Gut Microbiome

Acupuncture regulates gut microbiota and metabolites in a rat model of chronic migraine.

TL;DR

Acupuncture attenuated hyperalgesia in a chronic migraine rat model and regulated brain-gut peptides, gut microbial community structure, and fecal metabolites, suggesting that regulation of the gut-brain axis may be one of the mechanisms underlying its analgesic effect.

Key Findings

Acupuncture treatment significantly attenuated hyperalgesia in chronic migraine model rats.

  • 24 male Sprague-Dawley rats were randomly allocated into control, model, and acupuncture groups (n=8 each)
  • The chronic migraine model was established by intraperitoneal injection of nitroglycerin (NTG)
  • Acupuncture was administered at GV20 and bilateral PC6/LR3/ST36 once a day for 9 days
  • Hyperalgesia was a primary behavioral outcome measure used to assess migraine-like pain

Acupuncture regulated serum levels of brain-gut peptides 5-HT, CGRP, and VIP in chronic migraine model rats.

  • ELISA was used to detect plasma levels of 5-hydroxytryptamine (5-HT), calcitonin gene-related peptide (CGRP), and vasoactive intestinal peptide (VIP)
  • These brain-gut peptides were altered in the chronic migraine model and modulated by acupuncture treatment
  • 5-HT, CGRP, and VIP are recognized mediators relevant to both migraine pathophysiology and gut-brain axis signaling

Gut microbial community structure and metabolic profile were altered in chronic migraine model rats compared to controls.

  • 16S rDNA sequencing was used to characterize gut microbial community structure
  • LC-MS metabolomics was used to investigate fecal metabolite profiles
  • Changes in both microbiota and metabolites were observed in the chronic migraine (CM) model rats
  • These findings suggest the gut-brain axis plays an important role in the chronification of migraine

Acupuncture modulated 10 gut microbial genera and 13 fecal metabolites in chronic migraine model rats.

  • A combination of 16S rDNA sequencing and LC-MS metabolomics was used to identify specific changes
  • Exactly 10 gut microbial genera were identified as being modulated by acupuncture treatment
  • Exactly 13 fecal metabolites were identified as being modulated by acupuncture treatment
  • These changes occurred in the context of acupuncture administered at GV20 and bilateral PC6/LR3/ST36 for 9 days

The gut-brain axis may play an important role in the chronification of migraine, and regulation of gut microbiota and metabolites may be one mechanism underlying acupuncture's analgesic effect in chronic migraine.

  • The study integrated behavioral, biochemical, microbiome, and metabolomics data to support this conclusion
  • Both gut microbial community structure and metabolic profiles changed during migraine chronification and were impacted by acupuncture
  • Brain-gut peptides (5-HT, CGRP, VIP) serve as a mechanistic link between gut and brain in this model
  • The authors state that 'regulation of gut microbiota and metabolites may be one of the mechanisms underlying the analgesic effect of acupuncture in CM'

What This Means

This research suggests that acupuncture may help relieve chronic migraine pain in rats by influencing communication between the gut and the brain. Researchers created a chronic migraine model in rats using a drug called nitroglycerin and then treated some rats with acupuncture at specific points for nine days. They found that acupuncture reduced pain sensitivity and normalized the levels of several signaling molecules in the blood — including serotonin (5-HT), CGRP, and VIP — that are known to be involved in both migraine and gut-brain communication. Using genetic sequencing and chemical analysis of stool samples, the researchers also found that the chronic migraine rats had distinct changes in their gut bacterial communities and the chemical byproducts those bacteria produce. Acupuncture treatment shifted 10 bacterial groups and 13 gut metabolites back toward patterns seen in healthy rats. This points to a connection between the gut microbiome and migraine chronification — the process by which migraines become frequent and persistent. This research suggests that one reason acupuncture may help with chronic migraine is that it rebalances the gut microbiome and its metabolic activity, which in turn influences brain pain pathways through what scientists call the gut-brain axis. While this study was conducted in rats and further research in humans is needed, it provides new insights into both the biology of chronic migraine and potential mechanisms behind acupuncture's effects.

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Citation

Zheng H, Wang Z, Wei S, Huang L, Han M, Zhang Y, et al.. (2026). Acupuncture regulates gut microbiota and metabolites in a rat model of chronic migraine.. Acupuncture in medicine : journal of the British Medical Acupuncture Society. https://doi.org/10.1177/09645284261423204