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成年犬右侧颈迷走神经的兴奋特性。

Excitation properties of the right cervical vagus nerve in adult dogs.

机构信息

Department of Biomedical Engineering, Duke University, Durham, NC 27708, USA.

出版信息

Exp Neurol. 2011 Jan;227(1):62-8. doi: 10.1016/j.expneurol.2010.09.011. Epub 2010 Sep 17.


DOI:10.1016/j.expneurol.2010.09.011
PMID:20851118
Abstract

Vagus nerve stimulation (VNS) is an approved treatment for epilepsy and depression, and it is currently under investigation for applications in Alzheimer's disease, anxiety, heart failure, and obesity. However, the mechanism(s) by which VNS has its effects are not clear, and the stimulation parameters for obtaining therapeutic outcomes appear highly variable. The purpose of this study was to quantify the excitation properties of the right cervical vagus nerve in adult dogs anesthetized with propofol and fentanyl. Input-output curves of the right cervical vagus nerve compound action potential and laryngeal muscle electromyogram were measured in response to VNS across a range of stimulation parameters: amplitudes of 0.02-50mA, pulsewidths of 10, 50, 100, 200, 300, 500, and 1,000μs, frequencies of 1-2Hz, and train lengths of 20 pulses with 3 different electrode configurations: monopolar cathode, proximal anode/distal cathode, and proximal cathode/distal anode. Electrode configuration and stimulation waveform (monophasic vs. asymmetric charge-balanced biphasic) did not affect the threshold or recruitment of the vagal nerve fibers that were activated. The rheobase currents of A- and B-fibers were 0.4mA and 0.7mA, respectively, and the chronaxie of both components was 180μs. Pulsewidth had little effect on the normalized threshold difference between activation of A- and B-fibers. The results provide insight into the complement of nerve fibers activated by VNS and guidance to clinicians for the selection of optimal stimulation parameters.

摘要

迷走神经刺激(Vagus nerve stimulation,VNS)是一种已被批准用于治疗癫痫和抑郁症的方法,目前正在研究将其应用于阿尔茨海默病、焦虑症、心力衰竭和肥胖症的治疗中。然而,VNS 产生疗效的确切机制尚不清楚,获得治疗效果的刺激参数似乎也存在很大差异。本研究的目的是量化在丙泊酚和芬太尼麻醉的成年犬的右侧颈迷走神经的兴奋特性。通过测量右侧颈迷走神经复合动作电位和喉肌肌电图对 VNS 的反应,得到了一系列刺激参数的输入-输出曲线:刺激幅度为 0.02-50mA,脉宽为 10、50、100、200、300、500 和 1000μs,频率为 1-2Hz,以及 3 种不同电极配置的 20 脉冲串:单极阴极、近端阳极/远端阴极和近端阴极/远端阳极。电极配置和刺激波形(单相 vs. 不对称平衡双相)并不影响被激活的迷走神经纤维的阈值或募集。A 纤维和 B 纤维的阈值电流分别为 0.4mA 和 0.7mA,两者的弛豫时间均为 180μs。脉宽对 A 纤维和 B 纤维激活的归一化阈值差异影响很小。这些结果为 VNS 激活的神经纤维成分提供了深入了解,并为临床医生选择最佳刺激参数提供了指导。

相似文献

[1]
Excitation properties of the right cervical vagus nerve in adult dogs.

Exp Neurol. 2010-9-17

[2]
Recordings from the rat locus coeruleus during acute vagal nerve stimulation in the anaesthetised rat.

Neurosci Lett. 2005-5-13

[3]
High-resolution measurement of electrically-evoked vagus nerve activity in the anesthetized dog.

J Neural Eng. 2013-1-31

[4]
Repeated assessment of larynx compound muscle action potentials using a self-sizing cuff electrode around the vagus nerve in experimental rats.

J Neurosci Methods. 2011-4-12

[5]
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J Neural Eng. 2007-9

[6]
Vagus nerve stimulation for epilepsy activates the vocal folds maximally at therapeutic levels.

Epilepsy Res. 2010-2-2

[7]
A Preclinical Study of Laryngeal Motor-Evoked Potentials as a Marker Vagus Nerve Activation.

Int J Neural Syst. 2015-9-14

[8]
Intraoperative human vagus nerve compound action potentials.

Acta Neurol Scand. 2004-10

[9]
A comparative study of three techniques for diameter selective fiber activation in the vagal nerve: anodal block, depolarizing prepulses and slowly rising pulses.

J Neural Eng. 2008-9

[10]
Electrophysiological responses from vagus nerve stimulation in rats.

Int J Neural Syst. 2013-9-4

引用本文的文献

[1]
Vagus nerve stimulation as a potential treatment for acute asthmatic bronchoconstriction: a systematic review.

Front Physiol. 2025-8-13

[2]
First-in-human microelectrode recordings from the vagus nerve during clinical vagus nerve stimulation.

Epilepsia Open. 2024-12

[3]
Transcutaneous Auricular Vagal Nerve Stimulation in Healthy Non-Sedated Horses: A Feasibility Study.

Vet Sci. 2024-5-28

[4]
VNS improves VSMC metabolism and arteriogenesis in infarcted hearts through m/n-AChR-Akt-SDF-1α in adult male rats.

J Mol Histol. 2024-2

[5]
Chronic vagus nerve stimulation in patients with heart failure: challenge or failed translation?

Front Cardiovasc Med. 2023-7-18

[6]
Alteration of Excitation/Inhibition Imbalance in the Hippocampus and Amygdala of Drug-Resistant Epilepsy Patients Treated with Acute Vagus Nerve Stimulation.

Brain Sci. 2023-6-21

[7]
Stimulation parameters for directional vagus nerve stimulation.

Bioelectron Med. 2023-7-18

[8]
Temporal interference current stimulation in peripheral nerves is not driven by envelope extraction.

J Neural Eng. 2023-4-28

[9]
Microneurography as a minimally invasive method to assess target engagement during neuromodulation.

J Neural Eng. 2023-4-13

[10]
A flexible protruding microelectrode array for neural interfacing in bioelectronic medicine.

Microsyst Nanoeng. 2022-12-22

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