Evaluation of electroacupuncture for symptom modification in a rodent model of spontaneous osteoarthritis. Issue 6 (December 2021)

• Record Type: Journal Article
• Authors: Spittler, Alexa P; Afzali, Maryam F; Martinez, Richard B; Culver, Lauren A; Leavell, Sarah E; Timkovich, Ariel E; Sanford, Joseph L; Story, Melinda R; Santangelo, Kelly S
• Is Part Of: Acupuncture in medicine. Volume 39:Issue 6(2021)
• Page Start: 700
• Page End: 707
• Publication Date: 2021-12
• Subjects: acupuncture -- electroacupuncture -- osteoarthritis -- pain management; Acupuncture -- Periodicals; 615.892
• DOI: 10.1177/09645284211020755
• Languages: English
• ISSNs: 0964-5284

Abstract

Objective: Faced with the frustration of chronic discomfort and restricted mobility due to osteoarthritis (OA), many individuals have turned to acupuncture for relief. However, the efficacy of acupuncture for OA is uncertain, as much of the evidence is inconclusive. The purpose of this study was to evaluate electroacupuncture (EA) in a rodent model of OA such that conclusions regarding its effectiveness for symptom or disease modification could be drawn. Methods: Ten 12-month-old male Hartley guinea pigs—which characteristically have moderate to advanced OA at this age—were randomly assigned to receive EA for knee OA (n = 5) or anesthesia only (control group, n = 5). Treatments were performed three times weekly for 3 weeks, followed by euthanasia 2 weeks later. Gait analysis and enclosure monitoring were performed weekly to evaluate changes in movement. Serum was collected for inflammatory biomarker testing. Knee joints were collected for histology and gene expression. Results: Animals receiving EA had significantly greater changes in movement parameters compared to those receiving anesthesia only. There was a tendency toward decreased serum protein concentrations of complement component 3 (C3) in the EA group compared to the control group. Structural and antioxidant gene transcripts in articular cartilage were increased by EA. There was no significant difference in total joint histology scores between groups. Conclusion: This study provides evidence that EA has a positive effect on symptom, but not disease, modification in a rodent model of OA. Further investigations into mechanistic pathways that may explain the efficacy of EA in this animal model are needed.