Evidence map›Paper›PMID 29883598›Full record

ArticleBrain, behavior, and immunity2018

Vagal afferent activation suppresses systemic inflammation via the splanchnic anti-inflammatory pathway.

Evilin Naname Komegae, David George Stephen Farmer, Virginia Leah Brooks, Michael Joseph McKinley, Robin Michael McAllen, Davide Martelli

Open access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed
6.4field-weighted citation impact, top 3% 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

77 citing papers in PubMed, 136 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Diabetic Autonomic Neuropathy and Impaired Inflammatory Reflex.Endocrinology, diabetes & metabolism · 2026
    Review
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  5. Article
  6. Article
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  15. Article
  16. Neuroimmune Control of Inflammation in Acute Kidney Injury and Multiorgan Dysfunction.Journal of the American Society of Nephrology : JASN · 2025
    Review
  17. Article
  18. Dysregulated neural coding in the vagus nerve during long sepsis.Brain, behavior, & immunity - health · 2025
    Article
  19. Article
  20. Review

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

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

6 authors at 5 institutions in 4 countries.

Evilin Naname KomegaeFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville 3010, Australia; Department of Immunology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.
David George Stephen FarmerFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville 3010, Australia.
Virginia Leah BrooksDepartment of Physiology and Pharmacology, Oregon Health & Science University, Portland, USA.
Michael Joseph McKinleyFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville 3010, Australia; Department of Physiology, University of Melbourne, Australia.
Robin Michael McAllenFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville 3010, Australia. Electronic address: rmca@florey.edu.au.
Davide MartelliFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville 3010, Australia; Department of Biomedical and Neuromotor Science (DIBINEM), University of Bologna, Bologna, Italy. Electronic address: d.martelli@unibo.it.
University of Melbourne · AUFlorey Institute of Neuroscience and Mental Health · AUOregon Health & Science University · USUniversidade de São Paulo · BRUniversity of Bologna · IT

Funding

Obesity-induced sympathoexcitation: role of brain insulinR01HL128181 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI BROOKS, VIRGINIA L. · 2016 to 2019
$2.3M
NHLBI NIH HHS R01 HL128181
6 · The paper itself

Abstract

Electrical stimulation of the vagus nerve (VNS) is a novel strategy used to treat inflammatory conditions. Therapeutic VNS activates both efferent and afferent fibers; however, the effects attributable to vagal afferent stimulation are unclear. Here, we tested if selective activation of afferent fibers in the abdominal vagus suppresses systemic inflammation. In urethane-anesthetized rats challenged with lipopolysaccharide (LPS, 60 µg/kg, i.v.), abdominal afferent VNS (2 Hz for 20 min) reduced plasma tumor necrosis factor alpha (TNF) levels 90 min later by 88% compared with unmanipulated animals. Pre-cutting the cervical vagi blocked this anti-inflammatory action. Interestingly, the surgical procedure to expose and prepare the abdominal vagus for afferent stimulation ('vagal manipulation') also had an anti-inflammatory action. Levels of the anti-inflammatory cytokine IL-10 were inversely related to those of TNF. Prior bilateral section of the splanchnic sympathetic nerves reversed the anti-inflammatory actions of afferent VNS and vagal manipulation. Sympathetic efferent activity in the splanchnic nerve was shown to respond reflexly to abdominal vagal afferent stimulation. These data demonstrate that experimentally activating abdominal vagal afferent fibers suppresses systemic inflammation, and that the efferent neural pathway for this action is in the splanchnic sympathetic nerves.

Indexed as

AbdomenAfferent PathwaysAnimalsAnti-Inflammatory AgentsCytokinesDisease Models, AnimalInflammationInterleukin-10LipopolysaccharidesMaleNeural PathwaysRatsRats, Sprague-DawleySplanchnic NervesSympathetic Nervous SystemTumor Necrosis Factor-alphaAnti-Inflammatory AgentsCytokinesInterleukin-10LipopolysaccharidesTumor Necrosis Factor-alphaEndotoxemiaGreater splanchnic nerveInflammationInterleukin 10 (IL-10)Lipopolysaccharide (LPS)Splanchnic anti-inflammatory pathwaySympathetic nervous systemTumor necrosis factor α (TNF)Vagus nerveVagus nerve stimulation

Identifiers

PMID29883598
PMCPMC6319822
OpenAlexW2806990549

What OpenQuestion holds

Textmetadata
LicenceTDM
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.