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经皮耳迷走神经刺激(taVNS)对瞳孔大小和事件相关瞳孔反应无调节作用。

No modulation of pupil size and event-related pupil response by transcutaneous auricular vagus nerve stimulation (taVNS).

机构信息

Department of Neurology, Otto von Guericke University, Magdeburg, Germany.

Neuroprotection Group, German Center for Neurodegenerative Diseases, Magdeburg, Germany.

出版信息

Sci Rep. 2019 Aug 7;9(1):11452. doi: 10.1038/s41598-019-47961-4.


DOI:10.1038/s41598-019-47961-4
PMID:31391505
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6685960/
Abstract

Transcutaneous auricular vagus nerve stimulation (taVNS) bears therapeutic potential for a wide range of medical conditions. However, previous studies have found substantial interindividual variability in responsiveness to taVNS, and no reliable predictive biomarker for stimulation success has been developed so far. In this study, we investigate pupil size and event-related pupil response as candidate biomarkers. Both measures have a direct physiological link to the activity of the locus coeruleus (LC), a brainstem structure and the main source of norepinephrine in the brain. LC activation is considered one of the key mechanisms of action of taVNS, therefore, we expected a clear increase of the pupillary measures under taVNS compared to sham (placebo) stimulation, such that it could serve as a prospective predictor for individual clinical and physiological taVNS effects in future studies. We studied resting pupil size and pupillary responses to target stimuli in an auditory oddball task in 33 healthy young volunteers. We observed stronger pupil responses to target than to standard stimuli. However, and contrary to our hypothesis, neither pupil size nor the event-related pupil response nor behavioral performance were modulated by taVNS. We discuss potential explanations for this negative finding and its implications for future clinical investigation and development of taVNS.

摘要

经皮耳迷走神经刺激(taVNS)在治疗多种医学病症方面具有巨大潜力。然而,既往研究发现 taVNS 的反应存在显著的个体间差异,迄今为止尚未开发出可靠的刺激成功预测生物标志物。在这项研究中,我们研究了瞳孔大小和事件相关的瞳孔反应作为候选生物标志物。这两种测量方法都与蓝斑(LC)的活动有直接的生理联系,LC 是脑干结构,也是大脑中去甲肾上腺素的主要来源。LC 的激活被认为是 taVNS 的主要作用机制之一,因此,我们预计 taVNS 会比假刺激(安慰剂)引起明显的瞳孔增大,因此它可能成为未来研究中个体临床和生理 taVNS 效果的前瞻性预测指标。我们在 33 名健康年轻志愿者中研究了静息时的瞳孔大小和听觉Oddball 任务中的瞳孔对目标刺激的反应。我们观察到,与标准刺激相比,瞳孔对目标刺激的反应更强。然而,与我们的假设相反,无论是瞳孔大小还是事件相关的瞳孔反应,还是行为表现,都不受 taVNS 的调节。我们讨论了这一阴性结果的潜在解释及其对未来临床研究和 taVNS 开发的影响。

相似文献

[1]
No modulation of pupil size and event-related pupil response by transcutaneous auricular vagus nerve stimulation (taVNS).

Sci Rep. 2019-8-7

[2]
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[3]
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[4]
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Sci Rep. 2024-10-17

[5]
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[6]
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Clin Neurophysiol. 2021-8

[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Effects of off-line auricular transcutaneous vagus nerve stimulation (taVNS) on a short-term memory task: a pilot study.

Front Aging Neurosci. 2025-4-28

[2]
Transcutaneous Auricular Vagus Nerve Stimulation Enhances Emotional Processing and Long-Term Recognition Memory: Electrophysiological Evidence Across Two Studies.

Psychophysiology. 2025-3

[3]
Three Hundred Hertz Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) Impacts Pupil Size Non-Linearly as a Function of Intensity.

Psychophysiology. 2025-2

[4]
Stimulate to Remember? The Effects of Short Burst of Transcutaneous Vagus Nerve Stimulation (taVNS) on Memory Performance and Pupil Dilation.

Psychophysiology. 2025-1

[5]
Investigating the modulation of gastric sensations and disposition toward food with taVNS.

Psychophysiology. 2025-2

[6]
Advances in VNS efficiency and mechanisms of action on cognitive functions.

Front Physiol. 2024-10-9

[7]
Impact of Stimulation Duration in taVNS-Exploring Multiple Physiological and Cognitive Outcomes.

Brain Sci. 2024-8-29

[8]
Can transcutaneous auricular vagus nerve stimulation mitigate vigilance loss? Examining the effects of stimulation at individualized versus constant current intensity.

Psychophysiology. 2025-1

[9]
The metabolic role of vitamin D in children's neurodevelopment: a network study.

Sci Rep. 2024-7-23

[10]
Heart rate and breathing effects on attention and memory (HeartBEAM): study protocol for a randomized controlled trial in older adults.

Trials. 2024-3-15

本文引用的文献

[1]
The influence of respiration on brainstem and cardiovagal response to auricular vagus nerve stimulation: A multimodal ultrahigh-field (7T) fMRI study.

Brain Stimul. 2019-2-10

[2]
The neuromodulatory and hormonal effects of transcutaneous vagus nerve stimulation as evidenced by salivary alpha amylase, salivary cortisol, pupil diameter, and the P3 event-related potential.

Brain Stimul. 2018-12-14

[3]
Exploration of the Impact of Brief Noninvasive Vagal Nerve Stimulation on EEG and Event-Related Potentials.

Neuromodulation. 2018-10-4

[4]
Behavioral and electrophysiological evidence for GABAergic modulation through transcutaneous vagus nerve stimulation.

Clin Neurophysiol. 2018-6-27

[5]
Effects of Transcutaneous Vagus Nerve Stimulation (tVNS) on the P300 and Alpha-Amylase Level: A Pilot Study.

Front Hum Neurosci. 2018-6-21

[6]
Tragus or cymba conchae? Investigating the anatomical foundation of transcutaneous auricular vagus nerve stimulation (taVNS).

Brain Stimul. 2018

[7]
Short trains of transcutaneous auricular vagus nerve stimulation (taVNS) have parameter-specific effects on heart rate.

Brain Stimul. 2018-4-6

[8]
Transcutaneous nerve stimulation via the tragus: are we really stimulating the vagus nerve?

Brain Stimul. 2018

[9]
Neurophysiologic effects of transcutaneous auricular vagus nerve stimulation (taVNS) via electrical stimulation of the tragus: A concurrent taVNS/fMRI study and review.

Brain Stimul. 2017-12-29

[10]
Nicotinic Acetylcholine Receptor Alpha7 Subunit Mediates Vagus Nerve Stimulation-Induced Neuroprotection in Acute Permanent Cerebral Ischemia by a7nAchR/JAK2 Pathway.

Med Sci Monit. 2017-12-23

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