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经皮迷走神经刺激对边缘系统和颞叶脑结构的血氧水平依赖性功能磁共振成像失活及情绪增强作用

BOLD fMRI deactivation of limbic and temporal brain structures and mood enhancing effect by transcutaneous vagus nerve stimulation.

作者信息

Kraus T, Hösl K, Kiess O, Schanze A, Kornhuber J, Forster C

机构信息

Department of Psychiatry and Psychotherapy, Friedrich-Alexander-University, Erlangen-Nuremberg, Germany.

出版信息

J Neural Transm (Vienna). 2007;114(11):1485-93. doi: 10.1007/s00702-007-0755-z. Epub 2007 Jun 14.


DOI:10.1007/s00702-007-0755-z
PMID:17564758
Abstract

UNLABELLED: Direct vagus nerve stimulation (VNS) has proved to be an effective treatment for seizure disorder and major depression. However, since this invasive technique implies surgery, with its side-effects and relatively high financial costs, a non-invasive method to stimulate vagal afferences would be a great step forward. We studied effects of non-invasive electrical stimulation of the nerves in the left outer auditory canal in healthy subjects (n = 22), aiming to activate vagal afferences transcutaneously (t-VNS). Short-term changes in brain activation and subjective well-being induced by t-VNS were investigated by functional magnetic resonance imaging (fMRI) and psychometric assessment using the Adjective Mood Scale (AMS), a self-rating scale for current subjective feeling. Stimulation of the ear lobe served as a sham control. fMRI showed that robust t-VNS induced BOLD-signal decreases in limbic brain areas, including the amygdala, hippocampus, parahippocampal gyrus and the middle and superior temporal gyrus. Increased activation was seen in the insula, precentral gyrus and the thalamus. Psychometric assessment revealed significant improvement of well-being after t-VNS. Ear lobe stimulation as a sham control intervention did not show similar effects in either fMRI or psychometric assessment. No significant effects on heart rate, blood pressure or peripheral microcirculation could be detected during the stimulation procedure. CONCLUSIONS: Our study shows the feasibility and beneficial effects of transcutaneous nerve stimulation in the left auditory canal of healthy subjects. Brain activation patterns clearly share features with changes observed during invasive vagus nerve stimulation.

摘要

未标注:直接迷走神经刺激(VNS)已被证明是治疗癫痫和重度抑郁症的有效方法。然而,由于这种侵入性技术意味着手术,存在副作用且费用相对较高,一种刺激迷走神经传入纤维的非侵入性方法将是一大进步。我们研究了在健康受试者(n = 22)中对左外耳道神经进行非侵入性电刺激的效果,旨在经皮激活迷走神经传入纤维(经皮迷走神经刺激,t-VNS)。通过功能磁共振成像(fMRI)和使用形容词情绪量表(AMS)的心理测量评估来研究t-VNS引起的大脑激活和主观幸福感的短期变化,AMS是一种用于当前主观感受的自评量表。刺激耳垂作为假对照。fMRI显示,强烈的t-VNS导致边缘脑区的血氧水平依赖(BOLD)信号降低,包括杏仁核、海马体、海马旁回以及颞中回和颞上回。岛叶、中央前回和丘脑的激活增加。心理测量评估显示t-VNS后幸福感有显著改善。作为假对照干预的耳垂刺激在fMRI或心理测量评估中均未显示出类似效果。在刺激过程中未检测到对心率、血压或外周微循环有显著影响。 结论:我们的研究表明经皮神经刺激在健康受试者左耳道中的可行性和有益效果。大脑激活模式与侵入性迷走神经刺激期间观察到的变化明显具有共同特征。

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BOLD fMRI deactivation of limbic and temporal brain structures and mood enhancing effect by transcutaneous vagus nerve stimulation.

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本文引用的文献

[1]
Vagus nerve stimulation for the treatment of depression and other neuropsychiatric disorders.

Expert Rev Neurother. 2007-1

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Prog Brain Res. 2005

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Neuroimmunomodulation. 2005

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Vagus nerve stimulation suppresses pain but has limited effects on neurogenic inflammation in humans.

Eur J Pain. 2006-7

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