Evidence map›Paper›PMID 25378088›Full record

ReviewBritish journal of pharmacology2015

Novel strategies and underlying protective mechanisms of modulation of vagal activity in cardiovascular diseases.

Xi He, Ming Zhao, Xueyuan Bi, Lei Sun, Xiaojiang Yu, Mei Zhao, Weijin Zang

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in British journal of pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03931330 (Does Improving Vagal Tone Increase Mitochondrial Bioenergetics), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03931330 nacompletednot on this mapstarted 2019, after this paper: background citation

Does Improving Vagal Tone Increase Mitochondrial Bioenergetics

TypeinterventionalSponsorMedical College of WisconsinRan2019 to 2019Enrolled8ConditionsFunctional Gastrointestinal Disorders, Irritable Bowel Syndrome, Dyspepsia, Functional Abdominal Pain SyndromeArmsPercutaneous neurostimulation
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 75 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Reduced vagal tone in women with adenomyosis.Reproduction & fertility · 2025
    Article
  6. The Role of KCells · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Self-recorded heart rate variability profiles are associated with health and lifestyle markers in young adults.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2022
    Article
  12. Evaluation of Photocatalytic Performance of Nano-Sized SrNanomaterials (Basel, Switzerland) · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Xi HeDepartment of Pharmacology, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Ming ZhaoDepartment of Pharmacology, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Xueyuan BiDepartment of Pharmacology, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Lei SunDepartment of Pharmacology, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Xiaojiang YuDepartment of Pharmacology, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Mei ZhaoDepartment of Pharmacology, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Weijin ZangDepartment of Pharmacology, Xi'an Jiaotong University Health Science Center, Xi'an, China.
Xi'an Jiaotong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular disease remains a major cause of disability and death worldwide. Autonomic imbalance, characterized by suppressed vagal (parasympathetic) activity and increased sympathetic activity, correlates with various pathological conditions, including heart failure, arrhythmia, ischaemia/reperfusion injury and hypertension. Conventionally, pharmacological interventions, such as β-blocker treatment, have primarily targeted suppressing sympathetic over-activation, while vagal modulation has always been neglected. Emerging evidence has documented the improvement of cardiac and vascular function mediated by the vagal nerve. Many investigators have tried to explore the effective ways to enhance vagal tone and normalize the autonomic nervous system. In this review, we attempt to give an overview of these therapeutic strategies, including direct vagal activation (electrical vagal stimulation, ACh administration and ACh receptor activation), pharmacological modulation (adenosine, cholinesterase inhibitors, statins) and exercise training. This overview provides valuable information for combination therapy, contributing to establishment of a comprehensive system on vagal modulation from the aspects of clinical application and lifestyle improvement. In addition, the mechanisms contributing to the benefits of enhancing vagal tone are diverse and have not yet been fully defined. We endeavour to outline the recent findings that advance our knowledge regarding the many favourable effects exerted by vagal activation: anti-inflammatory pathways, modulation of NOS and NO signalling, regulation of redox state, improvement of mitochondrial biogenesis and function, and potential calcium regulation. This review may help to develop novel therapeutic strategies targeting enhancing vagal activity for the treatment of cardiovascular diseases.

Indexed as

Cardiovascular DiseasesHumansVagus Nerve

Identifiers

PMID25378088
PMCPMC4667861
OpenAlexW1520100775

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.