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Overview of therapeutic applications of non-invasive vagus nerve stimulation: a motivation for novel treatments for systemic lupus erythematosus.

作者信息

Ramkissoon Charrise M, Güemes Amparo, Vehi Josep

机构信息

Institut d'Informàtica i Aplicacions, Universitat de Girona, Girona, Spain.

Bio-Inspired Technology, Department of Electrical and Electronic Engineering, Imperial College London, South Kensington Campus, London, UK.

出版信息

Bioelectron Med. 2021 May 25;7(1):8. doi: 10.1186/s42234-021-00069-5.


DOI:10.1186/s42234-021-00069-5
PMID:34030736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8145832/
Abstract

Systemic lupus erythematosus (SLE) is a chronic systemic autoimmune disorder that commonly affects the skin, joints, kidneys, and central nervous system. Although great progress has been made over the years, patients still experience unfavorable secondary effects from medications, increased economic burden, and higher mortality rates compared to the general population. To alleviate these current problems, non-invasive, non-pharmacological interventions are being increasingly investigated. One such intervention is non-invasive vagus nerve stimulation, which promotes the upregulation of the cholinergic anti-inflammatory pathway that reduces the activation and production of pro-inflammatory cytokines and reactive oxygen species, culpable processes in autoimmune diseases such as SLE. This review first provides a background on the important contribution of the autonomic nervous system to the pathogenesis of SLE. The gross and structural anatomy of the vagus nerve and its contribution to the inflammatory response are described afterwards to provide a general understanding of the impact of stimulating the vagus nerve. Finally, an overview of current clinical applications of invasive and non-invasive vagus nerve stimulation for a variety of diseases, including those with similar symptoms to the ones in SLE, is presented and discussed. Overall, the review presents neuromodulation as a promising strategy to alleviate SLE symptoms and potentially reverse the disease.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d60f/8145832/c934275ae4f4/42234_2021_69_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d60f/8145832/8fcbbf6a9a4d/42234_2021_69_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d60f/8145832/eeacc8a331c0/42234_2021_69_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d60f/8145832/c934275ae4f4/42234_2021_69_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d60f/8145832/8fcbbf6a9a4d/42234_2021_69_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d60f/8145832/eeacc8a331c0/42234_2021_69_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d60f/8145832/c934275ae4f4/42234_2021_69_Fig3_HTML.jpg

相似文献

[1]
Overview of therapeutic applications of non-invasive vagus nerve stimulation: a motivation for novel treatments for systemic lupus erythematosus.

Bioelectron Med. 2021-5-25

[2]
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[3]
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[4]
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[5]
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[6]
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BMJ Open. 2022-9-20

[7]
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[8]
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[9]
[Psychiatric manifestations of lupus erythematosus systemic and Sjogren's syndrome].

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[10]
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引用本文的文献

[1]
Transcutaneous Auricular Vagal Nerve Stimulation for the Treatment of the Fatigue Syndrome in Patients with Primary CNS Lymphoma - A Protocol for a Randomized and Controlled Single Center Clinical Trial.

Adv Ther. 2025-6-7

[2]
COVIVA: Effect of transcutaneous auricular vagal nerve stimulation on fatigue-syndrome in patients with Long Covid - A placebo-controlled pilot study protocol.

PLoS One. 2025-5-9

[3]
Research hotspots and trends of non-invasive vagus nerve stimulation: a bibliometric analysis from 2004 to 2023.

Front Neurol. 2024-9-19

[4]
Optimizing Noninvasive Vagus Nerve Stimulation for Systemic Lupus Erythematosus: Protocol for a Multicenter Randomized Controlled Trial.

JMIR Res Protoc. 2023-10-13

[5]
Autonomic nervous system imbalance during aging contributes to impair endogenous anti-inflammaging strategies.

Geroscience. 2024-2

[6]
Vagus nerve stimulation as a therapeutic option in inflammatory rheumatic diseases.

Rheumatol Int. 2024-1

[7]
Pharmacological and Electroceutical Targeting of the Cholinergic Anti-Inflammatory Pathway in Autoimmune Diseases.

Pharmaceuticals (Basel). 2023-7-31

[8]
Transcutaneous auricular branch vagal nerve stimulation as a non-invasive add-on therapeutic approach for pain in systemic sclerosis.

RMD Open. 2023-8

[9]
Frequency-dependent effect of intravenous administration of human adipose-derived mesenchymal stem cell therapy for severe Systemic Lupus Erythematosus: A case report.

J Transl Autoimmun. 2022-9-23

[10]
The Interplay between Autonomic Nervous System and Inflammation across Systemic Autoimmune Diseases.

Int J Mol Sci. 2022-2-23

本文引用的文献

[1]
Identification of a brainstem locus that inhibits tumor necrosis factor.

Proc Natl Acad Sci U S A. 2020-11-24

[2]
Transcutaneous auricular vagus nerve stimulation reduces pain and fatigue in patients with systemic lupus erythematosus: a randomised, double-blind, sham-controlled pilot trial.

Ann Rheum Dis. 2021-2

[3]
Closed-loop bioelectronic medicine for diabetes management.

Bioelectron Med. 2020-5-15

[4]
Investigational treatment of rheumatoid arthritis with a vibrotactile device applied to the external ear.

Bioelectron Med. 2019-4-17

[5]
Transcutaneous Auricular Vagus Nerve Stimulation.

J Clin Neurophysiol. 2019-11

[6]
Transcutaneous auricular vagus nerve stimulation at 1 Hz modulates locus coeruleus activity and resting state functional connectivity in patients with migraine: An fMRI study.

Neuroimage Clin. 2019-8-5

[7]
Real-world medication use and economic outcomes in incident systemic lupus erythematosus patients in the United States.

J Med Econ. 2019-10-21

[8]
Quantifying acute physiological biomarkers of transcutaneous cervical vagal nerve stimulation in the context of psychological stress.

Brain Stimul. 2019-8-6

[9]
Avoiding off-target effects in electrical stimulation of the cervical vagus nerve: Neuroanatomical tracing techniques to study fascicular anatomy of the vagus nerve.

J Neurosci Methods. 2019-6-28

[10]
Novel paradigms in systemic lupus erythematosus.

Lancet. 2019-6-6

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