Evidence map›Paper›PMID 34589887›Full record

ArticleBrain, behavior, & immunity - health2020

Transcutaneous vagal nerve stimulation blocks stress-induced activation of Interleukin-6 and interferon-γ in posttraumatic stress disorder: A double-blind, randomized, sham-controlled trial.

J Douglas Bremner, Nil Z Gurel, Yunshen Jiao, Matthew T Wittbrodt, Oleksiy M Levantsevych, Minxuan Huang, Hewon Jung, MdMobashir H Shandhi, Joy Beckwith, Isaias Herring and 16 more

Open access · goldAbstract read
In one paragraph

Article in Brain, behavior, & immunity - health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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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

26 authors at 3 institutions in 1 country.

J Douglas BremnerDepartments of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Nil Z GurelSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
Yunshen JiaoDepartments of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA.
Matthew T WittbrodtDepartments of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Oleksiy M LevantsevychDepartments of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA.
Minxuan HuangDepartments of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA.
Hewon JungSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
MdMobashir H ShandhiSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
Joy BeckwithDepartments of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Isaias HerringDepartments of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Mark H RapaportDepartments of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Nancy MurrahDepartments of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA.
Emily DriggersDepartments of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Yi-An KoDepartments of Biostatistics and Bioinformatics, Rollins School of Public Health, Atlanta, GA, USA.
MhmtJamil L AlkhalafDepartments of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA.
Majd SoudanDepartments of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA.
Jiawei SongDepartments of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA.
Benson S KuDepartments of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Lucy ShallenbergerDepartments of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA.
Allison N HankusDepartments of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA.
Jonathon A NyeDepartments of Radiology, and Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Jeanie ParkDepartments of Renal Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Viola VaccarinoDepartments of Cardiology, Emory University School of Medicine, Atlanta, GA, USA.
Amit J ShahDepartments of Cardiology, Emory University School of Medicine, Atlanta, GA, USA.
Omer T InanSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
Bradley D PearceDepartments of Epidemiology, Rollins School of Public Health, Atlanta, GA, USA.
Emory University · USGeorgia Department of Public Health · USGeorgia Institute of Technology · US

Funding

Vascular Responses During Mental StressP01HL101398 · NHLBI · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2010 to 2015
$11.0M
Mental Stress and Myocardial Ischemia after MI: Sex Differences, Mechanisms and PrognosisR01HL109413 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2012 to 2023
$6.9M
Neural Circuits in Women with Abuse and PTSDR01MH056120 · NIMH · YALE UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 1999 to 2011
$5.0M
PTSD and Ischemic Heart Disease Progression: A Longitudinal Twin StudyR01HL125246 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2015 to 2018
$3.4M
Sleep Disturbance as a Mechanism for Ischemic Heart Disease in PTSDR01HL136205 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2017 to 2020
$3.1M
Dopamine function, inflammation and connectivity in PTSDR01MH120262 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2020 to 2023
$2.9M
Mechanisms of Depression in CVDR01HL088726 · NHLBI · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2008 to 2012
$2.6M
Emory Psychiatry Clinical Scientist Training Program (CSTP)R25MH101079 · NIMH · EMORY UNIVERSITY · PI GOLDSMITH, DAVID RYAN, MILLER, ANDREW H · 2014 to 2025
$1.9M
Mind-Body Interactions in Cardiovascular DiseaseK24HL077506 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2004 to 2013
$1.5M
Biological Correlates of Traumatic StressK24MH076955 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2006 to 2013
$946k
Sympatho-inhibition with Mindfulness in Chronic Kidney DiseaseR61AT010457 · NCCIH · EMORY UNIVERSITY · PI PARK, JEANIE · 2019 to 2020
$946k
Non-Invasive Vagal Nerve Stimulation in Patients with Opioid Use Disorders UG3DA048502 · NIDA · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS, INAN, OMER TOLGA · 2020 to 2021
$844k
CSRD VA I01 CX001065NCCIH NIH HHS R61 AT010457NCRR NIH HHS S10 RR016917NHLBI NIH HHS K23 HL127251NHLBI NIH HHS K24 HL077506NHLBI NIH HHS P01 HL101398NHLBI NIH HHS R01 HL088726NHLBI NIH HHS R01 HL109413NHLBI NIH HHS R01 HL125246NHLBI NIH HHS R01 HL136205NIDA NIH HHS UG3 DA048502NIMH NIH HHS K24 MH076955NIMH NIH HHS R01 MH056120NIMH NIH HHS R01 MH120262NIMH NIH HHS R25 MH101079RRD VA I01 RX003418
6 · The paper itself

Abstract

Posttraumatic stress disorder (PTSD) is a highly disabling condition associated with alterations in multiple neurobiological systems, including increases in inflammatory function. Vagus nerve stimulation (VNS) decreases inflammation, however few studies have examined the effects of non-invasive VNS on physiology in human subjects, and no studies in patients with PTSD. The purpose of this study was to assess the effects of transcutaneous cervical VNS (tcVNS) on inflammatory responses to stress. Thirty subjects with a history of exposure to traumatic stress with (N ​= ​10) and without (N ​= ​20) PTSD underwent exposure to stressful tasks immediately followed by active or sham tcVNS and measurement of multiple biomarkers of inflammation (interleukin-(IL)-6, IL-2, IL-1β, Tumor Necrosis Factor alpha (TNFα) and Interferon gamma (IFNγ) over multiple time points. Stressful tasks included exposure to personalized scripts of traumatic events on day 1, and public speech and mental arithmetic (Mental Stress) tasks on days 2 and 3. Traumatic scripts were associated with a pattern of subjective anger measured with Visual Analogue Scales and increased IL-6 and IFNγ in PTSD patients that was blocked by tcVNS (p ​< ​.05). Traumatic stress had minimal effects on these biomarkers in non-PTSD subjects and there was no difference between tcVNS or sham. No significant differences were seen between groups in IL-2, IL-1β, or TNFα. These results demonstrate that tcVNS blocks behavioral and inflammatory responses to stress reminders in PTSD.

Indexed as

InflammationInterferonInterleukin-6PTSDStress disorders, posttraumaticVagus nerve

Identifiers

PMID34589887
PMCPMC8474180
OpenAlexW3084534692

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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.