Laboratory for Clinical and Experimental Neurophysiology, Neurobiology and Neuropsychology, Department of Neurology, Institute for Neuroscience, Ghent University Hospital, De Pintelaan 185, 9000 Ghent, Belgium.
Int J Neural Syst. 2013 Dec;23(6):1350027. doi: 10.1142/S0129065713500275. Epub 2013 Sep 4.
The mechanism of action of vagus nerve stimulation (VNS) for pharmacoresistant epilepsy is unknown and the therapeutic outcome is highly variable. We investigated stimulation-induced vagus nerve electrophysiological responses in rats using various stimulation parameters. Conduction velocity, I(50), rheobase and chronaxie were calculated. We identified an early and late component corresponding to an afferent compound action potential (CAP) and a remote laryngeal motor-evoked potential (LMEP), respectively. The conduction velocity (CAP: 26.2 ± 1.4 m/s; LMEP: 32.4 ± 2.4 m/s) and I(50) (CAP: 2.4 ± 0.3 mA; LMEP: 1.8±0.2 mA) were significantly different for both components, the rheobase (CAP: 140±30 μA; LMEP: 110±26 μA) and chronaxie (CAP: 66±7 μs; LMEP: 73±9 μs) were not. Using a pulse of 10 μs, the CAP saturated between 4-5 mA. Our method can be used to record VNS-induced electrophysiological responses in rats and provides an objective biomarker for electrical stimulation with various parameters in an experimental set-up. Our findings are potentially useful for clinical purposes in the sense that combination of VNS and recording of vagal nerve CAPs may help clinicians to determine the individual optimal intensity required to fully activate fast-conducting afferent fibers.
迷走神经刺激(VNS)治疗耐药性癫痫的作用机制尚不清楚,治疗效果差异很大。我们使用不同的刺激参数研究了刺激诱导的迷走神经电生理反应。计算了传导速度、I(50)、阈值和时程。我们分别确定了一个早期和晚期成分,分别对应传入复合动作电位(CAP)和远程喉运动诱发电位(LMEP)。传导速度(CAP:26.2±1.4 m/s;LMEP:32.4±2.4 m/s)和 I(50)(CAP:2.4±0.3 mA;LMEP:1.8±0.2 mA)在两个成分之间有显著差异,而阈值(CAP:140±30 μA;LMEP:110±26 μA)和时程(CAP:66±7 μs;LMEP:73±9 μs)没有显著差异。使用 10 μs 的脉冲,CAP 在 4-5 mA 之间饱和。我们的方法可用于记录大鼠 VNS 诱导的电生理反应,并为实验设置中各种参数的电刺激提供客观的生物标志物。我们的发现对于临床应用具有潜在的意义,因为 VNS 与记录迷走神经 CAP 的结合可能有助于临床医生确定充分激活快速传导传入纤维所需的个体最佳强度。
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