yu JT, Tan L (2018) Tau in Alzheimer’s disease: Mechanisms and therapeutic strategies. Curr Alzheimer Res 15(3):283–300. https://doi.org/10.2174/1567205014666170417111859
Guo X, Ma T (2019) Effects of acupuncture on neurological disease in clinical- and animal-based research. Front Integr Neurosci 13:47. https://doi.org/10.3389/fnint.2019.00047
Guo HD, Tian JX, Zhu J, Li L, Sun K, Shao SJ, Cui GH (2015) Electroacupuncture suppressed neuronal apoptosis and improved cognitive impairment in the AD model rats possibly via downregulation of notch signaling pathway. Evid Based Complement Alternat Med 2015:393569. https://doi.org/10.1155/2015/393569
Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schünemann HJ, GRADE Working Group (2008) GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 336:924–926. https://doi.org/10.1136/bmj.39489.470347.AD
Haapasalo A, Pikkarainen M, Soininen H (2015) Alzheimer’s disease: a report from the 7th Kuopio Alzheimer symposium. Neurodegener Dis Manag. 5:379–382. https://doi.org/10.2217/nmt.15.31
Huang Q, Luo D, Chen L, Liang FX, Chen R (2019) Effectiveness of acupuncture for Alzheimer’s disease: an updated systematic review and meta-analysis. Curr Med Sci 39:500–511. https://doi.org/10.1007/s11596-019-2065-8
Ji S, Zhang H, Qin W, Liu M, Zheng W, Han Y, Song H, Li K, Lu J, Wang Z (2021) Effect of acupuncture stimulation of hegu (LI4) and taichong (LR3) on the resting-state networks in Alzheimer’s disease: beyond the default mode network. Neural Plast 2021:8876873. https://doi.org/10.1155/2021/8876873
Jia Y, Zhang X, Yu J, Han J, Yu T, Shi J, Zhao L, Nie K (2017) Acupuncture for patients with mild to moderate Alzheimer’s disease: a randomized controlled trial. BMC Complement Altern Med 17:556. https://doi.org/10.1186/s12906-017-2064-x
Jiang J, Ding N, Wang K, Li Z (2018) Electroacupuncture could influence the expression of IL-1β and NLRP3 inflammasome in hippocampus of Alzheimer’s disease animal model. Evid Based Complement Alternat Med 2018:8296824. https://doi.org/10.1155/2018/8296824
Jiang J, Liu G, Shi S, Li Y, Li Z (2019) Effects of manual acupuncture combined with donepezil in a mouse model of Alzheimer’s disease. Acupunct Med 37:64–71
Kan BH, Yu JC, Zhao L, Zhao J, Li Z, Suo YR, Han JX (2018) Acupuncture improves dendritic structure and spatial learning and memory ability of Alzheimer’s disease mice. Neural Regen Res 13:1390–1395. https://doi.org/10.4103/1673-5374.235292
Lee MS, Shin BC, Ernst E (2009) Acupuncture for Alzheimer’s disease: a systematic review. Int J Clin Pract 63:874–879. https://doi.org/10.1111/j.1742-1241.2009.02043.x
Li X, Guo F, Zhang Q, Huo T, Liu L, Wei H, Xiong L, Wang Q (2014) Electroacupuncture decreases cognitive impairment and promotes neurogenesis in the APP/PS1 transgenic mice. BMC Complement Altern Med 14:37. https://doi.org/10.1186/1472-6882-14-37
Li W, Kong LH, Wang H, Shen F, Wang YW, Zhou H, Sun GJ (2016) High-frequency electroacupuncture evidently reinforces hippocampal synaptic transmission in Alzheimer’s disease rats. Neural Regen Res 11(5):801–806. https://doi.org/10.4103/1673-5374.182708
Liang MT, Li GC, Zhu H, Gong Q, Dong KL, Long C, Li Y, Sayrash J (2018) Effect of acupuncture on hippocampal mitochondrial proteome expression in SAMP8 mouse model with Alzheimer disease [J]. J Acupunct Tuina Sci 16(2):67–79. http://doi.org/10.1007/s11726-018-1026-2
Lima Giacobbo B, Doorduin J, Klein HC, Dierckx RAJO, Bromberg E, de Vries EFJ (2019) Brain-derived neurotrophic factor in brain disorders: focus on neuroinflammation. Mol Neurobiol 56(5):3295–3312. https://doi.org/10.1007/s12035-018-1283-6
Lin R, Chen J, Li X, Mao J, Wu Y, Zhuo P, Zhang Y, Liu W, Huang J, Tao J, Chen LD (2016) Electroacupuncture at the Baihui acupoint alleviates cognitive impairment and exerts neuroprotective effects by modulating the expression and processing of brain-derived neurotrophic factor in APP/PS1 transgenic mice. Mol Med Rep 13(2):1611–1617. https://doi.org/10.3892/mmr.2015.4751
Luo L, Sun GJ, Du YJ (2015) Effect of “Kidney-reinforcing and Govenor Vessel-regulating” of acupuncture plus moxibustion on mitochondrial dynamics-related proteins in hippocampal neurons of rats with Alzheimer’s disease. Acupuncture Research. 40(04):270–274
Maresova P, Dolejs J, Kuca K (2018) Call for a uniform strategy of collecting Alzheimer’s disease costs: a review and meta-analysis. J Alzheimers Dis 63:227–238. https://doi.org/10.3233/jad-171028
O’Brien JT, Holmes C, Jones M, Jones R, Livingston G, McKeith I, Mittler P, Passmore P, Ritchie C, Robinson L, Sampson EL, Taylor JP, Thomas A, Burns A (2017) Clinical practice with anti-dementia drugs: a revised (third) consensus statement from the British Association for Psychopharmacology. J Psychopharmacol 31:147–168. https://doi.org/10.1177/0269881116680924
Olazaran J, Reisberg B, Clare L, Cruz I, Pena-Casanova J, Del Ser T, Woods B, Beck C, Auer S, Lai C, Spector A, Fazio S, Bond J, Kivipelto M, Brodaty H, Rojo JM, Collins H, Teri L, Mittelman M, Orrell M, Feldman HH, Muñiz R (2010) Nonpharmacological therapies in Alzheimer’s disease: a systematic review of efficacy. Dement Geriatr Cogn Disord 30:161–178. https://doi.org/10.1159/000316119
Rahman A, Jackson H, Hristov H, Isaacson RS, Saif N, Shetty T, Etingin O, Henchcliffe C, Brinton RD, Mosconi L (2019) Sex and gender driven modifiers of Alzheimer’s: the role for estrogenic control across age, race, medical, and lifestyle risks. Front Aging Neurosci 11:315. https://doi.org/10.3389/fnagi.2019.00315
Shin HK, Lee SW, Choi BT (2017) Modulation of neurogenesis via neurotrophic factors in acupuncture treatments for neurological diseases. Biochem Pharmacol 141:132–142. https://doi.org/10.1016/j.bcp.2017.04.029
Song YY, Xu WT, Zhang XC, Ni GX (2020) Mechanisms of electroacupuncture on Alzheimer’s disease: a review of animal studies. Chin J Integr Med 26(6):473–480. https://doi.org/10.1007/s11655-020-3092-9
Tang SH, Du YJ, Xiao JH, Wang Y, Shen F, Sun GJ (2018) Acupuncture and moxibustion improves learning-memory ability of Alzheimer’s disease rats possibly by up-regulating serum Aβ internalization enzyme contents. Acupunct Res 43(11):692–697. https://doi.org/10.13702/j.1000-0607.170814
Tang J, Oliveros A, Jang MH (2019a) Dysfunctional mitochondrial bioenergetics and synaptic degeneration in Alzheimer disease. Int Neurourol J 23(Suppl 1):S5–10. https://doi.org/10.5213/inj.1938036.018
Tang SH, Du YJ, Tao YM, Tian Q, Kong LH (2019b) Effect of acupuncture on the ultrastructure of neurons and astrocytes in the hippocampal dentate gyrus in rats with Alzheimer’s disease induced by Aβ1-42. Chinese Acupuncture & Moxibustion. 39(03):281–286. https://doi.org/10.13703/j.0255-2930.2019.03.015
Tian JZ, Shi J (2018. (in Chinese)) Consensus of traditional Chinese medicine specialists on Alzheimer’s disease. Chin J Integr Tradit West Med 5:523–529. https://doi.org/10.7661/j.cjim.20180418.171
Tu JF, Yang JW, Shi GX, Yu ZS, Li JL, Lin LL , Du YZ, Yu XG, Hu H, Liu ZS, Jia CS, Wang LQ, Zhao JJ, Wang J, Wang T, Wang Y, Wang TQ, Zhang N, Zou X, Wang Y, Shao JK, Liu CZ (2021) Efficacy of intensive acupuncture versus sham acupuncture in knee osteoarthritis: a randomized controlled trial. Arthritis Rheumatol 73(3):448–458. https://doi.org/10.1002/art.41584
Wang F, Zhong H, Li X, Peng Y, Kinden R, Liang W, Li X, Shi M, Liu L, Wang Q, Xiong L (2014) Electroacupuncture attenuates reference memory impairment associated with astrocytic NDRG2 suppression in APP/PS1 transgenic mice. Mol Neurobiol 50(2):305–313. https://doi.org/10.1007/s12035-013-8609-1
Wang X, Miao Y, Abulizi J, Li F, Mo Y, Xue W, Li Z (2016) Improvement of electroacupuncture on APP/PS1 transgenic mice in spatial learning and memory probably due to expression of Aβ and LRP1 in hippocampus. Evid Based Complement Alternat Med 2016:7603975. https://doi.org/10.1155/2016/7603975
Wang J, Cheng K, Qin Z, Wang Y, Zhai L, You M, Wu J (2017) Effects of electroacupuncture at Guanyuan (CV 4) or Sanyinjiao (SP 6) on hypothalamus-pituitary-ovary axis and spatial learning and memory in female SAMP8 mice. J Tradit Chin Med 37(1):96–100. https://doi.org/10.1016/s0254-6272(17)30032-8
Wang Y, Liu ZB, Niu WM (2018) Influence of “Xiusanzhen” electroacupuncture on spatial memory ability and APP, Aβ protein expression in hippocampus of mice with Alzheimer’s disease. Shaanxi J Tradit Chin Med 39(02):139–142. https://doi.org/10.3969/j.issn.1000-7369.2018.02.001
Wang Y, Tao YM, Sun GJ (2019a) Effect of electroacupuncture on inflammatory factors in serum and brain of AD rats induced by Aβ1~42. Chin J Gerontol 39(08):1921–1927. https://doi.org/10.3969/j.issn.1005-9202.2019.08.043
Wang YS, Xu J, Fu QH, Pei J (2019b) Acupuncture combined with medicine for cognitive functions and life quality of patients with Alzheimer’s disease: a systematic review. Shanghai. J Tradit Chin Med 53(01):19–25. (in Chinese). https://doi.org/10.16305/j.1007-1334.2019.01.005
Wang L, Pei J, Zhan Y, Cai Y (2020a) Overview of meta-analyses of five non-pharmacological interventions for Alzheimer’s disease. Front Aging Neurosci 12:594432. https://doi.org/10.3389/fnagi.2020.594432
Wang YY, Yu SF, Xue HY, Li Y, Zhao C, Jin YH (2020b) Effectiveness and safety of acupuncture for the treatment of Alzheimer’s disease: a systematic review and meta-analysis. Front Aging Neurosci 12:98. https://doi.org/10.3389/fnagi.2020.00098
Weuve J, Hebert LE, Scherr PA, Evans DA (2014) Deaths in the United States among persons with Alzheimer’s disease (2010–2050). Alzheimers Dement. 10(02):e40–e46. https://doi.org/10.1016/j.jalz.2014.01.004
Xu J, Murphy SL, Kockanek KD, Arias E (2020) Mortality in the United States, 2018. NCHS Data Brief 355:1–8
Yang JW, Wang LQ, Zou X, Yan SY, Wang Y, Zhao JJ, Tu JF, Wang J, Shi GX, Hu H, Zhou W, Du Y, Liu CZ (2020) Effect of acupuncture for postprandial distress syndrome: a randomized clinical trial. Ann Intern Med 172(12):777–785. https://doi.org/10.7326/M19-2880
Yu CC, Wang Y, Shen F, Kong LH, Wang YW, Zhou H, Tang L (2018) High-frequency (50 Hz) electroacupuncture ameliorates cognitive impairment in rats with amyloid beta 1–42-induced Alzheimer’s disease. Neural Regen Res 13(10):1833–1841. https://doi.org/10.4103/1673-5374.238620
Zhang LY, Wang HF (2018) Analysis of acupoint selection for acupuncture treatment of Alzheimer’s disease based on data mining technique. J Changchun Univ Chin Med 34(05):911–914+1031. https://doi.org/10.13463/j.cnki.cczyy.2018.05.028
Zhang M, Xu GH, Wang WX, Luo CF, Lu RZ, Meng DJ (2015) Study of electro-acupuncture on phosphorylation of tau protein in Alzheimer’s disease rats through p38MAPK signaling pathway. J Nanjing Univ Tradit Chin Med 31(03):261–264. https://doi.org/10.14148/j.issn.1672-0482.2015.0261
Zhang M, Xv GH, Wang WX, Meng DJ, Ji Y (2017) Electroacupuncture improves cognitive deficits and activates PPAR-γ in a rat model of Alzheimer’s disease. Acupunct Med 35(1):44–51. https://doi.org/10.1136/acupmed-2015-010972
Zhao L, Li D, Zheng H, Chang X, Cui J, Wang R, Shi J, Fan H, Li Y, Sun X, Zhang F, Wu X, Liang F (2019) Acupuncture as adjunctive therapy for chronic stable angina: a randomized clinical trial. JAMA Intern Med 179(10):1388–1397. https://doi.org/10.1001/jamainternmed.2019.2407
Zhao FY, Fu QQ, Zheng Z, Lao LX, Song HL, Shi Z (2020) Verum- versus sham-acupuncture on Alzheimer’s disease (AD) in animal models: a preclinical systematic review and meta-analysis. Biomed Res Int. 2020:5901573. https://doi.org/10.1155/2020/5901573
Zheng Y, Wang Y, Lan Y, Qu X, Lin K, Zhang J, Qu S, Wang Y, Tang C, Huang Y (2016) Imaging of brain function based on the analysis of functional connectivity—imaging analysis of brain function by fMRI after acupuncture at LR3 in healthy individuals. Afr J Tradit Complement Altern Med 13(6):90–100. https://doi.org/10.21010/ajtcam.v13i6.14
Zheng W, Su Z, Liu X, Zhang H, Han Y, Song H, Lu J, Li K, Wang Z (2018) Modulation of functional activity and connectivity by acupuncture in patients with Alzheimer disease as measured by resting-state fMRI[J]. Plos One 13(5):e0196933. https://doi.org/10.1371/journal.pone.0196933
Zhou J, Peng WN, Xu M, Li W, Liu ZS (2015) The effectiveness and safety of acupuncture for patients with Alzheimer disease a systematic review and meta-analysis of randomized controlled trials. Medicine. 94:e933. https://doi.org/10.1097/md.0000000000000933
Zhou S, Dong L, He Y, Xiao H (2017) Acupuncture plus herbal medicine for Alzheimer’s disease: a systematic review and meta-analysis. Am J Chin Med. 45:1327–1344. https://doi.org/10.1142/s0192415x17500732
Zhou Q, Fu QH, Pei J (2020) Research progress on diagnostic criteria of TCM syndromes in Alzheimer’s disease. Shanghai J Tradit Chin Med. 54(12):91–96. (in Chinese). https://doi.org/10.16305/j.1007-1334.2020.2003339
Zhuang Y, Xing JJ, Li J, Zeng BY, Liang FR (2013) History of acupuncture research. Int Rev Neurobiol. 111:1–23. https://doi.org/10.1016/B978-0-12-411545-3.00001-8
Zucchella C, Sinforiani E, Tamburin S, Federico A, Mantovani E, Bernini S, Casale R, Bartolo M (2018) The multidisciplinary approach to Alzheimer’s disease and dementia. A narrative review of non-pharmacological treatment. Front Neurol 9:1058. https://doi.org/10.3389/fneur.2018.0105
Acknowledgments
This study was supported by the Key Scientific Research Program of the Shanghai Municipal Science and Technology Committee in China (16401970300 and 18401970500), the financing scheme of Arising Interdisciplinary Subjects of TCM in Shanghai (Shxxjcxk201709), and the TCM Genre Program of Shanghai Health Bureau (ZY (2018-2020)-CCCX-1006).
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Pei, J. (2022). Acupuncture Treatment for Alzheimer’s Disease. In: Xia, Y. (eds) Advanced Acupuncture Research: From Bench to Bedside. Springer, Cham. https://doi.org/10.1007/978-3-030-96221-0_24
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