Grain-sized moxibustion activates dendritic cells to enhance the antitumor immunity of cancer vaccines

Abstract Background Moxibustion, a traditional Chinese medicine (TCM) therapy, employs thermal stimulation from the combustion of Artemisia argyi H.Lév. & Vaniot at acupoints to treat "deficiency-cold syndromes" (xuhan zheng), historically linked to immune dysfunction and chronic infla...

Full description

Saved in:
Bibliographic Details
Main Authors: Weiming Shen, Dan Hu, Chenyuan Gong, Cheng Fang, Jiaojiao Luo, Lixin Wang, Chao Yao, Huangan Wu, Chen Zhao, Shiguo Zhu
Format: Article
Language:English
Published: BMC 2025-05-01
Series:Chinese Medicine
Subjects:
Online Access:https://doi.org/10.1186/s13020-025-01134-w
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849704690631049216
author Weiming Shen
Dan Hu
Chenyuan Gong
Cheng Fang
Jiaojiao Luo
Lixin Wang
Chao Yao
Huangan Wu
Chen Zhao
Shiguo Zhu
author_facet Weiming Shen
Dan Hu
Chenyuan Gong
Cheng Fang
Jiaojiao Luo
Lixin Wang
Chao Yao
Huangan Wu
Chen Zhao
Shiguo Zhu
author_sort Weiming Shen
collection DOAJ
description Abstract Background Moxibustion, a traditional Chinese medicine (TCM) therapy, employs thermal stimulation from the combustion of Artemisia argyi H.Lév. & Vaniot at acupoints to treat "deficiency-cold syndromes" (xuhan zheng), historically linked to immune dysfunction and chronic inflammation. Modern pharmacological studies showed that grain-sized moxibustion (gM) enhances innate immune surveillance such as natural killer (NK) cell recruitment. However, its synergy with vaccine-induced adaptive immunity remains unexplored. Guided by the TCM principle of fu zheng qu xie (“fortify the host to dispel pathogens”), this study investigated whether gM augments cancer vaccine efficacy and validate the mechanistic basis of thermal acupoint stimulation in amplifying adaptive antitumor immunity. Methods In tumor-bearing mice model, gM was applied to the ST36 (Zusanli) acupoint. Adjuvant effects on the cancer vaccine were evaluated through flow cytometry, β-adrenergic receptor blockade, and cell depletion. Results gM synergized with the cancer vaccine, significantly suppressing tumor growth. Mechanistically, gM inhibited β-adrenergic signaling, driving DC maturation and subsequent coordination of CD4+ T cell, CD8+ T cell and NK cell responses. CD4+ T cells as primary effectors, with NK cells playing a secondary role. Propranolol mirrored gM’s effects, further enhancing DC activation and tumor suppression when combined with vaccination. Conclusion Both gM and β-blockers enhance cancer vaccine efficacy through β-adrenergic suppression and maturation of DC. These findings mechanistically bridge TCM’s fu zheng qu xie strategy with modern immunotherapy, positioning β-adrenergic modulation as a convergent target for traditional and pharmacological interventions.
format Article
id doaj-art-7f56bda06cfc447fb0e123ecf0668f7d
institution DOAJ
issn 1749-8546
language English
publishDate 2025-05-01
publisher BMC
record_format Article
series Chinese Medicine
spelling doaj-art-7f56bda06cfc447fb0e123ecf0668f7d2025-08-20T03:16:41ZengBMCChinese Medicine1749-85462025-05-0120111310.1186/s13020-025-01134-wGrain-sized moxibustion activates dendritic cells to enhance the antitumor immunity of cancer vaccinesWeiming Shen0Dan Hu1Chenyuan Gong2Cheng Fang3Jiaojiao Luo4Lixin Wang5Chao Yao6Huangan Wu7Chen Zhao8Shiguo Zhu9Department of Immunology and Pathogenic Biology, School of Integrative Medicine, Shanghai University of Traditional Chinese MedicineDepartment of Immunology and Pathogenic Biology, School of Integrative Medicine, Shanghai University of Traditional Chinese MedicineDepartment of Immunology and Pathogenic Biology, School of Integrative Medicine, Shanghai University of Traditional Chinese MedicineDepartment of Immunology and Pathogenic Biology, School of Integrative Medicine, Shanghai University of Traditional Chinese MedicineDepartment of Immunology and Pathogenic Biology, School of Integrative Medicine, Shanghai University of Traditional Chinese MedicineDepartment of Immunology and Pathogenic Biology, School of Integrative Medicine, Shanghai University of Traditional Chinese MedicineDepartment of Immunology and Pathogenic Biology, School of Integrative Medicine, Shanghai University of Traditional Chinese MedicineYueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese MedicineSchool of Acupuncture, Moxibustion and Tuina, Shanghai University of Traditional Chinese MedicineDepartment of Immunology and Pathogenic Biology, School of Integrative Medicine, Shanghai University of Traditional Chinese MedicineAbstract Background Moxibustion, a traditional Chinese medicine (TCM) therapy, employs thermal stimulation from the combustion of Artemisia argyi H.Lév. & Vaniot at acupoints to treat "deficiency-cold syndromes" (xuhan zheng), historically linked to immune dysfunction and chronic inflammation. Modern pharmacological studies showed that grain-sized moxibustion (gM) enhances innate immune surveillance such as natural killer (NK) cell recruitment. However, its synergy with vaccine-induced adaptive immunity remains unexplored. Guided by the TCM principle of fu zheng qu xie (“fortify the host to dispel pathogens”), this study investigated whether gM augments cancer vaccine efficacy and validate the mechanistic basis of thermal acupoint stimulation in amplifying adaptive antitumor immunity. Methods In tumor-bearing mice model, gM was applied to the ST36 (Zusanli) acupoint. Adjuvant effects on the cancer vaccine were evaluated through flow cytometry, β-adrenergic receptor blockade, and cell depletion. Results gM synergized with the cancer vaccine, significantly suppressing tumor growth. Mechanistically, gM inhibited β-adrenergic signaling, driving DC maturation and subsequent coordination of CD4+ T cell, CD8+ T cell and NK cell responses. CD4+ T cells as primary effectors, with NK cells playing a secondary role. Propranolol mirrored gM’s effects, further enhancing DC activation and tumor suppression when combined with vaccination. Conclusion Both gM and β-blockers enhance cancer vaccine efficacy through β-adrenergic suppression and maturation of DC. These findings mechanistically bridge TCM’s fu zheng qu xie strategy with modern immunotherapy, positioning β-adrenergic modulation as a convergent target for traditional and pharmacological interventions.https://doi.org/10.1186/s13020-025-01134-wCancer vaccineGrain-sized moxibustionβ-adrenergic receptorCD4+ T cellsDendritic cells
spellingShingle Weiming Shen
Dan Hu
Chenyuan Gong
Cheng Fang
Jiaojiao Luo
Lixin Wang
Chao Yao
Huangan Wu
Chen Zhao
Shiguo Zhu
Grain-sized moxibustion activates dendritic cells to enhance the antitumor immunity of cancer vaccines
Chinese Medicine
Cancer vaccine
Grain-sized moxibustion
β-adrenergic receptor
CD4+ T cells
Dendritic cells
title Grain-sized moxibustion activates dendritic cells to enhance the antitumor immunity of cancer vaccines
title_full Grain-sized moxibustion activates dendritic cells to enhance the antitumor immunity of cancer vaccines
title_fullStr Grain-sized moxibustion activates dendritic cells to enhance the antitumor immunity of cancer vaccines
title_full_unstemmed Grain-sized moxibustion activates dendritic cells to enhance the antitumor immunity of cancer vaccines
title_short Grain-sized moxibustion activates dendritic cells to enhance the antitumor immunity of cancer vaccines
title_sort grain sized moxibustion activates dendritic cells to enhance the antitumor immunity of cancer vaccines
topic Cancer vaccine
Grain-sized moxibustion
β-adrenergic receptor
CD4+ T cells
Dendritic cells
url https://doi.org/10.1186/s13020-025-01134-w
work_keys_str_mv AT weimingshen grainsizedmoxibustionactivatesdendriticcellstoenhancetheantitumorimmunityofcancervaccines
AT danhu grainsizedmoxibustionactivatesdendriticcellstoenhancetheantitumorimmunityofcancervaccines
AT chenyuangong grainsizedmoxibustionactivatesdendriticcellstoenhancetheantitumorimmunityofcancervaccines
AT chengfang grainsizedmoxibustionactivatesdendriticcellstoenhancetheantitumorimmunityofcancervaccines
AT jiaojiaoluo grainsizedmoxibustionactivatesdendriticcellstoenhancetheantitumorimmunityofcancervaccines
AT lixinwang grainsizedmoxibustionactivatesdendriticcellstoenhancetheantitumorimmunityofcancervaccines
AT chaoyao grainsizedmoxibustionactivatesdendriticcellstoenhancetheantitumorimmunityofcancervaccines
AT huanganwu grainsizedmoxibustionactivatesdendriticcellstoenhancetheantitumorimmunityofcancervaccines
AT chenzhao grainsizedmoxibustionactivatesdendriticcellstoenhancetheantitumorimmunityofcancervaccines
AT shiguozhu grainsizedmoxibustionactivatesdendriticcellstoenhancetheantitumorimmunityofcancervaccines