Peng Liyan, Mu Ketao, Liu Aiguo, Zhou Liangqiang, Gao Yueyue, Shenoy Imrit Tejvansh, Mei Zhigang, Chen Qingguo
Department of Otorhinolaryngology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hear Res. 2018 Mar;359:1-12. doi: 10.1016/j.heares.2017.12.003. Epub 2017 Dec 24.
The purpose of this study was to explore the central mechanism of transauricular vagus nerve stimulation (taVNS) to human by fMRI and to find a suitable taVNS site for potential tinnitus treatment. 24 healthy subjects aged between 28 and 38 years were enrolled in the experiment. 8 subjects were stimulated in the auricular acupoints Kindey (CO10), Yidan (CO11), Liver (CO12) and Shenmen (TF4) in the left ear, 8 subjects were stimulated at the anterior wall of the auditory canal and left lower limb as an anterior stimulation group; 8 persons who were arranged in a sham group received taVNS at the left ear lobe and tail of the helix. Functional magnetic resonance imaging (fMRI) data from the cortices was collected and an Alphasim analysis was performed. We found that taVNS at auricular acupoints CO10-12, TF4 can instantly and effectively generate blood oxygenation level dependent (BOLD) signal changes in the prefrontal, auditory and limbic cortices of healthy subjects by fMRI. When comparing the acupoints group and the sham group in the left brain, the signals from the prefrontal cortex, the auditory ascending pathway including superior temporal gyrus, middle temporal gyrus, thalamus and limbic system regions such as putamen, caudate, posterior cingulate cortex, amygdala and parahippocampal gyrus were increased under our stimulation. The difference of the BOLD signal in the left brain between acupoints group and anterior group was in the superior temporal gyrus. We could also find signal differences in several regions of right brain among the groups. In conclusion, taVNS at acupoints CO10-12, TF4 could activate the prefrontal, auditory and limbic cortices of healthy brain and this scheme could be a promising tool for tinnitus treatment.
本研究旨在通过功能磁共振成像(fMRI)探索经耳迷走神经刺激(taVNS)作用于人体的中枢机制,并寻找一个适合用于潜在耳鸣治疗的taVNS刺激部位。24名年龄在28至38岁之间的健康受试者参与了该实验。8名受试者左耳的肾(CO10)、胰胆(CO11)、肝(CO12)和神门(TF4)耳穴接受刺激,8名受试者耳道前壁和左下肢接受刺激作为前刺激组;8名安排在假刺激组的受试者在左耳耳垂和耳轮尾接受taVNS。收集来自皮质的功能磁共振成像(fMRI)数据并进行Alphasim分析。我们发现,通过fMRI,耳穴CO10 - 12、TF4处的taVNS能立即且有效地在健康受试者的前额叶、听觉和边缘叶皮质产生血氧水平依赖(BOLD)信号变化。在比较左侧大脑的穴位组和假刺激组时,在我们的刺激下,前额叶皮质、包括颞上回、颞中回、丘脑的听觉上行通路以及壳核、尾状核、后扣带回皮质、杏仁核和海马旁回等边缘系统区域的信号增强。穴位组和前刺激组在左侧大脑BOLD信号的差异位于颞上回。我们还能在各组之间的右侧大脑几个区域发现信号差异。总之,耳穴CO10 - 12、TF4处的taVNS可激活健康大脑的前额叶、听觉和边缘叶皮质,该方案可能是一种有前景的耳鸣治疗工具。
Healthcare (Basel). 2022-9-21