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Laboratory/Animal/Preclinical Studies
At least five animal studies investigating the effects of acupuncture in cancer or cancer-related conditions have been reported in the scientific literature (see table 1 at end of this section).[1-5] Two of the studies were conducted in China, one of which was published in Chinese with an English abstract. One study was conducted in Japan, one in Sweden, and one in the United States. Four of the studies were ex vivo laboratory investigations using blood samples or tissues; [1-3,5] the remaining study was an animal behavioral study testing the effect of acupuncture on chemotherapy -induced nausea and vomiting. [4]
The four ex vivo studies suggested that acupuncture is useful in anticancer therapy either by actively stimulating immune activity or by preventing chemotherapy suppression of immune activity.
In a study involving normal rats, electroacupuncture (EA) (1 Hz, 5–20 V, 1-millisecond pulse width, 2 hours) applied at the point Tsu-Sanli (S36) for 2 hours daily on 3 consecutive days enhanced the cytotoxicity of splenic natural killer (NK) cells compared with a stimulation of a nonacupuncture control point in the abdominal muscle.[3]
Another study found that NK cell activity and T- lymphocyte transformation rate were increased in a mouse model of transplanted mammary cancer compared with control (P < .05) after eight sessions of acupuncture and moxibustion.[2]
A study involving tumor -bearing mice (sarcoma S180) using moxibustion to warm the acupuncture point Guanyuan (CV4) once a day for 10 days found significantly increased production of erythrocytes, compared with a nontreatment control.[1]
The fourth ex vivo study used a rat model to investigate the effect of EA on nerve growth factor (NGF), which is associated with polycystic ovary syndrome (PCOS). Women with PCOS have an increased risk of endometrial cancer and other diseases. Repeated EA treatments (12 treatments administered over 30 days) in PCO rats significantly lowered the concentrations of NGF in the ovaries, compared with untreated PCO rats.[5]
A study of cyclophosphamide -induced emesis in a ferret behavioral model used acupuncture as an adjunct therapy in treating the emetic side effects of chemotherapy. EA at 100 Hz, 1.5 V, for 10 minutes in combination with subeffective doses of antiemetics such as ondansetron (0.04 mg/kg), droperidol (0.25 mg/kg), and metoclopramide (2.24 mg/kg) significantly reduced the total number of emetic episodes by 52%, 36%, and 73%, respectively (P < .01), in this ferret model.[4]
The findings of these studies suggest that acupuncture may be effective in treating cancer-related symptoms and cancer treatment–related disorders and that acupuncture may be able to activate immune functions [1-3] and regulate the autonomic nervous system.[4,5] Only one study reported a decrease in tumor volume in animals treated with acupuncture compared with control animals; however, the scientific value of this report is limited because of insufficient information about the research methodology.[2]
Table 1. Animal Studies of Acupuncturea
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Reference Citation(s)
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Animal Model
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Endpoints Measured
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No. of Animals: Total; Evaluable; Treated; Control
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Strongest Benefit Reportedb
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| [1] |
Mice with S180 sarcoma tumors |
Erythrocyte levels in mice with tumors |
30; 10 tumor-bearing mice plus acupuncture; 10 normal mice, no acupuncture; and 10 tumor-bearing mice, no acupuncture |
Erythrocyte increasesc |
| [2] |
Mice with mammary cancer |
Exp. 1: Immune system function |
Exp. 1: 30; 10 tumor-bearing mice plus acupuncture; 10 tumor-bearing mice, no acupuncture; 10 normal mice |
Increase in NK cell activity; lymphocyte invasion of tumor increased; reduced tumor volumed |
| Exp. 2: Histopathology of the tumor |
Exp. 2: 56; 30 tumor-bearing mice plus acupuncture; and 26 tumor-bearing mice, no acupuncture |
| [5] |
Rats with polycystic ovary syndrome (not cancer) |
NGF concentration in ovaries and adrenal glands |
32; 8 EV plus EA; 8 EV control; 8 oil control; and 8 NaCl control |
Lower NGF concentration in ovariese |
| [4] |
Ferrets receiving chemotherapy |
Emesis induced by cyclophosphamide treatment |
86 |
36%-73 % decrease in vomiting with EA as adjuvant to antiemeticsf |
| Exp. 1: 30 EA only (6 per group with various EA parameters); 8 vehicle control; 6 sham EA; 6 place EA |
| Exp. 2: 18 EA plus antiemetic (6 plus ondansetron, 6 plus metoclopramide, and 6 plus droperidol); 6 EA alone control; 6 sham EA control; and 18 antiemetics alone control (6 plus ondansetron, 6 plus metoclopramide, and 6 plus droperidol) |
| [3] |
Rats (normal) |
Splenic NK cell activity |
46; 22 acupuncture treated (17 tibial and 5 abdominal); 18 no acupuncture controls; assignment of remaining 6 not noted |
NK cell activity enhancedg |
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EA = electroacupuncture; EV = estradiol valerate; NGF = nerve growth factor; NK = natural killer cell; No. = number.
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aSee text and the NCI Dictionary 3 for additional information and definition of terms.
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bStrongest evidence reported that the treatment under study has activity.
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c
P < .05, comparison of acupuncture-treated versus nontreated tumor-bearing mice.
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dAll P < .05.
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e
P < .05, EV plus EA versus EV only.
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f
P < .05, acupuncture versus no acupuncture.
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g
P < .05, EA plus antiemetics versus antiemetics or EA alone.
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References
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Wu P, Cao Y, Wu J: Effects of moxa-cone moxibustion at Guanyuan on erythrocytic immunity and its regulative function in tumor-bearing mice. J Tradit Chin Med 21 (1): 68-71, 2001.
[PUBMED Abstract]
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Liu LJ, Guo CJ, Jiao XM: [Effect of acupuncture on immunologic function and histopathology of transplanted mammary cancer in mice] Zhongguo Zhong Xi Yi Jie He Za Zhi 15 (10): 615-7, 1995.
[PUBMED Abstract]
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Sato T, Yu Y, Guo SY, et al.: Acupuncture stimulation enhances splenic natural killer cell cytotoxicity in rats. Jpn J Physiol 46 (2): 131-6, 1996.
[PUBMED Abstract]
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Lao L, Zhang G, Wong RH, et al.: The effect of electroacupuncture as an adjunct on cyclophosphamide-induced emesis in ferrets. Pharmacol Biochem Behav 74 (3): 691-9, 2003.
[PUBMED Abstract]
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Stener-Victorin E, Lundeberg T, Waldenström U, et al.: Effects of electro-acupuncture on nerve growth factor and ovarian morphology in rats with experimentally induced polycystic ovaries. Biol Reprod 63 (5): 1497-503, 2000.
[PUBMED Abstract]
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Glossary Terms
abdominal
Having to do with the abdomen, which is the part of the body between the chest and the hips that contains the pancreas, stomach, intestines, liver, gallbladder, and other organs.
activate
In biology, to stimulate a cell in a resting state to become active. This causes biochemical and functional changes in the activated cell.
acupuncture (AK-yoo-PUNK-cher)
The technique of inserting thin needles through the skin at specific points on the body to control pain and other symptoms. It is a type of complementary and alternative medicine.
acupuncture point (AK-yoo-PUNK-cher poynt)
A specific spot on the body where an acupuncture needle may be inserted to control pain and other symptoms. Also called an acupoint.
adjunct therapy (A-junkt THAYR-uh-pee)
Another treatment used together with the primary treatment. Its purpose is to assist the primary treatment. Also called adjunctive therapy.
adjuvant therapy (A-joo-vant THAYR-uh-pee)
Treatment given after the primary treatment to increase the chances of a cure. Adjuvant therapy may include chemotherapy, radiation therapy, hormone therapy, or biological therapy.
adrenal gland (uh-DREE-nul...)
A small gland that makes steroid hormones, adrenaline, and noradrenaline. These hormones help control heart rate, blood pressure, and other important body functions. There are two adrenal glands, one on top of each kidney. Also called suprarenal gland.
animal model
An animal with a disease either the same as or like a disease in humans. Animal models are used to study the development and progression of diseases and to test new treatments before they are given to humans. Animals with transplanted human cancers or other tissues are called xenograft models.
animal study (AN-ih-mul STUH-dee)
A laboratory experiment using animals to study the development and progression of diseases. Animal studies also test how safe and effective new treatments are before they are tested in people.
antiemetic (AN-tee-eh-MEH-tik)
A drug that prevents or reduces nausea and vomiting.
autonomic nervous system (AW-toh-NAH-mik NER-vus SIS-tem)
ANS. The part of the nervous system that controls muscles of internal organs (such as the heart, blood vessels, lungs, stomach, and intestines) and glands (such as salivary glands and sweat glands). One part of the autonomic nervous system helps the body rest, relax, and digest food and another part helps a person fight or take flight in an emergency. Also called involuntary nervous system and ANS.
blood
A tissue with red blood cells, white blood cells, platelets, and other substances suspended in fluid called plasma. Blood takes oxygen and nutrients to the tissues, and carries away wastes.
cancer (KAN-ser)
A term for diseases in which abnormal cells divide without control. Cancer cells can invade nearby tissues and can spread to other parts of the body through the blood and lymph systems. There are several main types of cancer. Carcinoma is cancer that begins in the skin or in tissues that line or cover internal organs. Sarcoma is cancer that begins in bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue. Leukemia is cancer that starts in blood-forming tissue such as the bone marrow, and causes large numbers of abnormal blood cells to be produced and enter the blood. Lymphoma and multiple myeloma are cancers that begin in the cells of the immune system. Central nervous system cancers are cancers that begin in the tissues of the brain and spinal cord.
cell (sel)
The individual unit that makes up the tissues of the body. All living things are made up of one or more cells.
chemotherapy (KEE-moh-THAYR-uh-pee)
Treatment with drugs that kill cancer cells.
control animal
An animal in a study that does not receive the treatment being tested. Comparing the health of control animals with the health of treated animals allows researchers to evaluate the effects of a treatment more accurately.
cyclophosphamide
An anticancer drug that belongs to the family of drugs called alkylating agents.
cytotoxic (SY-toh-TOK-sik)
Cell-killing.
dose
The amount of medicine taken, or radiation given, at one time.
droperidol (droh-PAYR-ih-dol)
A drug used to prevent nausea and vomiting in patients who receive anesthesia before surgery. It is also used to treat anxiety. Droperidol is a type of antiemetic, adjunct anesthesia, and antipsychotic.
electroacupuncture (ee-LEK-troh-AK-yoo-punk-cher)
A procedure in which pulses of weak electrical current are sent through acupuncture needles into acupuncture points in the skin. This procedure is being studied in the prevention of nausea and vomiting in patients undergoing chemotherapy.
emesis (EH-meh-sis)
Vomiting.
emetic (eh-MEH-tik)
Describes a substance that causes vomiting. Also called emetogenic.
endometrial cancer (EN-doh-MEE-tree-ul KAN-ser)
Cancer that forms in the tissue lining the uterus (the small, hollow, pear-shaped organ in a woman's pelvis in which a baby grows). Most endometrial cancers are adenocarcinomas (cancers that begin in cells that make and release mucus and other fluids).
endpoint
In clinical trials, an event or outcome that can be measured objectively to determine whether the intervention being studied is beneficial. The endpoints of a clinical trial are usually included in the study objectives. Some examples of endpoints are survival, improvements in quality of life, relief of symptoms, and disappearance of the tumor.
erythrocyte (eh-RITH-roh-site)
A cell that carries oxygen to all parts of the body. Also called red blood cell and RBC.
ex vivo (ex VEE-voh)
Outside of the living body. Refers to a medical procedure in which an organ, cells, or tissue are taken from a living body for a treatment or procedure, and then returned to the living body.
histopathology (HIS-toh-puh-THAH-loh-jee)
The study of diseased cells and tissues using a microscope.
immune function (ih-MYOON FUNK-shun)
Production and action of cells that fight disease or infection.
immune response (ih-MYOON reh-SPONTS)
The activity of the immune system against foreign substances (antigens).
immune system (ih-MYOON SIS-tem)
The complex group of organs and cells that defends the body against infections and other diseases.
lymphocyte (LIM-foh-site)
A type of white blood cell. Lymphocytes have a number of roles in the immune system, including the production of antibodies and other substances that fight infections and other diseases.
mammary
Having to do with the breast.
metoclopramide (met-oh-KLOH-pruh-mide)
A drug that increases the motility (movements and contractions) of the stomach and upper intestine. It is used to treat certain stomach problems and nausea and vomiting caused by chemotherapy. It is a type of antiemetic and a type of motility agent. Also called Reglan.
moxibustion (MOK-sih-BUS-chun)
In traditional Chinese medicine, a type of heat therapy in which an herb is burned on or above the skin to warm and stimulate an acupuncture point or affected area.
NaCl
Chemical abbreviation for sodium chloride (table salt).
natural killer cell
NK cell. A type of white blood cell that contains granules with enzymes that can kill tumor cells or microbial cells. Also called large granular lymphocyte and NK cell.
nausea
A feeling of sickness or discomfort in the stomach that may come with an urge to vomit. Nausea is a side effect of some types of cancer therapy.
nerve growth factor (nurv grohth FAK-ter)
A protein made by the body that causes certain nerve cells to grow and helps keep them alive.
ondansetron (ohn-DAN-see-tron)
A drug that is used to prevent or reduce nausea and vomiting caused by chemotherapy and radiation therapy for cancer. It belongs to the family of drugs called antiemetics. Also called Zofran.
polycystic ovary syndrome (PAH-lee-SIS-tik OH-vuh-ree SIN-drome)
A condition marked by infertility, enlarged ovaries, menstrual problems, high levels of male hormones, excess hair on the face and body, acne, and obesity. Women with polycystic ovary syndrome have an increased risk of diabetes, high blood pressure, heart disease, and endometrial cancer. Also called PCOS.
sarcoma
A cancer of the bone, cartilage, fat, muscle, blood vessels, or other connective or supportive tissue.
sham therapy (...THAYR-uh-pee)
An inactive treatment or procedure that is intended to mimic as closely as possible a therapy in a clinical trial. Also called placebo therapy.
side effect
A problem that occurs when treatment affects healthy tissues or organs. Some common side effects of cancer treatment are fatigue, pain, nausea, vomiting, decreased blood cell counts, hair loss, and mouth sores.
splenic (SPLEH-nik)
Having to do with the spleen (an organ in the abdomen that makes immune cells, filters the blood, stores blood cells, and destroys old blood cells).
symptom
An indication that a person has a condition or disease. Some examples of symptoms are headache, fever, fatigue, nausea, vomiting, and pain.
therapy (THAYR-uh-pee)
Treatment.
tibia (TIH-bee-uh)
The larger of two bones between the knee and ankle. Also called shinbone.
tissue (TISH-oo)
A group or layer of cells that work together to perform a specific function.
transformation (TRANZ-for-MAY-shun)
In medicine, the change that a normal cell undergoes as it becomes malignant.
transplantation (tranz-plan-TAY-shun)
The replacement of tissue with tissue from the person’s own body or from another person.
tumor (TOO-mer)
An abnormal mass of tissue that results when cells divide more than they should or do not die when they should. Tumors may be benign (not cancerous), or malignant (cancerous). Also called neoplasm.
tumor volume (TOO-mer VOL-yoom)
The size of a cancer measured by the amount of space taken up by the tumor. For example, the tumor volume of prostate cancer is the percentage of the prostate taken up by the tumor.
vomit
To eject some or all of the contents of the stomach through the mouth.
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Table of Links
| 1 | http://cancer.gov/cancertopics/pdq/cam/acupuncture/healthprofessional/34.cdr#Se ction_34 |
| 2 | http://cancer.gov/cancertopics/pdq/cam/acupuncture/healthprofessional/Table1 |
| 3 | http://www.cancer.gov/dictionary |
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