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From mechanosensing to immune regulation: mechanisms of acupuncture signal initiation and amplification mediated by macrophages - PubMed

8 hours ago
  • #immune-regulation
  • #macrophages
  • #acupuncture
  • Acupuncture converts mechanical stimulation into systemic physiological effects.
  • Macrophages play a central role in mechanotransduction during acupuncture.
  • Mechanical stress from acupuncture needles activates mechanosensitive cells like fibroblasts and macrophages.
  • Fibroblasts release alarmin proteins (e.g., IL-33) to regulate macrophage activity.
  • Macrophages perceive mechanical signals via Piezo1, TRPV4, integrins, and podosomes.
  • Activation leads to Ca2+ fluctuations, YAP/TAZ nuclear translocation, and macrophage activation.
  • Activated macrophages recruit neutrophils and monocytes, regulate inflammation, and initiate tissue repair.
  • Macrophages also modulate T cell-mediated adaptive immunity and collaborate with fibroblasts for ECM repair.
  • The review provides a systematic perspective on macrophage response to acupuncture and immune regulation.