Evidence map›Paper›PMID 30862842›Full record

ArticleNature communications2019

Noninvasive ultrasound stimulation of the spleen to treat inflammatory arthritis.

Daniel P Zachs, Sarah J Offutt, Rachel S Graham, Yohan Kim, Jerel Mueller, Jennifer L Auger, Nathaniel J Schuldt, Claire R W Kaiser, Abigail P Heiller, Raini Dutta and 4 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 80 papers.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed
–field-weighted citation impact
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.

NCT05457907 nacompletednot on this mapstarted 2023, after this paper: background citation

Ultrasound Therapy Effects to Modulate the Inflammatory Reflex

TypeinterventionalSponsorStanford UniversityRan2023 to 2023Enrolled19ConditionsHealthyArmsUltrasound device
NCT06249373 narecruitingnot on this mapstarted 2024, after this paper: background citation

A Multicenter Randomized Controlled Trial on the Effect of Low-intensity Pulsed Ultrasound on the Maturation of Newly Constructed Autogenous Arteriovenous Fistulas in Uremic Patients

TypeinterventionalSponsorSuzhou Municipal HospitalRan2024 to 2026Enrolled300ConditionsUremia, ChronicArmsLow intensity pulse ultrasound (LIPUS) intervention for arteriovenous fistula anastomosis
3 · Its place in the literature

Who cites it

80 citing papers in PubMed.

  1. Review
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  6. Abdominal ultrasound activates afferent vagus nerve fibers and induces anti-inflammatory effects.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  7. Review
  8. Article
  9. Review
  10. Neuroimmune Control of Inflammation in Acute Kidney Injury and Multiorgan Dysfunction.Journal of the American Society of Nephrology : JASN · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
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  18. Article
  19. Review
  20. Article

20 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

14 authors.

Daniel P ZachsDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, 55455, MN, USA. zachs001@umn.edu.
Sarah J OffuttRestorative Therapies Group, Medtronic plc, Minneapolis, 55432, MN, USA.
Rachel S GrahamCenter for Immunology and Department of Pediatrics, University of Minnesota, Minneapolis, 55455, MN, USA.
Yohan KimRestorative Therapies Group, Medtronic plc, Minneapolis, 55432, MN, USA.
Jerel MuellerRestorative Therapies Group, Medtronic plc, Minneapolis, 55432, MN, USA.
Jennifer L AugerCenter for Immunology and Department of Pediatrics, University of Minnesota, Minneapolis, 55455, MN, USA.
Nathaniel J SchuldtCenter for Immunology and Department of Pediatrics, University of Minnesota, Minneapolis, 55455, MN, USA.
Claire R W KaiserDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, 55455, MN, USA.
Abigail P HeillerDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, 55455, MN, USA.
Raini DuttaCenter for Immunology and Department of Pediatrics, University of Minnesota, Minneapolis, 55455, MN, USA.
Hongsun GuoDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, 55455, MN, USA.
Jamu K AlfordRestorative Therapies Group, Medtronic plc, Minneapolis, 55432, MN, USA.
Bryce A BinstadtCenter for Immunology and Department of Pediatrics, University of Minnesota, Minneapolis, 55455, MN, USA.
Hubert H LimDepartment of Biomedical Engineering, University of Minnesota, Minneapolis, 55455, MN, USA. hlim@umn.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Targeted noninvasive control of the nervous system and end-organs may enable safer and more effective treatment of multiple diseases compared to invasive devices or systemic medications. One target is the cholinergic anti-inflammatory pathway that consists of the vagus nerve to spleen circuit, which has been stimulated with implantable devices to improve autoimmune conditions such as rheumatoid arthritis. Here we report that daily noninvasive ultrasound (US) stimulation targeting the spleen significantly reduces disease severity in a mouse model of inflammatory arthritis. Improvements are observed only with specific parameters, in which US can provide both protective and therapeutic effects. Single cell RNA sequencing of splenocytes and experiments in genetically-immunodeficient mice reveal the importance of both T and B cell populations in the anti-inflammatory pathway. These findings demonstrate the potential for US stimulation of the spleen to treat inflammatory diseases.

Indexed as

AnimalsArthritis, ExperimentalArthritis, RheumatoidB-LymphocytesCholinergic FibersGene ExpressionMiceMice, Inbred C57BLMice, TransgenicNeural PathwaysNeuroimmunomodulationSpleenT-LymphocytesUltrasonic TherapyVagus Nerve Stimulation

Identifiers

PMID30862842
PMCPMC6414603

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.