Performance of Tai Chi Chuan and NF-κB-driven proinflammatory gene expression (IL-6, IL-1β, TNF-α) in adult chronic disease patients: a systematic review and meta-analysis of randomized controlled trials - Report - MDSpire

Performance of Tai Chi Chuan and NF-κB-driven proinflammatory gene expression (IL-6, IL-1β, TNF-α) in adult chronic disease patients: a systematic review and meta-analysis of randomized controlled trials

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Clinical Report: Efficacy of Tai Chi Chuan on NF-κB-mediated Pro-inflammatory Gene Expression

Overview

This systematic review and meta-analysis evaluates the impact of Tai Chi Chuan on pro-inflammatory gene expression in adults with chronic illnesses. The findings indicate significant reductions in IL-6 and IL-1β levels, suggesting Tai Chi's potential as an anti-inflammatory intervention.

Background

Chronic inflammation is a significant contributor to various chronic diseases, leading to increased morbidity and healthcare costs. The NF-κB signaling pathway plays a crucial role in mediating inflammation, with pro-inflammatory cytokines such as IL-6, IL-1β, and TNF-α perpetuating this cycle. Understanding interventions that can modulate this pathway is essential for improving patient outcomes in chronic disease management.

Data Highlights

GeneStandardized Mean Difference (SMD)95% Confidence Interval (CI)p-value
Overall-0.48-0.76 to -0.19<0.01
IL-6-0.66-1.27 to -0.060.03
IL-1β-0.59-0.95 to -0.23<0.01
TNF-α-0.28-0.59 to 0.020.07

Key Findings

  • Tai Chi Chuan significantly reduced pro-inflammatory gene expression in chronic disease patients.
  • IL-6 levels were significantly down-regulated (SMD = -0.66, p = 0.03).
  • IL-1β levels were significantly reduced (SMD = -0.59, p < 0.01).
  • TNF-α showed a downward trend but was not statistically significant (SMD = -0.28, p = 0.07).
  • Patients with endocrine and respiratory diseases benefited most from Tai Chi interventions.
  • Future research should focus on RCTs examining NF-κB core proteins as outcome measures.

Clinical Implications

Identify specific chronic conditions where Tai Chi may be particularly beneficial.

Conclusion

Highlight the importance of understanding Tai Chi's mechanisms in future research.

References

  1. Frontiers | Performance of Tai Chi Chuan and NF-κB-Driven Proinflammatory Gene Expression (IL-6, IL-1β, TNF-α) in Adult Chronic Disease Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
  2. Clinical Rheumatology — Impact of TNF Inhibitors on Arterial Stiffness and Intima-Media Thickness in Patients with Rheumatoid Arthritis: A Systematic Review and Meta-Analysis
  3. Clinical Rheumatology — Age Influences Efficacy of Anti-TNFα Therapy in Ankylosing Spondylitis Patients and Correlates with CD8 Cell TNFα Production
  4. A comprehensive analysis of structured physical activity's impact on inflammation and body composition in individuals with inflammatory bowel disease
  5. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee - PubMed
  6. The New Gastroenterologist — Impact of Prior Anti-TNF Treatment on the Effectiveness of Subsequent Ulcerative Colitis Therapies
  7. Evidence Map of Tai Chi and Qigong: Update from 2014–2024
  8. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee - PubMed
  9. Frontiers | Performance of Tai Chi Chuan and NF-κB-Driven Proinflammatory Gene Expression (IL-6, IL-1β, TNF-α) in Adult Chronic Disease Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

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