“…Subsequently, AP research in the field of purinergic signalling started to flourish and a large set of data has been accumulated on changes in purine (ATP, adenosine) concentrations, both locally and in the CNS, induced by manual acupuncture, electroacupuncture, or moxibustion [12][13][14][15][16][17]. The participation of purinergic receptors (P1: A1, A2a, A2b, A3) [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34], (P2: P2X2, P2X3, P2X7, P2Y1, P2Y13) [35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52], and neuronal pathways bearing these receptors [53,54] has been confirmed in different AP-sensitive conditions (pain, inflammation, myocardial ischemia, obesity, cerebral ischemia). The functionalized acupuncture needle as a SERS (surfaceenhanced Raman spectroscopy)-active platform was developed for rapid and sensitive determination of ATP concentration [55], and led further support to the purinergic basis of AP.…”