Selective efferent vagal stimulation in heart failure.

IF 2.6 4区 医学 Q2 PHYSIOLOGY Experimental Physiology Pub Date : 2024-12-01 Epub Date: 2023-09-26 DOI:10.1113/EP090866
Lindsea C Booth, Baagavi Saseetharan, Clive N May, Song T Yao
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Abstract

Patients diagnosed with heart failure have high rates of mortality and morbidity. Based on promising preclinical studies, vagal nerve stimulation has been trialled in these patients using whole nerve electrical stimulation, but the results have been mixed. This is, at least in part, due to an inability to selectively recruit the activity of specific fibres within the vagus with whole nerve electrical stimulation, as well as not knowing which the 'therapeutic' fibres are. This symposium review focuses on a population of cardiac-projecting efferent vagal fibres with cell bodies located within the dorsal motor nucleus of the vagus nerve and a new method of selectively targeting these projections as a potential treatment in heart failure.

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选择性传出迷走神经刺激治疗心力衰竭。
被诊断为心力衰竭的患者死亡率和发病率很高。基于有前景的临床前研究,迷走神经刺激已在这些患者中使用全神经电刺激进行了试验,但结果喜忧参半。这至少在一定程度上是由于无法通过全神经电刺激选择性地募集迷走神经内特定纤维的活性,也不知道哪些是“治疗性”纤维。这篇专题讨论会综述的重点是一组具有位于迷走神经背侧运动核内的细胞体的心脏投射传出迷走神经纤维,以及一种选择性靶向这些投射作为心力衰竭潜在治疗方法的新方法。新发现:这篇综述的主题是什么?选择性传出迷走神经刺激治疗心力衰竭。它强调了哪些进步?使用光遗传学选择性靶向迷走神经背侧运动核内具有细胞体的心脏投射传出迷走神经纤维群,可以减缓大鼠心力衰竭的进展。
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来源期刊
Experimental Physiology
Experimental Physiology 医学-生理学
CiteScore
5.10
自引率
3.70%
发文量
262
审稿时长
1 months
期刊介绍: Experimental Physiology publishes research papers that report novel insights into homeostatic and adaptive responses in health, as well as those that further our understanding of pathophysiological mechanisms in disease. We encourage papers that embrace the journal’s orientation of translation and integration, including studies of the adaptive responses to exercise, acute and chronic environmental stressors, growth and aging, and diseases where integrative homeostatic mechanisms play a key role in the response to and evolution of the disease process. Examples of such diseases include hypertension, heart failure, hypoxic lung disease, endocrine and neurological disorders. We are also keen to publish research that has a translational aspect or clinical application. Comparative physiology work that can be applied to aid the understanding human physiology is also encouraged. Manuscripts that report the use of bioinformatic, genomic, molecular, proteomic and cellular techniques to provide novel insights into integrative physiological and pathophysiological mechanisms are welcomed.
期刊最新文献
Neural control of coronary artery blood flow by non-adrenergic and non-cholinergic mechanisms. Unpacking the multimodal, multi-scale data of the fast and slow lanes of the cardiac vagus through computational modelling. Selective efferent vagal stimulation in heart failure. Correction to 'Pulmonary diffusing capacity to nitric oxide and carbon monoxide during exercise and in the supine position: A test-retest reliability study'. CTRP6-mediated cardiac protection in heart failure via the AMPK/SIRT1/PGC-1α signalling pathway.
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