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经皮耳迷走神经刺激(taVNS)的紧张性和相位性刺激均会引起快速而短暂的瞳孔扩张。

Tonic and phasic transcutaneous auricular vagus nerve stimulation (taVNS) both evoke rapid and transient pupil dilation.

机构信息

Heinrich Heine University Düsseldorf, Germany; University of Sussex, Brighton, UK.

Heinrich Heine University Düsseldorf, Germany.

出版信息

Brain Stimul. 2024 Mar-Apr;17(2):233-244. doi: 10.1016/j.brs.2024.02.013. Epub 2024 Feb 28.


DOI:10.1016/j.brs.2024.02.013
PMID:38423207
Abstract

BACKGROUND: Transcutaneous auricular vagus nerve stimulation (tVNS or taVNS) is a non-invasive method of electrical stimulation of the afferent pathway of the vagus nerve, suggested to drive changes in putative physiological markers of noradrenergic activity, including pupil dilation. OBJECTIVE: However, it is unknown whether different taVNS modes can map onto the phasic and tonic modes of noradrenergic activity. The effects of taVNS on pupil dilation in humans are inconsistent, largely due to differences in stimulation protocols. Here, we attempted to address these issues. METHODS: We investigated pupil dilation under phasic (1 s) and tonic (30 s) taVNS, in a pre-registered, single-blind, sham-controlled, within-subject cross-over design, in the absence of a behavioural task. RESULTS: Phasic taVNS induced a rapid increase in pupil size over baseline, significantly greater than under sham stimulation, which rapidly declined after stimulation offset. Tonic taVNS induced a similarly rapid (and larger than sham) increase in pupil size over baseline, returning to baseline within 5 s, despite the ongoing stimulation. Thus, both active and sham tonic modes closely resembled the phasic effect. There were no differences in tonic baseline pupil size, and no sustained effects of stimulation on tonic baseline pupil size. CONCLUSIONS: These results suggest that both phasic- and tonic-like taVNS under the standard stimulation parameters may modulate primarily the phasic mode of noradrenergic activity, as indexed by evoked pupil dilation, over and above somatosensory effects. This result sheds light on the temporal profile of phasic and tonic stimulation, with implications for their applicability in further research.

摘要

背景:经皮耳迷走神经刺激(tVNS 或 taVNS)是一种非侵入性的迷走神经传入通路电刺激方法,据推测可驱动去甲肾上腺素能活性的假定生理标志物的变化,包括瞳孔扩张。 目的:然而,不同的 taVNS 模式是否可以映射到去甲肾上腺素能活性的相位和紧张模式尚不清楚。taVNS 对人类瞳孔扩张的影响不一致,主要是由于刺激方案的差异。在这里,我们试图解决这些问题。 方法:我们在没有行为任务的情况下,采用预先注册的、单盲的、假刺激对照的、自身交叉设计,研究了在相位(1 s)和紧张(30 s)taVNS 下瞳孔扩张。 结果:与假刺激相比,相位 taVNS 诱导瞳孔大小在基线以上快速增加,明显大于假刺激,刺激结束后迅速下降。紧张 taVNS 诱导的瞳孔大小在基线以上的快速增加(且大于假刺激)类似于相位作用,尽管持续刺激,但在 5 s 内恢复到基线。因此,无论是主动刺激还是假刺激的紧张模式,都非常类似于相位作用。紧张模式的基线瞳孔大小没有差异,刺激对紧张模式的基线瞳孔大小也没有持续影响。 结论:这些结果表明,在标准刺激参数下,无论是相位样还是紧张样 taVNS 都可能主要调节去甲肾上腺素能活性的相位模式,如诱发的瞳孔扩张所指示的那样,超过了躯体感觉效应。该结果揭示了相位和紧张刺激的时间特征,对其在进一步研究中的适用性具有重要意义。

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引用本文的文献

[1]
Effects of taVNS on physiological responses and cognitive performance during a mental stressor.

Cogn Affect Behav Neurosci. 2025-9-4

[2]
Transcutaneous Auricular Vagus Nerve Stimulation Enhances Emotional Processing and Long-Term Recognition Memory: Electrophysiological Evidence Across Two Studies.

Psychophysiology. 2025-3

[3]
Three Hundred Hertz Transcutaneous Auricular Vagus Nerve Stimulation (taVNS) Impacts Pupil Size Non-Linearly as a Function of Intensity.

Psychophysiology. 2025-2

[4]
Non-Invasive Auricular Vagus Nerve Stimulation Decreases Heart Rate Variability Independent of Caloric Load.

Psychophysiology. 2025-2

[5]
Stimulate to Remember? The Effects of Short Burst of Transcutaneous Vagus Nerve Stimulation (taVNS) on Memory Performance and Pupil Dilation.

Psychophysiology. 2025-1

[6]
The effect of transcutaneous auricular vagus nerve stimulation on cardiovascular function in subarachnoid hemorrhage patients: A randomized trial.

Elife. 2025-1-9

[7]
Impact of Stimulation Duration in taVNS-Exploring Multiple Physiological and Cognitive Outcomes.

Brain Sci. 2024-8-29

[8]
The effect of transcutaneous auricular vagus nerve stimulation on cardiovascular function in subarachnoid hemorrhage patients: a safety study.

medRxiv. 2024-9-8

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