AUTHOR=Wang Junying , Zhu Haohan , Song Xingke , Zhao Jun , Zhang Jianliang , Zhang Jinling , Li Shaoyuan , Rong Peijing TITLE=Electroacupuncture regulates gut microbiota to reduce depressive-like behavior in rats JOURNAL=Frontiers in Microbiology VOLUME=Volume 15 - 2024 YEAR=2024 URL=https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2024.1327630 DOI=10.3389/fmicb.2024.1327630 ISSN=1664-302X ABSTRACT=Growing studies shows that gut microbiota is closely associated with depression. Acupuncture treatment could regulate the gut microbiota of many diseases. Here, we aim to observe the effect of electroacupuncture (EA) on gut microbiota in rats that showed depressivelike behavior.The rats were randomly divided into normal group, chronic unpredictable mild stress model(CUMS) group, CUMS + electroacupuncture (EA) group, and CUMS + shamelectroacupuncture (Sham) group. The CUMS+EA rats were treated with EA stimulation at bilateral Zusanli (ST36) and Tianshu (ST25) acupoints for 2 weeks (0.7mA, 2Hz/100Hz,30min/day). The rats in the sham EA group were treated with the same conditions without inserting needles and electrical stimulation. Behavioral tests were conducted by forced swimming test (FST) , open field test (OFT) and sucrose preference test (SPT) to assess depression-like behavior in rats. The relative abundance of intestinal bacteria in rat feces was detected by 16S rRNA analysis. The expression of calcitoningene-related peptide (CGRP), vasoactive intestinal peptide (VIP), and somatostatin(SST), adrenocorticotropic hormone (ACTH) in serum were detected by ELISA kit, and VIP, CGRP, and SST in the colon were detected by qRT-PCR, and Western blot.Results: CUMS rats exhibited depressive-like behaviors and had differential abundance versus control rats. CUMS significantly decreased the relative abundance of Bifidobacterium and Streptococcus at the genus level, CGRP in plasma(P<0.05), and significantly increased the intestine propulsion rate, the mRNA and protein expression of VIP, SST mRNA in the colon, and ATCH in plasma(P<0.05). EA rats with microbial profiles were distinct from CUMS rats. EA markedly reduced the depressive-like behaviors, significantly increased the intestine propulsion rate, the relative abundance of Bacteroidetes, Proteobacteria and Actinobacteria at the phylum level, Bifidobacterium and Streptococcus at the genus level, VIP and CGRP in plasma(P<0.05), significantly decreased Firmicutes, the ratio of Firmicutes to Bacteroidetes at the phylum level, ACTH and SST in plasma, SST mRNA in the colon(P<0.05).The antidepressant effect of EA at ST36 and ST25 is related to regulating intestinal flora and the neurotransmitter system. Our study suggests that EA contributes to the improvement of depression, and gut microbiota may be one of the mechanisms of EA effect.