Evidence map›Paper›PMID 40193005›Full record

ArticleCardiovascular drugs and therapy2026

Transcutaneous Auricular Vagus Nerve Stimulation Ameliorates Heart Failure with Preserved Ejection Fraction Through Regulating Macrophage Polarization Mediated by Alpha7nAChR.

Jun-Yu Huo, Can Hou, Fang Jia, Cong Xue, Xiao-Long Li, Ling Yang, Wan-Ying Jiang, Xiaoying Zhang

Abstract read
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In one paragraph

Article in Cardiovascular drugs and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Pocking the Ear for HFpEF?Cardiovascular drugs and therapy · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Review
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.

Jun-Yu HuoDepartment of Cardiology, the First People'S Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213000, China.
Can HouDepartment of Cardiology, the First People'S Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213000, China.
Fang JiaDepartment of Cardiology, the First People'S Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213000, China.
Cong XueDepartment of Cardiology, the First People'S Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213000, China.
Xiao-Long LiDepartment of Cardiology, Changzhou Hospital of Traditional Chinese Medicine, Changzhou Hospital Affiliated to Nanjing University of Chinese Medicine, 25 North Heping Road, Changzhou, 213000, China.
Ling YangDepartment of Cardiology, the First People'S Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213000, China.
Wan-Ying JiangDepartment of Cardiology, Changzhou Hospital of Traditional Chinese Medicine, Changzhou Hospital Affiliated to Nanjing University of Chinese Medicine, 25 North Heping Road, Changzhou, 213000, China. jiangwanying9@163.com.ORCID 0000-0002-6184-0412
Xiaoying ZhangDepartment of Cardiothoracic Surgery, the First People'S Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, 213000, China. zhangxy6689996@163.com.

Funding

Changzhou Health Talents Domestic Training Program GN2023006Changzhou Key Medical Discipline CZXK202202Changzhou Longcheng Talent Program CQ20220127Changzhou Municipal Health Commission Sci&Tech Progra ZD202346Changzhou Sci&Tech Program CJ20240091National Natural Science Foundation of China 82405245
6 · The paper itself

Abstract

purposeThis study aimed to investigate the effects of transcutaneous auricular vagus nerve stimulation (ta-VNS) on heart failure with preserved ejection fraction (HFpEF) and explore the related mechanisms.

methodsSprague-Dawley rats were fed a high-fat diet and N

resultsIn vivo, ta-VNS alleviated cardiac dysfunction and pathological remodeling in rats with HFpEF. RNA sequencing demonstrated that the protective effects of ta-VNS on HFpEF were related to macrophage-mediated inflammatory responses. Ta-VNS decreased the expression of M1-type macrophage markers but increased the expression of M2-type markers. In vitro studies revealed that the α7nAChR agonist decreased the polarization of macrophages toward the M1 type, whereas the α7nAChR inhibitor reduced the polarization toward the M2 type. Furthermore, the α7nAChR inhibitor abolished the protective effects of ta-VNS on macrophage polarization and myocardial remodeling in rats with HFpEF.

conclusionTa-VNS ameliorated HFpEF-induced cardiac remodeling, which was associated with the modulation of macrophage polarization.

Indexed as

alpha7 Nicotinic Acetylcholine ReceptorHeart FailureMacrophage ActivationMacrophagesStroke VolumeTranscutaneous Electric Nerve StimulationVagus Nerve StimulationVentricular Function, LeftAnimalsDisease Models, AnimalMaleMiceRatsRats, Sprague-DawleyRAW 264.7 CellsSignal Transductionalpha7 Nicotinic Acetylcholine ReceptorAlpha7nAChRHeart failure with preserved ejection fractionMacrophage polarizationTranscutaneous auricular vagus nerve stimulation

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Registered trials

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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.