Review Article

The Modulatory Effect of Acupuncture on the Activity of Locus Coeruleus Neuronal Cells: A Review

Table 1

Summary of studies on the effect of acupuncture on the activity of LC neuronal cells.

AuthorsModels EA stimulationsMethods usedFindings
Acup.Freq.Durat.

Cao et al. 1983Albino rabbitIpsilateral LI4, SJ052-3 Hz20 min.Brain perfusateEA decreased the NE level in perfusate of LC ( pg/ml to  pg/ml; ). Control group without EA did not have significant change. EA increased the NE level in the perfusate of dorsal horn of the spinal cord. The pain threshold increased from  mA to  mA .

Lee and Beitz 1992SD ratBilateral ST364 or 100 Hz180 minc-Fos expressionBoth low (4 Hz) and high (100 Hz) frequency of EA exhibited a significantly greater number of Fos-labeled neurons in the LC. (control); (4 Hz); (100 Hz).

Kwon et al. 2000SD ratBilateral ST364 or 100 Hz120 min.c-Fos expressionBoth low (4 Hz) and high (100 Hz) frequency of EA increased the Fos expression in catecholaminergic neurons in the LC ( versus group without EA treatment).
Colocalization of FLI neurons and DBH or TH-positive neurons all increased after EA ( versusgroup without EA treatment)

S. Wang and X. Wang 2002L-Dopa-induced hyperactivated bladder/SD ratBilateral B29 1 Hz30 min.IHCEA decreased the frequent micturition and increased basal bladder pressure in L-dopa injected group ( versus normal saline injected group).
EA had a significant inhibitory effect on L-dopa-caused feedback increase in the synthesis of DBH in the LC ( versus ; ).

Medeiros et al. 2003Immobilization stress induced/Albino Wistar ratBilateral ST36100 Hz60 min.c-Fos expressionRepeated immobilization (6 days: 1 h/day; 13 days: 2 h/day) significantly reduced the immobilization induced c-Fos expression in LC compared to undisturbed rats ().
EA increased this decreased level of c-Fos expression in the LC compared to control ( versus ; ).

Lee et al. 2004Immobilization stress induced/SD ratBilateral HT3 and PC6 3 HZ30 min.c-Fos expression180 min of immobilization stress produced a significant increase in FLI in the LC ( versus normal group). EA attenuated immobilization stress induced FLI in the LC compared to control ( versus ; ).

Li et al. 2007CFA-induced inflammatory pain/SD ratBilateral GB3010 Hz20 min.c-Fos expressionEA induced abundant Fos expression in the bilateral LC (/per 50 μm section). Untreated naive rats expressed little Fos in this nucleus.
Double-immunofluorescence staining demonstrated that Fos was completely colocalized with TH in the LC.

Wang et al. 2007SD ratMA at the sacral segment (S3) Manual rotation 1.0–1.5 turns/s1 min.Extracellular recordingFiring rate of noradrenergic LC neurons decreased significantly from to  Hz ().

Napadow et al. 2009HumanIpsilateral ST36 2 and 15 Hz30 min.fMRIStimulation with EA deactivated LC activity compared to sham EA (8 cm above the proximal edge of the patella).

Park et al. 2013Immobilization stress induced/SD ratBilateral ST362 Hz10 min.IHCImmobilization stress induced for 21 days. The TH-immunoreactive expression in the LC was significantly decreased in the ST36 group ( versus stress induced group).

Qiu et al. 2015Two-year-old male goatsGV20, Santai, AH1, and TE80, 2, 60, and 100 Hz30 minc-Fos and c-Jun expressionc-Fos and c-Jun activity of the LC increased in all three frequencies (2, 60, and 100 Hz) compared to the blank control. Pain threshold was measured using the potassium iontophoresis method.
Pain threshold induced by 60 Hz was higher () than that by 0, 2, or 100 Hz.

Hu et al. 2016One-year-old male goatsGV20, Santai60 Hz30 min.c-Fos expressionCompared with blank control, EA at two sets of acupoints increased c-Fos expression in the LC ( versus ; ).

Italics font style: decreased activity of LC; roman font style: increased activity of LC; Acup., Acupoints; AH1, Ergen; CFA, Complete Freund’s Adjuvant; DBH, Dopamine-P-hydroxylase; Durat., duration; EA, electroacupuncture; Freq, frequency; IHC, immunohistochemistry; LC, Locus Coeruleus; L14, Hegu; SJ05, Wai Guan; TE8, Sanyangluo; ST36, Zusanli; FLI, Fos-Like Immunoreactive; fMRI, functional magnetic resonance imaging; GV20, Baihui; GB30, Huan Tiao; TH, tyrosine hydroxylase.