背景:针灸可有效调节免疫衰老,运用表观遗传修饰手段研究免疫衰老成为了近年来国内外研究的热点之一。目的:归纳总结针灸对免疫衰老的调节作用及与表观遗传调控的关系,探讨其作用机制。方法:通过计算机检索中国知网(CNKI)、维普期刊资源整合服务平台(VIP)、万方数据知识服务平台(WANFANG DATA)、中国生物医学文献服务系统(SinoMed)、PubMed、Ebsco Medline、Springer、ScienceDirect和Embase,所有数据库的检索时间均为1999年1月至2014年8月。中文检索词为“针灸”“衰老”“免疫衰老”和“表观遗传”,英文检索词为“Acupuncture”“Moxibustion”“aging”“Immunosenescence”和“Epigenetic”,各库交叉检索,以免漏检。查看标题和摘要,根据纳入排除标准排除不符合标准文献,符合标准文献进一步阅读全文判断是否其是否纳入,然后进行资料提取。结果与结论:共纳入64篇文献,中文8篇,英文56篇。免疫衰老中固有免疫系统和适应性免疫系统均会发生增龄性改变,针灸可全面的整体的改善免疫衰老。表观遗传修饰在免疫衰老过程中发挥了重要作用,针灸可直接作用于表观遗传修饰,但针灸调节免疫衰老的表观遗传机制尚需进一步研究。
BACKGROUND:The acupuncture and moxibustion is an effective method to regulate the immunosenescence. The epigenetic modification has become a focus in the research of immunosenescence regulation. OBJECTIVE: To summarize the relationship between epigenetic regulation and the regulatory role of acupuncture and moxibustion on immunosenescence, and to explore the relevant mechanisms. METHODS: We searched CNKI, VIP, WANFANG DATA, SinoMed, Ebsco Medline, Springer, ScienceDirect and Embase by computer for relevant articles published from January 1999 to August 2014. The keywords were “acupuncture”, “moxibustion”, “aging”, “immunosenescence” and “epigenetic” in Chinese and English. Al databases were cross-searched to minimize missing data. We excluded documents based on inclusion and exclusion criteria thereby checking the title and abstract. RESULTS AND CONCLUSION:Finaly 64 articles were included, including 8 Chinese publications and 56 English publications. The innate immune system and the adaptive immune system can vary with aging, which is the most obvious feature in immunosenescence. The acupuncture and moxibustion can improve immunosenescence overal. The epigenetic modification plays an important role in immunosenescence. The acupuncture and moxibustion can affect the epigenetic modification directly. However, the epigenetic mechanism underlying the regulatory role of acupuncture and moxibustion in immunosenescence needs further studies.