Evidence map›Paper›PMID 41334362›Full record

ArticleJournal of pain research2025

Mechanotransduction Pathways in Massage Therapy: CB1/Piezo2 Receptor Crosstalk Modulates Myocellular Anti-Inflammatory Responses.

Qian Liu, Wen He, Man Li, Zeyun Li, Cai Wu

Abstract read
In one paragraph

Article 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
  2. Article
  3. Review
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

5 authors.

Qian LiuSchool of Sports and Health, Hubei University of Chinese Medicine, Wuhan, People's Republic of China.
Wen HeDepartment of Rehabilitation Medicine, Wuhan Red Cross Hospital, Wuhan, People's Republic of China.
Man LiDepartment of Physiology, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.ORCID 0000-0003-4041-0437
Zeyun LiSchool of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, People's Republic of China.
Cai WuSchool of Traditional Chinese Medicine, Hubei University of Chinese Medicine, Wuhan, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Massage therapy is widely used to alleviate pain, however, its molecular mechanisms, particularly those integrating Traditional Chinese Medicine (TCM) with mechanobiology, remain inadequately elucidated. This study investigates the novel hypothesis that coordinated signaling between cannabinoid receptor-1 (CB1) and the Epac1-Piezo2 axis underlies massage-induced analgesia in inflammatory pain. Methods: Female C57BL/6 mice (8-10 weeks) were randomly allocated into three groups (n=6/group): Control group: Received a 25-µL intramuscular microinjection of saline into the right tibialis anterior muscle; CFA group: Inflammatory hyperalgesia was established via 25-µL intramuscular CFA (complete Freund's adjuvant) microinjection. Model validation was performed 48 hours post-CFA administration by assessing ipsilateral hindlimb edema, erythema, exudation, and mechanical hyperalgesia using von Frey filament testing. Massage group: CFA mice received daily ipsilateral ST36/GB34 acupressure for 14 days starting 24h post-modeling. Thermal and mechanical hyperalgesia were assessed via hot plate and von Frey tests. CB1 (Western blot), Epac1 (IHC), and Piezo2 (IF) levels in L4-6 DRGs were analyzed. Results: Acupoint massage (targeting ST36 and GB34) significantly elevated mechanical and thermal pain thresholds in CFA-induced inflammatory pain mice. Western blot analysis revealed upregulation of CB1 protein expression in L4-6 DRGs. Notably, massage downregulated Epac1 and Piezo2 protein levels, suggesting that the analgesic mechanism involves modulation of the CB1, Epac1, and Piezo2 signaling pathways. Conclusion: These findings demonstrate that massage therapy attenuates inflammatory pain, potentially through activation of cannabinoid type 1 (CB1) receptors and modulation of the Epac1/Piezo2 signaling axis. This study provides mechanistic insights into the analgesic properties of massage treatment.

Indexed as

analgesiccannabinoid receptor-1Epac1inflammationmassagePiezo2

Identifiers

PMID41334362
PMCPMC12667423

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.