Evidence map›Paper›PMID 37714385›Full record

Trial reportJournal of affective disorders2023

Transcutaneous vagal nerve stimulation modulates stress-induced plasma ghrelin levels: A double-blind, randomized, sham-controlled trial.

Kasra Moazzami, Bradley D Pearce, Nil Z Gurel, Matthew T Wittbrodt, Oleksiy M Levantsevych, Minxuan Huang, Md Mobashir H Shandhi, Isaias Herring, Nancy Murrah, Emily Driggers and 9 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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  4. Review
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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

19 authors at 5 institutions in 1 country.

Kasra MoazzamiDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America; Emory Clinical Cardiovascular Research Institute, Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA, United States of America. Electronic address: kmoazza@emory.edu.
Bradley D PearceDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America.
Nil Z GurelSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, United States of America.
Matthew T WittbrodtDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States of America.
Oleksiy M LevantsevychDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America.
Minxuan HuangDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America.
Md Mobashir H ShandhiDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America.
Isaias HerringDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States of America.
Nancy MurrahDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America.
Emily DriggersDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America; Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States of America.
MhmtJamil L AlkhalafDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America.
Majd SoudanDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America.
Lucy ShallenbergerDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America.
Allison N HankusDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America.
Jonathon A NyeDepartment of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, United States of America.
Viola VaccarinoDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America; Emory Clinical Cardiovascular Research Institute, Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA, United States of America.
Amit J ShahDepartment of Epidemiology, Rollins School of Public Health, Atlanta, GA, United States of America; Emory Clinical Cardiovascular Research Institute, Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA, United States of America; Atlanta VA Medical Center, Decatur, GA, United States of America.
Omer T InanSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, United States of America; Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA, United States of America.
J Douglas BremnerDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States of America; Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, United States of America; Atlanta VA Medical Center, Decatur, GA, United States of America.
Georgia Department of Public Health · USEmory University · USGeorgia Institute of Technology · USAtlanta VA Medical Center · USEmory Clinic · US

Funding

Multidisciplinary Research Training to Reduce Inequities in Cardiovascular HealthT32HL130025 · NHLBI · EMORY UNIVERSITY · PI Tené T Lewis, Viola Vaccarino · 2016 to 2026
$6.4M
NHLBI NIH HHS T32 HL130025
6 · The paper itself

Abstract

backgroundTranscutaneous cervical vagus nerve stimulation (tcVNS) has emerged as a potential treatment strategy for patients with stress-related psychiatric disorders. Ghrelin is a hormone that has been postulated to be a biomarker of stress. While the mechanisms of action of tcVNS are unclear, we hypothesized that tcVNS reduces the levels of ghrelin in response to stress.

methodsUsing a randomized double-blind approach, we studied the effects of tcVNS on ghrelin levels in individuals with a history of exposure to traumatic stress. Participants received either sham (n = 29) or active tcVNS (n = 26) after exposure to acute personalized traumatic script stress and mental stress challenges (public speech, mental arithmetic) over a three day period.

resultsThere were no significant differences in the levels of ghrelin between the tcVNS and sham stimulation groups at either baseline or in the absence of trauma scripts. However, tcVNS in conjunction with personalized traumatic scripts resulted in lower ghrelin levels compared to the sham stimulation group (265.2 ± 143.6 pg/ml vs 478.7 ± 349.2 pg/ml, P = 0.01). Additionally, after completing the public speaking and mental arithmetic tests, ghrelin levels were found to be lower in the group receiving tcVNS compared to the sham group (293.3 ± 102.4 pg/ml vs 540.3 ± 203.9 pg/ml, P = 0.009). LIMITATIONS: Timing of ghrelin measurements, and stimulation of only left vagus nerve.

conclusiontcVNS decreases ghrelin levels in response to various stressful stimuli. These findings are consistent with a growing literature that tcVNS modulates hormonal and autonomic responses to stress.

Indexed as

Transcutaneous Electric Nerve StimulationVagus Nerve StimulationAutonomic Nervous SystemGhrelinHumansPsychophysiologic DisordersVagus NerveGhrelinGhrelinStressTranscutaneous cervical vagus nerve stimulation

Identifiers

PMID37714385
PMCPMC10698687
OpenAlexW4386796184

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.