Vagus nerve stimulation as immunomodulatory therapy for stroke: A comprehensive review

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Authors

JELÍNEK Matyáš LIPKOVÁ Jolana ĎURIŠ Kamil

Year of publication 2024
Type Article in Periodical
Magazine / Source Experimental neurology
MU Faculty or unit

Faculty of Medicine

Citation
web https://www.sciencedirect.com/science/article/pii/S0014488623003138?via%3Dihub
Doi https://doi.org/10.1016/j.expneurol.2023.114628
Keywords stroke; inflammation; vagus nerve stimulation; immunomodulatory therapy
Description Stroke is a devastating cerebrovascular pathology with high morbidity and mortality. Inflammation plays a central role in the pathophysiology of stroke. Vagus nerve stimulation (VNS) is a promising immunomodulatory method that has shown positive effects in stroke treatment, including neuroprotection, anti-apoptosis, anti-inflammation, antioxidation, reduced infarct volume, improved neurological scores, and promotion of M2 microglial polarization. In this review, we summarize the current knowledge about the vagus nerve's immunomodulatory effects through the cholinergic anti-inflammatory pathway (CAP) and provide a comprehensive assessment of the available experimental literature focusing on the use of VNS in stroke treatment.
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