Evaluation of the Modulation Effects Evoked by Different Transcutaneous Auricular Vagus Nerve Stimulation Frequencies Along the Central Vagus Nerve Pathway in Migraine: A Functional Magnetic Resonance Imaging Study
机构:[1]Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA[2]Department of Radiology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China大德路总院影像科大德路总院放射科广东省中医院[3]Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China广东省中医院
Objectives: Transcutaneous auricular vagus nerve stimulation (taVNS) is a promising treatment option for migraines. This study aims to investigate the modulation effects of different taVNS frequencies along the central vagus nerve pathway in migraineurs.Materials and methods: Twenty-four migraineurs were recruited for a single-blind, crossover magnetic resonance imaging (MRI) study. The study consisted of two taVNS MRI scan sessions, in which either 1-Hz or 20-Hz taVNS was applied in a random order. Seed-based static and dynamic functional connectivity (FC) analyses were performed using two key nodes of the vagus nerve pathway, the nucleus tractus solitarius (NTS) and the locus coeruleus (LC).Results: Static FC (sFC) analysis showed that 1) continuous 1-Hz taVNS resulted in an increase of NTS/LC-occipital cortex sFC and a decrease of NTS-thalamus sFC compared with the pre-1-Hz taVNS resting state, 2) continuous 20-Hz taVNS resulted in an increase of the LC-anterior cingulate cortex (ACC) sFC compared with the pre-20-Hz taVNS resting state, 3) 1-Hz taVNS produced a greater LC-precuneus and LC-inferior parietal cortex sFC than 20 Hz, and 4) 20-Hz taVNS increased LC-ACC and LC-super temporal gyrus/insula sFC in comparison with 1 Hz. Dynamic FC (dFC) analysis showed that compared with the pre-taVNS resting state, 1-Hz taVNS decreased NTS-postcentral gyrus dFC (less variability), 20-Hz taVNS decreased dFC of the LC- superior temporal gyrus and the LC-occipital cortex. Finally, a positive correlation was found between the subjects' number of migraine attacks in the past four weeks and the NTS-thalamus sFC during pre-taVNS resting state.Conclusions: 1-Hz and 20-Hz taVNS may modulate the sFC and dFC of key nodes in the central vagus nerve pathway differently. Our findings highlight the importance of stimulation parameters (frequencies) in taVNS treatment.
基金:
This work was supported by the Medical Scientific Research Foundation of Guangdong Province of China (A2017234), the Administration
of Traditional Chinese Medicine of Guangdong Province of China (20182047), the Traditional Chinese Medicine Science and Technology Project of Guangdong Hospital
of Traditional Chinese Medicine (YN2020MS09), and the Science and Technology Program of Guangzhou (202102010260).
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外文
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中科院(CAS)分区:
出版当年[2022]版:
大类|3 区医学
小类|3 区临床神经病学3 区医学:研究与实验
最新[2025]版:
大类|3 区医学
小类|3 区临床神经病学3 区医学:研究与实验
JCR分区:
出版当年[2021]版:
Q3CLINICAL NEUROLOGYQ3MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q2CLINICAL NEUROLOGYQ2MEDICINE, RESEARCH & EXPERIMENTAL
第一作者机构:[1]Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA
共同第一作者:
通讯作者:
通讯机构:[1]Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA[2]Department of Radiology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China[*1]Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA 02129, USA[*2]Department of Radiology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China
推荐引用方式(GB/T 7714):
Sacca Valeria,Zhang Yue,Cao Jin,et al.Evaluation of the Modulation Effects Evoked by Different Transcutaneous Auricular Vagus Nerve Stimulation Frequencies Along the Central Vagus Nerve Pathway in Migraine: A Functional Magnetic Resonance Imaging Study[J].NEUROMODULATION.2023,26(3):620-628.doi:10.1016/j.neurom.2022.08.459.
APA:
Sacca, Valeria,Zhang, Yue,Cao, Jin,Li, Hui,Yan, Zhaoxian...&Liu, Bo.(2023).Evaluation of the Modulation Effects Evoked by Different Transcutaneous Auricular Vagus Nerve Stimulation Frequencies Along the Central Vagus Nerve Pathway in Migraine: A Functional Magnetic Resonance Imaging Study.NEUROMODULATION,26,(3)
MLA:
Sacca, Valeria,et al."Evaluation of the Modulation Effects Evoked by Different Transcutaneous Auricular Vagus Nerve Stimulation Frequencies Along the Central Vagus Nerve Pathway in Migraine: A Functional Magnetic Resonance Imaging Study".NEUROMODULATION 26..3(2023):620-628