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经皮颈迷走神经刺激可改善人类的感觉功能。

Transcutaneous cervical vagus nerve stimulation improves sensory performance in humans.

作者信息

Jigo Michael, Carmel Jason B, Wang Qi, Rodenkirch Charles

机构信息

Sharper Sense, Inc., New York, NY.

Department of Neurology and Orthopedics, Columbia University Medical Center, New York, NY.

出版信息

bioRxiv. 2024 Jan 2:2023.08.08.552508. doi: 10.1101/2023.08.08.552508.

Abstract

Accurate senses depend on high-fidelity encoding by sensory receptors and error-free processing in the brain. Progress has been made towards restoring damaged sensory receptors. However, methods for on-demand treatment of impaired central sensory processing are scarce. Prior invasive studies demonstrated that continuous vagus nerve stimulation (VNS) in rodents can activate the locus coeruleus-norepinephrine system to rapidly improve central sensory processing. Here, we investigated whether transcutaneous VNS improves sensory performance in humans. We conducted three sham-controlled experiments, each with 12 neurotypical adults, that measured the effects of transcutaneous VNS on metrics of auditory and visual performance, and heart rate variability (HRV). Continuous stimulation was delivered to cervical (tcVNS) or auricular (taVNS) branches of the vagus nerve while participants performed psychophysics tasks or passively viewed a display. Relative to sham stimulation, tcVNS improved auditory performance by 37% (p=0.00052) and visual performance by 23% (p=0.038). Participants with lower performance during sham conditions experienced larger tcVNS-evoked improvements (p=0.0040). Lastly, tcVNS increased HRV during passive viewing, corroborating vagal engagement. No evidence for an effect of taVNS was observed. These findings validate the effectiveness of tcVNS in humans and position it as a method for on-demand interventions of impairments associated with central sensory processing dysfunction.

摘要

精确的感官依赖于感觉受体的高保真编码以及大脑中无差错的处理过程。在修复受损感觉受体方面已取得进展。然而,针对受损中枢感觉处理进行按需治疗的方法却很稀缺。先前的侵入性研究表明,在啮齿动物中持续进行迷走神经刺激(VNS)可激活蓝斑 - 去甲肾上腺素系统,从而迅速改善中枢感觉处理。在此,我们研究了经皮VNS是否能改善人类的感官表现。我们进行了三项假对照实验,每项实验有12名神经正常的成年人,测量经皮VNS对听觉和视觉表现指标以及心率变异性(HRV)的影响。在参与者执行心理物理学任务或被动观看显示屏时,将持续刺激施加于迷走神经的颈部(tcVNS)或耳部(taVNS)分支。相对于假刺激,tcVNS使听觉表现提高了37%(p = 0.00052),视觉表现提高了23%(p = 0.038)。在假刺激条件下表现较差的参与者在tcVNS刺激后改善幅度更大(p = 0.0040)。最后,tcVNS在被动观看期间增加了HRV,证实了迷走神经的参与。未观察到taVNS有效果的证据。这些发现验证了tcVNS在人类中的有效性,并将其定位为一种针对与中枢感觉处理功能障碍相关损伤进行按需干预的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40ad/10786502/c4ca5087620e/nihpp-2023.08.08.552508v2-f0001.jpg

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