Evidence map›Paper›PMID 33168718›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

Identification of a brainstem locus that inhibits tumor necrosis factor.

Adam M Kressel, Tea Tsaava, Yaakov A Levine, Eric H Chang, Meghan E Addorisio, Qing Chang, Barry J Burbach, Daniela Carnevale, Giuseppe Lembo, Anthony M Zador and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed
6.9field-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

87 citing papers in PubMed, 129 citations in OpenAlex.

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  9. Neuroimmune interactions in cardiovascular homeostasis and disease.American journal of physiology. Cell physiology · 2026
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  15. [Research progress on vagus nerve stimulation in the treatment of chronic pain].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  16. Review
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27 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 at 4 institutions in 3 countries.

Adam M KresselInstitute of Bioelectronic Medicine, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030.ORCID 0000-0003-1082-5877
Tea TsaavaInstitute of Bioelectronic Medicine, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030.
Yaakov A LevineSetpoint Medical, Valencia, CA 91355.ORCID 0000-0002-3313-6858
Eric H ChangInstitute of Bioelectronic Medicine, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030.ORCID 0000-0001-5592-4276
Meghan E AddorisioInstitute of Bioelectronic Medicine, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030.
Qing ChangInstitute of Bioelectronic Medicine, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030.
Barry J BurbachCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724.
Daniela CarnevaleDepartment of Angiocardioneurology and Translational Medicine, IRCCS Neuromed, 86077 Pozzilli, IS, Italy.ORCID 0000-0002-5016-3161
Giuseppe LemboDepartment of Angiocardioneurology and Translational Medicine, IRCCS Neuromed, 86077 Pozzilli, IS, Italy.ORCID 0000-0002-3510-223X
Anthony M ZadorCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724.
Ulf AnderssonDepartment of Women's and Children's Health, Karolinska Institute, Karolinska University Hospital, 17176 Stockholm, Sweden.ORCID 0000-0003-0316-3860
Valentin A PavlovInstitute of Bioelectronic Medicine, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030; schavan@northwell.edu vpavlov@northwell.edu kjtracey@northwell.edu.ORCID 0000-0002-1994-2853
Sangeeta S ChavanInstitute of Bioelectronic Medicine, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030; schavan@northwell.edu vpavlov@northwell.edu kjtracey@northwell.edu.ORCID 0000-0002-4822-3356
Kevin J TraceyInstitute of Bioelectronic Medicine, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY 11030; schavan@northwell.edu vpavlov@northwell.edu kjtracey@northwell.edu.
Northwell Health · USCold Spring Harbor Laboratory · USIstituto Neurologico Mediterraneo · ITKarolinska University Hospital · SE

Funding

Targeting cognitive and immune impairment in sepsis survivorsP01AI102852 · NIAID · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI VOLPE, BRUCE THOMAS · 2014 to 2018
$11.5M
Molecular Basis of Bioelectronic MedicineR35GM118182 · NIGMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI TRACEY, KEVIN J · 2016 to 2025
$7.3M
Brainstem Cholinergic Circuitries in the Inflammatory Reflex during SepsisR01GM128008 · NIGMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI PAVLOV, VALENTIN ATANASSOV · 2018 to 2022
$1.8M
The ion channel TRPA1 is required for suppression of inflammation in sepsisR01GM132672 · NIGMS · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI CHAVAN, SANGEETA S. · 2019 to 2025
$1.7M
NIAID NIH HHS P01 AI102852NIGMS NIH HHS R01 GM128008NIGMS NIH HHS R01 GM132672NIGMS NIH HHS R35 GM118182
6 · The paper itself

Abstract

In the brain, compact clusters of neuron cell bodies, termed nuclei, are essential for maintaining parameters of host physiology within a narrow range optimal for health. Neurons residing in the brainstem dorsal motor nucleus (DMN) project in the vagus nerve to communicate with the lungs, liver, gastrointestinal tract, and other organs. Vagus nerve-mediated reflexes also control immune system responses to infection and injury by inhibiting the production of tumor necrosis factor (TNF) and other cytokines in the spleen, although the function of DMN neurons in regulating TNF release is not known. Here, optogenetics and functional mapping reveal cholinergic neurons in the DMN, which project to the celiac-superior mesenteric ganglia, significantly increase splenic nerve activity and inhibit TNF production. Efferent vagus nerve fibers terminating in the celiac-superior mesenteric ganglia form varicose-like structures surrounding individual nerve cell bodies innervating the spleen. Selective optogenetic activation of DMN cholinergic neurons or electrical activation of the cervical vagus nerve evokes action potentials in the splenic nerve. Pharmacological blockade and surgical transection of the vagus nerve inhibit vagus nerve-evoked splenic nerve responses. These results indicate that cholinergic neurons residing in the brainstem DMN control TNF production, revealing a role for brainstem coordination of immunity.

Indexed as

Action PotentialsAnimalsCholinergic NeuronsDisease Models, AnimalEndotoxemiaGanglia, SympatheticHumansInflammationLipopolysaccharidesMaleMedulla OblongataMiceMice, TransgenicOptogeneticsRatsSignal TransductionLipopolysaccharidesTumor Necrosis Factorscytokinesdorsal motor nucleusinflammatory reflexTNFvagus nerve

Identifiers

PMID33168718
PMCPMC7703602
OpenAlexW3098150983

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.