Different modulation effects of 1 Hz and 20 Hz transcutaneous auricular vagus nerve stimulation on the functional connectivity of the periaqueductal gray in patients with migraine
Background A growing body of evidence suggests that transcutaneous auricular vagus nerve stimulation (taVNS) may relieve symptoms of migraineurs. Frequency is one of the key stimulation parameters. The aim of this study is to investigate the modulation effect of taVNS frequency on the descending pain modulation system (DPMS) in patients with migraine. Methods Twenty-four episodic migraineurs without aura (21 females) were recruited for the single-blind, crossover, functional magnetic resonance imaging (fMRI) study. Each participant attended two separate fMRI scan sessions, one for 1 Hz and another for 20 Hz taVNS, in a random order. Seed-based functional connectivity analysis was applied using the ventrolateral periaqueductal gray (PAG) as the region of interest. Results Compared with the pre-taVNS resting state, continuous 1 Hz taVNS (during) produced a significant increase in functional connectivity between the PAG and the bilateral middle cingulate cortex (MCC), right precuneus, left middle frontal gyrus (MFG), and left cuneus. Compared with 20 Hz taVNS, 1 Hz taVNS produced greater PAG connectivity increases with the MCC, right precuneus/posterior cingulate cortex, left insula, and anterior cingulate cortex (ACC). A significant negative correlation was observed between the number of migraine attacks in the previous 4 weeks and the PAG-MCC functional connectivity in the pre-taVNS resting-state before 1 Hz taVNS. Conclusions Our findings suggest that taVNS with different frequencies may produce different modulation effects on the descending pain modulation system, demonstrating the important role of stimulation frequency in taVNS treatment.
第一作者机构:[1] Massachusetts Gen Hosp, Harvard Med Sch, Dept Psychiat, Charlestown, MA 02114 USA
通讯作者:
通讯机构:[1] Massachusetts Gen Hosp, Harvard Med Sch, Dept Psychiat, Charlestown, MA 02114 USA[*1]Massachusetts Gen Hosp, Harvard Med Sch, Dept Psychiat, Charlestown, MA 02114 USA[2] Guangzhou Univ Chinese Med, Affiliated Hosp 2, Dept Radiol, Guangzhou, Guangdong, Peoples R China[*2]Guangzhou Univ Chinese Med, Affiliated Hosp 2, Dept Radiol, Guangzhou, Guangdong, Peoples R China
推荐引用方式(GB/T 7714):
Cao Jin,Zhang Yue,Li Hui,等.Different modulation effects of 1 Hz and 20 Hz transcutaneous auricular vagus nerve stimulation on the functional connectivity of the periaqueductal gray in patients with migraine[J].JOURNAL OF TRANSLATIONAL MEDICINE.2021,19(1):