Neurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Università Campus Bio-Medico di Roma, Rome, Italy; NeXT: Neurophysiology and Neuroengineering of Human-Technology Interaction Research Unit, Campus Bio-Medico University, Rome, Italy.
Neurology, Neurophysiology and Neurobiology Unit, Department of Medicine, Università Campus Bio-Medico di Roma, Rome, Italy; NeXT: Neurophysiology and Neuroengineering of Human-Technology Interaction Research Unit, Campus Bio-Medico University, Rome, Italy.
Clin Neurophysiol. 2021 Aug;132(8):1859-1865. doi: 10.1016/j.clinph.2021.05.014. Epub 2021 Jun 9.
OBJECTIVE: Mechanisms of action and optimal stimulation parameters of transcutaneous auricular vagus nerve stimulation (taVNS) are currently unknown. Pupil size has gained attention as a promising biomarker of vagal activation in different studies on animal models. The aim of this study is to investigate the effects of taVNS on pupil diameter in healthy subjects. METHODS: All subjects received taVNS at the left external acoustic meatus and control stimulation at the left earlobe during the same experimental session. Different intensities (0.5 mA; 1.0 mA; 2.0 mA; 3.0 mA) for both conditions were tested. Tonic pupil size was recorded in both eyes at baseline and during each stimulation using an infrared-automated pupillometer in three different illuminance conditions (scotopic, mesopic, photopic). RESULTS: In scotopic illuminance condition, a significant interaction between intensity and condition (real vs control) was found for the left eye. Post-Hoc analysis showed that during real taVNS at 2 mA, pupil size was significantly larger in comparison to baseline and 2 mA control stimulation. CONCLUSIONS: Our study demonstrates that taVNS induces pupil dilation under specific illuminance conditions and at specific stimulation intensity. SIGNIFICANCE: The effects of taVNS are strictly dependent on technical aspects, such as stimulation parameters and experimental set-up.
目的:经皮耳迷走神经刺激(taVNS)的作用机制和最佳刺激参数目前尚不清楚。瞳孔大小作为迷走神经激活的一种有前途的生物标志物,已在不同的动物模型研究中引起关注。本研究旨在探讨 taVNS 对健康受试者瞳孔直径的影响。
方法:所有受试者在同一实验过程中分别于左耳外耳道口接受 taVNS 刺激和左耳耳垂对照刺激。两种条件下测试了不同的强度(0.5 mA、1.0 mA、2.0 mA、3.0 mA)。使用红外自动瞳孔计在三种不同照度条件(暗适应、中间适应、明适应)下记录双眼的基础瞳孔大小和每次刺激期间的瞳孔大小。
结果:在暗适应照度条件下,左眼的强度和条件(真实 vs 对照)之间存在显著的交互作用。事后分析表明,在 2 mA 的真实 taVNS 刺激下,与基础值和 2 mA 对照刺激相比,左眼瞳孔明显增大。
结论:本研究表明,taVNS 在特定照度条件和特定刺激强度下会引起瞳孔扩张。
意义:taVNS 的作用效果严格依赖于技术方面,如刺激参数和实验设置。
Clin Neurophysiol. 2021-8
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