Evidence map›Paper›PMID 26051529›Full record

ArticleHeart rhythm2015

Control of ventricular excitability by neurons of the dorsal motor nucleus of the vagus nerve.

Asif Machhada, Richard Ang, Gareth L Ackland, Natalia Ninkina, Vladimir L Buchman, Mark F Lythgoe, Stefan Trapp, Andrew Tinker, Nephtali Marina, Alexander V Gourine

Open access · hybridAbstract read
In one paragraph

Article in Heart rhythm, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Cardiac vagal motor neurons.Current opinion in neurobiology · 2025
    Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Psychological stress, the central nervous system and arrhythmias.QJM : monthly journal of the Association of Physicians · 2023
    Review
  19. Review
  20. The vagal paradox: A polyvagal solution.Comprehensive psychoneuroendocrinology · 2023
    Review

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Asif MachhadaCentre for Cardiovascular and Metabolic Neuroscience, Department of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom; Centre for Advanced Biomedical Imaging, University College London, London, United Kingdom.
Richard AngCentre for Cardiovascular and Metabolic Neuroscience, Department of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom; William Harvey Heart Centre, Barts & The London School of Medicine and Dentistry, London, United Kingdom.
Gareth L AcklandDepartment of Medicine, University College London, London, United Kingdom.
Natalia NinkinaSchool of Biosciences, University of Cardiff, Cardiff, United Kingdom.
Vladimir L BuchmanSchool of Biosciences, University of Cardiff, Cardiff, United Kingdom.
Mark F LythgoeCentre for Advanced Biomedical Imaging, University College London, London, United Kingdom.
Stefan TrappCentre for Cardiovascular and Metabolic Neuroscience, Department of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom.
Andrew TinkerWilliam Harvey Heart Centre, Barts & The London School of Medicine and Dentistry, London, United Kingdom.
Nephtali MarinaCentre for Cardiovascular and Metabolic Neuroscience, Department of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom.
Alexander V GourineCentre for Cardiovascular and Metabolic Neuroscience, Department of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom. Electronic address: a.tinker@qmul.ac.uk.
University College London · GBCardiff University · GBWilliam Harvey Research Institute · GB

Funding

British Heart Foundation FS/13/5/29927British Heart Foundation RG/14/4/30736Diabetes UK 12/0004529Medical Research Council G0901948Wellcome Trust 075615
6 · The paper itself

Abstract

backgroundThe central nervous origins of functional parasympathetic innervation of cardiac ventricles remain controversial.

objectiveThis study aimed to identify a population of vagal preganglionic neurons that contribute to the control of ventricular excitability. An animal model of synuclein pathology relevant to Parkinson's disease was used to determine whether age-related loss of the activity of the identified group of neurons is associated with changes in ventricular electrophysiology.

methodsIn vivo cardiac electrophysiology was performed in anesthetized rats in conditions of selective inhibition of the dorsal vagal motor nucleus (DVMN) neurons by pharmacogenetic approach and in mice with global genetic deletion of all family members of the synuclein protein.

resultsIn rats anesthetized with urethane (in conditions of systemic beta-adrenoceptor blockade), muscarinic and neuronal nitric oxide synthase blockade confirmed the existence of a tonic parasympathetic control of cardiac excitability mediated by the actions of acetylcholine and nitric oxide. Acute DVMN silencing led to shortening of the ventricular effective refractory period (vERP), a lowering of the threshold for triggered ventricular tachycardia, and prolongation of the corrected QT (QTc) interval. Lower resting activity of the DVMN neurons in aging synuclein-deficient mice was found to be associated with vERP shortening and QTc interval prolongation.

conclusionActivity of the DVMN vagal preganglionic neurons is responsible for tonic parasympathetic control of ventricular excitability, likely to be mediated by nitric oxide. These findings provide the first insight into the central nervous substrate that underlies functional parasympathetic innervation of the ventricles and highlight its vulnerability in neurodegenerative diseases.

Indexed as

Vagus Nerve StimulationAnimalsCardiac ElectrophysiologyDisease Models, AnimalHeart VentriclesMaleMiceMice, Inbred C57BLNitric Oxide Synthase Type IParasympathectomyRandom AllocationRatsRats, Sprague-DawleyStatistics, NonparametricVagus NerveNitric Oxide Synthase Type IArrhythmiaAtrioventricularBrainCardiac electrophysiologyNitric oxideparasympatheticParkinson’s diseaseVagus nerveVentricle

Identifiers

PMID26051529
PMCPMC4631809
OpenAlexW1819570725

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.