MGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital East, Charlestown, MA 02129, USA.
Auton Neurosci. 2013 Mar;174(1-2):31-5. doi: 10.1016/j.autneu.2012.12.001. Epub 2012 Dec 27.
Electrical stimulation of the cervical vagus nerve reduces infarct size by approximately 50% after cerebral ischemia in rats. The mechanism of ischemic protection by vagus nerve stimulation (VNS) is not known. In this study, we investigated whether the infarct reducing effect of VNS was mediated by activation of the parasympathetic vasodilator fibers that originate from the sphenopalatine ganglion (SPG) and innervate the anterior cerebral circulation. We examined the effects of electrical stimulation of the cervical vagus nerve in two groups of rats: one with and one without SPG ablation. Electrical stimulation was initiated 30 min after induction of ischemia, and lasted for 1h. Measurement of infarct size 24h later revealed that the volume of ischemic damage was smaller in those animals that received VNS treatment (41.32±2.07% vs. 24.19±2.62% of the contralateral hemispheric volume, n=6 in both; p<0.05). SPG ablation did not abolish this effect; the reduction in infarct volume following VNS was 58% in SPG-damaged animals, 41% in SPG-intact animals (p>0.05). In both SPG-intact and SPG-damaged animals VNS treatment resulted in better motor outcome (p<0.05 vs. corresponding controls for both). Our findings show that VNS can protect the brain against acute ischemic injury, and that this effect is not mediated by SPG projections.
电刺激颈部迷走神经可使大鼠脑缺血后梗死体积缩小约 50%。迷走神经刺激(VNS)的缺血保护机制尚不清楚。在这项研究中,我们研究了 VNS 的梗死缩小效应是否通过激活发自蝶腭神经节(SPG)并支配前脑循环的副交感血管舒张纤维来介导。我们在两组大鼠中检查了颈部迷走神经电刺激的效果:一组进行了 SPG 消融,另一组没有。电刺激在诱导缺血后 30 分钟开始,并持续 1 小时。24 小时后测量梗死面积显示,接受 VNS 治疗的动物的缺血损伤体积较小(41.32±2.07%与对侧半球体积的 24.19±2.62%相比,n=6;p<0.05)。SPG 消融并未消除这种效果;在 SPG 受损的动物中,VNS 后梗死体积减少 58%,在 SPG 完整的动物中减少 41%(p>0.05)。在 SPG 完整和 SPG 受损的动物中,VNS 治疗均导致更好的运动结果(p<0.05 与相应的对照组相比)。我们的发现表明,VNS 可以保护大脑免受急性缺血性损伤,并且这种作用不是通过 SPG 投射介导的。
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