Evidence map›Paper›PMID 41417669›Full record

ArticleThe journal of trauma and acute care surgery2026

Transcutaneous auricular vagus nerve stimulation attenuates neuroinflammation in a mouse model of traumatic brain injury.

Mahmoud G El Baassiri, Leonard Lawandos, Daniel Scheese, Cody Tragesser, Johannes W Duess, William B Fulton, Chhinder P Sodhi, Gene Y Fridman, David J Hackam, Isam W Nasr and 1 more

Abstract read
In one paragraph

Article in The journal of trauma and acute care surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Mahmoud G El BaassiriDivision of Pediatric Surgery, Department of Surgery (M.G.E.B., L.L., D.S., C.T., J.W.D., W.B.F., C.P.S., D.J.H., I.W.N.), Johns Hopkins University School of Medicine; and Department of Otolaryngology Head and Neck Surgery (G.Y.F.), and Department of Biomedical Engineering (G.Y.F.), Johns Hopkins University, Baltimore, Maryland.
Leonard Lawandos
Daniel Scheese
Cody Tragesser
Johannes W Duess
William B Fulton
Chhinder P Sodhi
Gene Y Fridman
David J Hackam
Isam W Nasr
Baltimore, Maryland

Funding

Gut Serotonergic Signaling in Traumatic Brain InjuryR01NS140167 · NINDS · JOHNS HOPKINS UNIVERSITY · PI Isam Nasr · 2025 to 2026
$1.0M
NINDS NIH HHS R01 NS140167
6 · The paper itself

Abstract

introductionTraumatic brain injury (TBI) is a leading cause of death and disability worldwide. Although TBI pathophysiology has been thoroughly investigated, the effectivity of therapeutic approaches for TBI is still lacking. Our group has developed a novel approach of noninvasive transcutaneous auricular vagus nerve stimulation (taVNS) in a mouse model of TBI to investigate its impact on neuroinflammation.

methodsA murine-controlled cortical impact model was used, and results were analyzed on postinjury days (PIDs) 3 and 7. The experimental groups included (1) sham C57BL/6 wild type (WT), (2) TBI wild type, (3) sham-taVNS, and (4) TBI-taVNS. The animals underwent anesthesia, off-site stimulation, or taVNS for 30 minutes. The short- and long-term groups received two sessions of taVNS treatment and were tested on PIDs 3 and 7, respectively. A combination of real-time polymerase chain reaction and immunohistochemistry was used to validate the success of the model and to quantify gene expression associated with microglial and astrocyte activation. Student's t test and one-way analysis of variance were used for statistical analysis, with significance achieved when p  < 0.05.

resultsTranscutaneous auricular vagus nerve stimulation (VNS) activated the solitary tract nucleus and the dorsal motor nucleus of the vagus nerve as evidenced by a significant upregulation of the neuronal activation marker c-Fos, indicating vagus nerve activation. Transcutaneous auricular VNS treatment reduced the expression of pro-inflammatory microglial markers Tnf (1.69 ± 0.17 vs. 3.615 ± 0.86, p  < 0.05) and Lcn2 (64.15 ± 14 vs. 337.7 ± 104.8, p  < 0.01) in the ipsilateral injured cortex on PIDs 3 and 7, respectively. Transcutaneous auricular VNS also increased the expression of anti-inflammatory microglial marker Arg1 (55 ± 6.47 vs. 30.49 ± 3.94, p  < 0.01) and astrocyte Gfap reactivity (8,582 ± 826 vs. 4,569 ± 554.3, p  < 0.01) on PID 3. ( J Trauma Acute Care Surg . 2026;100: 707-713. Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.).

Indexed as

Brain Injuries, TraumaticNeuroinflammatory DiseasesTranscutaneous Electric Nerve StimulationVagus Nerve StimulationAnimalsDisease Models, AnimalMaleMiceMice, Inbred C57BLMicrogliaastrocytesmicemicrogliaTBIvagus nerve

Identifiers

PMID41417669
PMCPMC13242918

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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.