Evidence map›Paper›PMID 37827358›Full record

ArticleBrain stimulation

Causal influence of brainstem response to transcutaneous vagus nerve stimulation on cardiovagal outflow.

Nicola Toschi, Andrea Duggento, Riccardo Barbieri, Ronald G Garcia, Harrison P Fisher, Norman W Kettner, Vitaly Napadow, Roberta Sclocco

Open access · goldAbstract read
In one paragraph

Article in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 15 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

8 authors at 4 institutions in 2 countries.

Nicola ToschiAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA; Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome., Italy. Electronic address: nicola@nmr.mgh.harvard.edu.
Andrea DuggentoDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome., Italy.
Riccardo BarbieriDepartment of Electronics, Information, and Bioengineering, Politecnico di Milano, Milan, Italy.
Ronald G GarciaAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Harrison P FisherAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Norman W KettnerDepartment of Radiology, Logan University, Chesterfield, MO, USA.
Vitaly NapadowAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA; Department of Radiology, Logan University, Chesterfield, MO, USA; Scott Schoen and Nancy Adams Discovery Center for Recovery from Chronic Pain, Spaulding Rehabilitation Network, Harvard Medical School, Boston, MA, USA.
Roberta ScloccoAthinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA; Department of Radiology, Logan University, Chesterfield, MO, USA; Scott Schoen and Nancy Adams Discovery Center for Recovery from Chronic Pain, Spaulding Rehabilitation Network, Harvard Medical School, Boston, MA, USA.
Logan University · USHarvard University · USUniversity of Rome Tor Vergata · ITPolitecnico di Milano · IT

Funding

Sex Differences in Major Depression, Part II: Impact of Prenatal Immune, Autonomic and Neurovascular FunctionU54MH118919 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI Ronald G. Garcia · 2020 to 2026
$12.7M
Core NIBSP01AT009965 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HIRSCHTICK, RANDY L · 2018 to 2023
$10.9M
Project 4P41EB015896 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 2012 to 2018
$9.8M
Mapping the linkage between auricular vagus nerve receptors and cardiovagal modulationOT2OD023867 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI NAPADOW, VITALY · 2016 to 2021
$3.4M
SILICON GRAPHICS PRISM EXTREME 128P/1TBS10RR023043 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI SORENSEN, ALMA GREGORY · 2006 to 2006
$1.5M
Body Region Specificity for Neuromodulation of the Gut-Brain Axis in Functional DyspepsiaK01AT012208 · NCCIH · SPAULDING REHABILITATION HOSPITAL · PI Roberta Sclocco · 2023 to 2026
$541k
Non-invasive assessment and modulation of brain-gut interoception in humansR21AT011918 · NCCIH · SPAULDING REHABILITATION HOSPITAL · PI NAPADOW, VITALY, SCLOCCO, ROBERTA · 2023 to 2024
$484k
NCCIH NIH HHS K01 AT012208NCCIH NIH HHS P01 AT009965NCCIH NIH HHS R21 AT011918NCRR NIH HHS S10 RR023043NIBIB NIH HHS P41 EB015896NIH HHS OT2 OD023867NIMH NIH HHS U54 MH118919
6 · The paper itself

Abstract

backgroundThe autonomic response to transcutaneous auricular vagus nerve stimulation (taVNS) has been linked to the engagement of brainstem circuitry modulating autonomic outflow. However, the physiological mechanisms supporting such efferent vagal responses are not well understood, particularly in humans. HYPOTHESIS: We present a paradigm for estimating directional brain-heart interactions in response to taVNS. We propose that our approach is able to identify causal links between the activity of brainstem nuclei involved in autonomic control and cardiovagal outflow.

methodsWe adopt an approach based on a recent reformulation of Granger causality that includes permutation-based, nonparametric statistics. The method is applied to ultrahigh field (7T) functional magnetic resonance imaging (fMRI) data collected on healthy subjects during taVNS.

resultsOur framework identified taVNS-evoked functional brainstem responses with superior sensitivity compared to prior conventional approaches, confirming causal links between taVNS stimulation and fMRI response in the nucleus tractus solitarii (NTS). Furthermore, our causal approach elucidated potential mechanisms by which information is relayed between brainstem nuclei and cardiovagal, i.e., high-frequency heart rate variability, in response to taVNS. Our findings revealed that key brainstem nuclei, known from animal models to be involved in cardiovascular control, exert a causal influence on taVNS-induced cardiovagal outflow in humans.

conclusionOur causal approach allowed us to noninvasively evaluate directional interactions between fMRI BOLD signals from brainstem nuclei and cardiovagal outflow.

Indexed as

Transcutaneous Electric Nerve StimulationVagus Nerve StimulationAnimalsBrain StemHumansSolitary NucleusVagus Nerve

Identifiers

PMID37827358
PMCPMC10809655
OpenAlexW4387534582

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.