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经皮颈部迷走神经刺激可改善人类的感觉性能:一项随机对照交叉先导研究。

Transcutaneous cervical vagus nerve stimulation improves sensory performance in humans: a randomized controlled crossover pilot study.

机构信息

Sharper Sense, Inc., New York, NY, USA.

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

出版信息

Sci Rep. 2024 Feb 17;14(1):3975. doi: 10.1038/s41598-024-54026-8.


DOI:10.1038/s41598-024-54026-8
PMID:38368486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10874458/
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

准确的感觉依赖于感觉受体的高保真编码和大脑中无错误的处理。在恢复受损感觉受体方面已经取得了进展。然而,用于按需治疗受损中枢感觉处理的方法却很少。先前的侵入性研究表明,在啮齿动物中连续的迷走神经刺激 (VNS) 可以激活蓝斑-去甲肾上腺素系统,从而快速改善中枢感觉处理。在这里,我们研究了经皮 VNS 是否能改善人类的感觉表现。我们进行了三项假刺激对照实验,每个实验都有 12 名神经典型成年人参与,以测量经皮 VNS 对听觉和视觉表现以及心率变异性 (HRV) 的影响。当参与者执行心理物理任务或被动观看显示器时,连续刺激施加于迷走神经的颈部 (tcVNS) 或耳部 (taVNS) 分支。与假刺激相比,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经历了更大的 tcVNS 诱发的改善(p=0.0040)。最后,tcVNS 在被动观察时增加了 HRV,这证实了迷走神经的参与。未观察到 taVNS 的影响证据。这些发现验证了 tcVNS 在人类中的有效性,并将其定位为一种用于按需干预与中枢感觉处理功能障碍相关的损伤的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/b63ae384b033/41598_2024_54026_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/7417789759b3/41598_2024_54026_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/be8ab49b915d/41598_2024_54026_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/1429e48e3707/41598_2024_54026_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/75accf7edb4a/41598_2024_54026_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/94bea40b9801/41598_2024_54026_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/818f9a46d400/41598_2024_54026_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/b63ae384b033/41598_2024_54026_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/7417789759b3/41598_2024_54026_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/be8ab49b915d/41598_2024_54026_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/1429e48e3707/41598_2024_54026_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/75accf7edb4a/41598_2024_54026_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/94bea40b9801/41598_2024_54026_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/818f9a46d400/41598_2024_54026_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/10874458/b63ae384b033/41598_2024_54026_Fig7_HTML.jpg

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The vagus nerve: a cornerstone for mental health and performance optimization in recreation and elite sports.

Front Psychol. 2025-7-11

[2]
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Front Robot AI. 2025-5-23

[3]
Transcutaneous Cervical Vagus Nerve Stimulation Improves Speech Comprehension in Noise: A Crossover, Placebo-Controlled Study.

Neuromodulation. 2025-5-21

[4]
Transcutaneous cervical vagus nerve stimulation improves speech comprehension in noise: A crossover, placebo-controlled study.

bioRxiv. 2025-3-25

[5]
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[6]
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Brain Behav. 2024-12

本文引用的文献

[1]
Neuromodulation of Neural Oscillations in Health and Disease.

Biology (Basel). 2023-2-26

[2]
Cortical magnification eliminates differences in contrast sensitivity across but not around the visual field.

Elife. 2023-3-24

[3]
Cognitive function and brain activation before and after transcutaneous cervical vagus nerve stimulation in healthy adults: A concurrent tcVNS-fMRI study.

Front Psychol. 2022-11-11

[4]
The Neuromodulatory Role of the Noradrenergic and Cholinergic Systems and Their Interplay in Cognitive Functions: A Focused Review.

Brain Sci. 2022-7-7

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Rapid Effects of Vagus Nerve Stimulation on Sensory Processing Through Activation of Neuromodulatory Systems.

Front Neurosci. 2022-7-5

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Vagus nerve stimulation drives selective circuit modulation through cholinergic reinforcement.

Neuron. 2022-9-7

[7]
Transcutaneous Auricular Vagus Nerve Stimulation Strengthens Semantic Representations of Foreign Language Tone Words during Initial Stages of Learning.

J Cogn Neurosci. 2021-12-6

[8]
Does transcutaneous auricular vagus nerve stimulation affect vagally mediated heart rate variability? A living and interactive Bayesian meta-analysis.

Psychophysiology. 2021-11

[9]
Acute vagus nerve stimulation enhances reversal learning in rats.

Neurobiol Learn Mem. 2021-10

[10]
Cervical transcutaneous vagal nerve stimulation (ctVNS) improves human cognitive performance under sleep deprivation stress.

Commun Biol. 2021-6-10

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