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多分支神经:心率变异性之外的迷走神经功能。

The multibranched nerve: vagal function beyond heart rate variability.

机构信息

Location AMC: Amsterdam UMC, University of Amsterdam, Dept of Medical Biology, section Systems Physiology, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands.

出版信息

Biol Psychol. 2022 Jul;172:108378. doi: 10.1016/j.biopsycho.2022.108378. Epub 2022 Jun 7.


DOI:10.1016/j.biopsycho.2022.108378
PMID:35688294
Abstract

This paper reviews the many functions of the vagus nerve, to understand how they interact in daily life and what might be accomplished by therapeutical electrical stimulation. A short historical introduction on the discovery and name-giving of the cranial nerves numbers 9-12 is followed by an overview of the functions that are under lower brain stem control: heart (rate, contractility), intestine (swallowing, peristalsis and glands secretions, feeling of satiety), lungs (bronchoconstriction, lung-irritant and stretch receptor signaling), blood pressure (by vascular wall stress sensing) and blood gases by specialized receptors. Key in the review is the physiology behind beat-by-beat heart rate variations, how everyday life is reflected in its variability, from exciting moments to quiet sleep, with the 'common faint' or vasovagal collapse as extreme example. Next, the recently proposed role of the vagus nerve in limiting inflammation is discussed. This has led to adoption of an earlier developed technique for epilepsy treatment, i.e., electrical stimulation of one vagus nerve bundle in the neck, but now for immune diseases like rheumatoid arthritis and the scope is even widening to depression and cluster headache. However, the problem in application of whole vagus nerve stimulation is the lack of specificity: there is no way to titrate the stimulation to an observable effect variable. All nerves in the bundle, incoming and outgoing, can be 'hit', leading to side-effects which limit the intended application.

摘要

本文综述了迷走神经的许多功能,以了解它们在日常生活中如何相互作用,以及电刺激治疗可能会产生什么效果。本文首先简要介绍了颅神经 9-12 的发现和命名历史,然后概述了受脑干控制的功能:心脏(心率、收缩性)、肠道(吞咽、蠕动和腺体分泌、饱腹感)、肺(支气管收缩、肺刺激和拉伸感受器信号)、血压(通过血管壁压力感应)和血液气体通过专门的感受器。本文的重点是心跳逐拍变化背后的生理学原理,以及日常生活如何反映在其可变性中,从兴奋时刻到安静睡眠,以“常见晕厥”或血管迷走性晕厥为极端例子。接下来,本文讨论了迷走神经在限制炎症中的作用。这导致了一种早期开发的用于治疗癫痫的技术,即颈部单一迷走神经束的电刺激,但现在已经用于类风湿性关节炎等免疫性疾病,并且应用范围还在扩大到抑郁症和丛集性头痛。然而,整个迷走神经刺激应用的问题在于缺乏特异性:无法将刺激滴定到可观察的效应变量。束中的所有传入和传出神经都可能受到“刺激”,导致限制预期应用的副作用。

相似文献

[1]
The multibranched nerve: vagal function beyond heart rate variability.

Biol Psychol. 2022-7

[2]
How the vagus nerve produces beat-to-beat heart rate variability; experiments in rabbits to mimic in vivo vagal patterns.

J Clin Transl Res. 2015-12-20

[3]
Cervical vagus nerve stimulation augments spontaneous discharge in second- and higher-order sensory neurons in the rat nucleus of the solitary tract.

Am J Physiol Heart Circ Physiol. 2017-8-1

[4]
Non-invasive vagus nerve stimulation acutely improves spontaneous cardiac baroreflex sensitivity in healthy young men: A randomized placebo-controlled trial.

Brain Stimul. 2017-5-19

[5]
Cardiovascular autonomic effects of transcutaneous auricular nerve stimulation via the tragus in the rat involve spinal cervical sensory afferent pathways.

Brain Stimul. 2019-5-6

[6]
Access to Vagal Projections via Cutaneous Electrical Stimulation of the Neck: fMRI Evidence in Healthy Humans.

Brain Stimul. 2016-10-20

[7]
Vagus Nerve Stimulation and the Cardiovascular System.

Cold Spring Harb Perspect Med. 2020-2-3

[8]
Electrical stimulation of the vagus nerve improves intestinal blood flow after trauma and hemorrhagic shock.

Surgery. 2019-11-21

[9]
Responses of cardiac vagus and sympathetic nerves to excitation of somatic and visceral nerves.

J Auton Nerv Syst. 1984-4

[10]
The basis of vagal efferent control of heart rate in a neotropical fish, the pacu, Piaractus mesopotamicus.

J Exp Biol. 2009-4

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Control of spatiotemporal activation of organ-specific fibers in the swine vagus nerve by intermittent interferential current stimulation.

Nat Commun. 2025-5-13

[2]
Redefining respiratory sinus arrhythmia as respiratory heart rate variability: an international Expert Recommendation for terminological clarity.

Nat Rev Cardiol. 2025-5-6

[3]
Sleep links hippocampal propensity for epileptiform activity to its viscerosensory inputs.

Front Neurosci. 2025-3-13

[4]
Noninvasive assessment of temporal dynamics in sympathetic and parasympathetic baroreflex responses.

Physiol Meas. 2025-3-27

[5]
The Bezold-Jarisch Reflex Following an Endoscopic Endonasal Resection of an Intraosseous Clival Myxoma: A Case Report.

Case Rep Anesthesiol. 2025-2-20

[6]
Personalized auricular vagus nerve stimulation: beat-to-beat deceleration dominates in systole-gated stimulation during inspiration - a pilot study.

Front Physiol. 2025-1-6

[7]
Noninvasive Assessment of Temporal Dynamics in Sympathetic and Parasympathetic Baroreflex Responses.

bioRxiv. 2024-10-15

[8]
Osteoarthritis patients exhibit an autonomic dysfunction with indirect sympathetic dominance.

J Transl Med. 2024-5-16

[9]
Assessment of Autonomic Nervous System Activity Using Spectral Analysis of Heart Rate Variability After Continuous Positive Airway Pressure (CPAP) Therapy in Patients With Sleep Apnea.

Cureus. 2024-1-6

[10]
The effect of a single-session heart rate variability biofeedback on attentional control: does stress matter?

Front Psychol. 2023-11-16

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