Review Article

Effect of Acupuncture on Polycystic Ovary Syndrome in Animal Models: A Systematic Review

Table 1

Characteristics of included studies.

Study IDSpecies (Na/Nc)RandomisedWeight (g)ModelAcupuncture (acupoints)Course of treatmentStimulation parametersThe main outcomesResult

Stener-Victorin (2003) [18]SD rats (8/8)Not reported195–210EVBilateral in the mm biceps femoris and erector spinae, in somatic segments corresponding to the innervation of the ovariesEvery second or third day, 25 min, 12 timesEA (2 Hz), 1.5 mAEndothelin-1
Mannerås (2008) [19]Wistar rats (11/12)YNot reportedDHTST29, SP6, in somatic segments that correspond to the innervation of the ovaries15 min in week 1, 20 min in weeks 2–3, and 25 min, thereafter, 4–5 weeksEA (2 Hz), 0.8–1.3 mABWNS
Peng (2008) [20]Wistar rats (11/12)Y250 ± 20TPST36, ST40, ST25, SP630 min a day, 14 daysEA (2 Hz)BW
FINS

Zhang (2008) [21]SD rats (14/13)Not reportedDHTRN3, RN4, SP6, EX-CA115 min, once a day, 6 weeksMAT
Zhang (2009)_1 [22]SD rats (NR)Not reportedDHTRN3, RN4, SP6, EX-CA115 min, once a day, 6 weeksMAT
Zhang (2009)_2 [23]SD rats (11/12)YNot reportedDHEACV4, CV3, SP6, EX-CA115 min a day, 5 daysMAT
Johansson (2010) [23]Wistar rats (11/12)Y299 ± 6; 287 ± 5DHTTwo needles bilaterally in the abdominal muscles, and two needles were placed in each soleus and gastrocnemius hindlimb muscle, in somatic segments corresponding to ovarian innervations15 min in week 1, 20 min in weeks 2 and 3, and 25 min thereafter, 5 days/week, 4–5 weeksEA (2 Hz), 0.8–1.4 mAWB
Glucose infusion rate
NS
Feng (2012) [24]Wistar rats (8/8/8)YNot reportedDHTBilaterally in the rectus abdominis and triceps surae muscles at points in somatic segments corresponding to the innervation of the ovaries15 min in wk 1, 20 min wks 2–3, and 25 min thereafter, 20–25 treatmentsEA (2 Hz), 0.8–1.4 mA;
MA
T
LH
NS
NS
Li (2012) [25]SD rats (9/10)Y50 ± 10DHEABL23, RN6, PC6, ST36, SP6, EX-CA130 minutes a day, 6 estrous cyclesEAT
LH
Not reported
Johansson (2013) [26]Wistar rats (10/10/10)Y252.8 ± 12.9; 256.4 ± 15.8; 252.3 ± 23.7DHTTwo needles inserted in the rectus abdominis, and one in triceps surae muscles bilaterally15 min in week 1, 20 min in weeks 2 and 3, and 25 min thereafter, 5 days/week, 4–5 weeksEA (2 Hz);
MA
BW
Sun (2013) [27]SD rats (10/10)Y200 ± 20LetrozoleCV4, CV320 min a day, 14 consecutive daysEA (2 Hz), 2 mAT
Benrick (2014) [28]Wistar rats (12/12)YNot reportedDHTST27, ST28, ST29, SP6, SP945 min, single sessionEA (2 Hz), 0.8–1.2 mA;
MA
Glucose infusion rate
Lai (2014) [29]SD rats (8/8)YNot reportedTP + high fat dietRN12, CV4, ST2530 minutes, 3 times a week, 6 weeksEA (2 Hz)HOMA-IR
FINS

Chen (2015) [30]SD rats (10/10)YYPrasterone Sulfate + high fat dietEX-B3, SP620 minutes, 5 times a week, 8 weeksEA (2 Hz), 1.5 mAT
HOMA-IR

Maliqueo (2015) [31]Wistar rats (10/10)YNot reportedLetrozoleTwo needles bilaterally in the abdominal muscles, and two needles were placed in each soleus and gastrocnemius hindlimb muscle, in somatic segments (Th 10- L2) corresponding to ovarian innervations15 min in week 1, 20 min in weeks 2 and 3, and 25 min thereafter, 5 days/week, 5–6 weeksEA (2 Hz), 0.6–1.4 mA;
MA
T
Zheng (2015) [32]SD rats (10/10)Y45–50TP + high fat diet(1) CV12, CV4, SP6; (2) ST36, Hou Hui20 minutes, 5 times a week, 5 weeks, 2 sets of acupoints alternativelyEA (2 Hz)T
FINS
HOMA-IR


Lai (2016) [33]SD rats (10/10)YNot reportedDHEA + high fat dietRN4, RN12, ST2530 minutes, 3 times a week, 5 weeksEA (2 Hz), 1 mAHOMA-IR
FINS

Li (2016) [34]SD rats (7/7)YNot reportedDHEARN4, SP6, EX-CA1, RN315 min in week 1, 20 min in weeks 2 and 3, and 25 min thereafter, 5 days/week, 5 weeksEA (2 Hz)HOMA-IR
Lin (2016) [35]SD rats (6/6)YNot reportedLetrozole + high fat diet(1) RN4, SP6; (2) BL18, BL20, BL2315 minutes, 20 daysMAT
HOMA-IR

Maliqueo (2017) [36]Wistar rats (9/8)YNot reportedLetrozoleTwo needles bilaterally in the abdominal muscles, and two needles were placed in each soleus and gastrocnemius hindlimb muscles, in somatic segments (Th 10- L2) corresponding to ovarian innervations15 min in week 1, 20 min in weeks 2 and 3, and 25 min thereafter, 5 days/week, 5–6 weeksEA (2 Hz), 0.6–1.4 mA;
MA
FINSNS
Meng (2018) [37]SD rats (8/8)YNot reportedTP + high fat dietSP6, RN4, RN12, LI10, ST3630 min, 5 times a week, 5 weeksEA (2 Hz)WB
Xu (2018) [38]SD rats (10/10)Y160 ± 20LetrozoleST36, SP6, CV420 min, 14 consecutive daysEA (2 Hz), 1–3 mAWB
T

Shi (2019) [39]SD rats (10/10)Y180 ± 20LetrozoleCV3, CV420 min, 14 consecutive daysEA (2 Hz), 2 mAT
Xu (2019) [40]SD rats (10/10)Y160 ± 20LetrozoleST36, SP6, CV420 min, 14 consecutive daysEA (2 Hz)LH
LH/FSH

Yu (2019) [41]SD rats (10/10)Y180–200LetrozoleLI 10, ST36, SP6, RN420 minutes, 27 daysEA (2 Hz)T
Zhou (2019) [42]SD rats (10/10)YNot reportedLetrozoleCV3, CV420 minutes, 14 daysEA (2 Hz), 2 mAT
Xu (2020) [14]SD rats (10/10)Y160 ± 20LetrozoleCV3 and the point 5 mm next to CV3 at the same horizontal axis20 minutes, 14 daysEA (2 Hz), 2 mAWB
T
LH
AMH



Huang (2020) [43]SD rats (7/7)Y130–170LetrozoleSP6, LR 320 minutes, 14 daysEA (2 Hz), 2 mAT
LH
AMH


Kuang (2020) [44]SD rats (8/8)Y50 ± 5DHEARN3, RN4, EX-CA1, SP615 min in week 1, 20 min in weeks 2 and 3, and 25 min thereafter, 5 days/week, 5 weeksEA (2 Hz)WB
Peng (2020) [13]SD rats (6/6)Not reportedNot reportedDHEAST29, SP615 min in week 1, 20 min in weeks 2 and 3, and 25 min thereafter, 5 days/week, 5 weeksEA (2 Hz), 0.8–1.3 mA;T
LH
LH/FSH


Tong (2020) [45]Wistar rats (11/14)YNot reportedDHTST29, SP630 min a day, 5 days a week, 4 weeksEA (2 Hz), 2 mAWeight

Na = number in acupuncture group; Nc = number in control group; Ev = estradiol valerate; DHT = dihydrotestosterone; BW = body weight; NS = not significant; FINS = fast insulin; TP = testosterone propionate; DHEA = dehydroepiandrosterone; DHT = Dihydrotestosterone; AMH = anti-Mullerian hormone.