Evidence mapPaperPMID 40901383Full record

ReviewJournal of pain research2025

The Analgesic Effect of NLRP3 Inflammasome in the Relief of Inflammatory Pain by Electroacupuncture: A Systematic Review and Meta-Analysis of Animal Studies.

Ruisi Su, Zhefeng Wang, Guodong Zhang, Yinghui Tao, Haonan Zhu, Haibo Chen, Jiaying Li, Zhichao Sun

Abstract readReview
In one paragraph

Review in Journal of pain research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ruisi Su *The First Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, 310053, People's Republic of China.
Zhefeng Wang *The First Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, 310053, People's Republic of China.
Guodong ZhangDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, People's Republic of China.
Yinghui TaoThe First Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, 310053, People's Republic of China.
Haonan ZhuThe First Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, 310053, People's Republic of China.
Haibo ChenDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, People's Republic of China.
Jiaying LiDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, People's Republic of China.
Zhichao SunDepartment of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, 310006, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Inflammatory pain originates from the inflammatory response triggered by tissue injury, accompanied by the release of pro-inflammatory mediators. NLRP3 inflammasome, as a key innate immune receptor, plays a central role in inflammatory pain. Electroacupuncture (EA) is a commonly used analgesic method in clinical practice. Its anti-inflammatory mechanism involves regulating neural-immune interaction, regulating the balance of pro-inflammatory/anti-inflammatory cytokines, and inhibiting the NF-κB pathway. However, whether EA can alleviate inflammatory pain by specifically inhibiting NLRP3 inflammasome activation and its downstream signaling pathways is still unclear. Purpose: This study aims to evaluate the analgesic effects of electroacupuncture on inflammatory pain, focusing on inflammatory cytokines and NLRP3-related signaling pathways to elucidate the underlying mechanisms. Methods: Studies that meet the inclusion and exclusion criteria were selected by searching PubMed, EMBASE, Cochrane, and Web of Science databases. To evaluate the quality of each included study using the modified 10-item checklist from the Collaboration for the Advancement of Meta-analysis in Animal Research. After extracting the relevant data, perform a meta-analysis using RevMan software. Results: A total of 10 studies were included. The results of the meta-analysis indicated that electroacupuncture treatment increased the heat pain threshold [-2.74 (95% CI -3.50 ~ -1.98)] and mechanical pain threshold [-2.89 (95% CI -3.59 ~ -2.20)]. Electroacupuncture reduced the levels of pro-inflammatory cytokines IL-1β, IL-18, IL-6, IL-12, IL-17, TNF-α, and PGE2, and increased the levels of anti-inflammatory cytokines IL-10. This study found that EA mainly regulated NLRP3 related signaling pathway through ROS, P2X7R and other pathways, thereby reducing the expression of NLRP3 inflammasome. Subgroup analysis of CFA-induced inflammatory pain showed that EA reduced inflammatory pain by regulating NLRP3 inflammasome. Conclusion: Electroacupuncture may alleviate inflammatory pain by modulating inflammatory cytokines and regulating the NLRP3 signaling pathway, which could help reduce the use of analgesic medications.

Indexed as

animal modelelectroacupunctureinflammatory painmeta-analysisNLRP3

Identifiers

PMID40901383
PMCPMC12399899

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.