Background/Aims: Acupuncture involves inserting a fine needle into a specific point, often called an acupoint, thereby initiating a therapeutic effect accompanied by phenomena such as soreness, heaviness, fullness, and numbness. Acupoints are characterized as points located in deep tissues with abundant sensory nerve terminals, which suggests that there is a strong relationship between acupoints and peripheral sensory afferents. In this study, we determined whether manual acupuncture (MA) or different frequencies of electroacupuncture (EA) share similar mechanisms for activating excitatory neurotransmission. Methods: We performed MA or EA at acupoint ST36 and we also used western blot and immunostaining techniques to determine neural changes at the peripheral dorsal root ganglion (DRG), spinal cord (SC), and somatosensory cortex (SSC) levels. Results: Our results show that either MA or EA at the ST36 acupoint significantly increased components of the TRPV1-related signaling pathway, such as pPKA, pPI3K, pPKC-pERK, and pAKT (but not pp38 or pJNK) at the peripheral DRG and central SC-SSC levels. Furthermore, excitatory phosphorylated N-methyl-D-aspartate receptor (pNMDA) and pCaMKIIα (but not pNR2B, pCaMKIIδ, or pCaMKIIγ) also increased. These molecules could not increase in the DRG and SC-SSC of TRPV1^–/–mice. Conclusion: Our data demonstrates that both MA and EA can activate excitatory signals in either peripheral or central levels. We also define that TRPV1 is crucial for an acupuncture effect and then initiate excitatory pNR1-pCaMKII pathway, at peripheral DRG and central SC-SSC level. We suggest that the TRPV1 signaling pathway is highly correlated to Acupuncture effect that implies the real clinical significance.

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A significant advancement of cw lasing in Cr4+:Y3Al5O12 (Cr4+:YAG) double-clad crystal fiber grown by the codrawing laser-heated pedestal growth technique was demonstrated at RT. The optical-to-optical slope efficiency of 33.9% is the highest, to the best of our knowledge, among all Cr4+:YAG lasers, whether they are in bulk or fiber forms. The low-threshold lasing of 78.2 mW and high efficiency are in good agreement with the simulation. The keys to the high laser efficiency are twofold: one is the improved Cr4+ emission cross section and fluorescence lifetime due to release of the strain on the distorted Cr4+ tetrahedron, which also mitigates photobleaching in Cr4+:YAG; the other is the improved core uniformity at long fiber lengths. In addition, because of the low threshold, the impact of excited state absorption of the pump light is significantly reduced. The effects of crystal-orientation, self-selected, and pump-dependent linear polarization states were also addressed.

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