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               Electroacupuncture and fecal microbiota transplantation improve immune

               function  and  gut  microbiota  in  a  house  dust  mite-induced  asthma  mouse

               model


                                                   2
                                                                     3
                               #,1
               Nhan Bao Duy,  Chuan-Teng Liu,  Ying-Chyi Song,  Hung-Rong Yen*          ,1,2,4

               1   School  of  Chinese  Medicine,  College  of  Chinese  Medicine,  China  Medical  University,
                 Taichung 404328, Taiwan
               2  Research Center for Traditional Chinese Medicine, Department of Medical Research, China
                 Medical University Hospital, Taichung 404327, Taiwan
               3   Graduate  Institute  of  Integrated  Medicine,  College  of  Chinese  Medicine,  China  Medical
                 University, Taichung 404328, Taiwan
               4  Department of Chinese Medicine, China Medical University Hospital, Taichung 404327,
                 Taiwan
               * E-mail: hungrongyen@mail.cmu.edu.tw

               Abstract
                  Asthma is a chronic respiratory disease characterized by airway inflammation, remodeling,
               and hyperresponsiveness (AHR). Inflammatory cytokines and gut microbiota play critical roles
               in disease severity. Electroacupuncture (EA) and fecal microbiota transplantation (FMT) have
               shown therapeutic potential in asthma, yet the effects of EA on gut microbiota and immune
               modulation remain unclear. This study investigated the impact of EA on immune function and
               gut microbiota in a house dust mite-induced asthma mouse model. Asthma was induced in
               BALB/c mice via house dust mite sensitization and challenge. EA was applied at ST36 and
               BL13, and FMT was administered. AHR was assessed, lung histology examined, eosinophils
               and cytokines (IL-4, IL-13) in bronchoalveolar lavage fluid (BALF) were quantified by flow
               cytometry, serum IgE by ELISA, and fecal microbiota composition by 16S rRNA sequencing.
               EA significantly reduced AHR, mucus production, eosinophil infiltration, and IL-4/IL-13 levels.
               Combined ST36+BL13 stimulation was more effective than single-acupoint treatment. FMT
               also reduced AHR and inflammation, lowering pulmonary/systemic IL-4, IL-13, and IgE. EA
               tended to decrease the abundance of Clostridia_UCG-014. EA at ST36 and BL13 ameliorates
               asthma symptoms by modulating immune responses and altering gut microbiota, supporting its
               potential as an adjunctive therapy for asthma.

               Keywords: Electroacupuncture; Fecal microbiota transplantation; ST36; BL13; Gut
               microbiota
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