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Stimulation of Auricular Vagal Nerves Attenuates Pressor Cardiovascular Responses through Influence on Medullary nuclei
Author(s) -
Guo Zhiling,
Samaniego Tracy,
Malik Shaista
Publication year - 2020
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.2020.34.s1.05552
Subject(s) - stimulation , rostral ventrolateral medulla , medicine , medulla oblongata , microinjection , acupuncture , reflex , anesthesia , vagus nerve , distension , medulla , central nervous system , alternative medicine , pathology
Stimulation of the auricular branch of the vagus nerve (ABVN) is used to manage cardiovascular disorders, including elevated blood pressure. However, precise mechanisms underlying its effects remain unclear. One previous study showed that ABVN stimulation with acupuncture at the center of the inferior concha (the “heart acupoint,” CO15) activates neurons in the nucleus tractus solitarii (NTS) through vagal inputs. Still, its actions on NTS processing and downstream influence on the nucleus regulating cardiovascular function have not been studied. Thus, the present study evaluated the effect of ABVN stimulation on pressor cardiovascular responses and the underlying neural mechanisms associated with medullary nuclei. We hypothesized that ABVN stimulation with acupuncture activates the NTS and ultimately inhibits rostral ventrolateral medulla (rVLM), a critical region controlling cardiovascular function, through opioid and GABA mechanisms. In Sprague‐Dawley rats, repeated pressor cardiovascular reflexes were induced by repetitive gastric distension (GD) under anesthesia. ABVN stimulation with manual acupuncture was performed at the CO15 acupoint with gentle rotation of the acupuncture needle at a frequency of □2 Hz for four min every 10 min during a 30 min period, 2 min in each side of the ear. During sham‐ABVN stimulation, the acupuncture needle was inserted into the same site without subsequent rotation of the needle. Unilateral microinjection of the chemical (50 nl) was conducted in the NTS and rVLM. We found that GD‐induced pressor cardiovascular reflexes significantly attenuated by ABVN stimulation (n=8; P<0.05), but neither by sham‐ABVN stimulation nor mechanical stimulation with the acupuncture needle applied at the HX9 acupoint, which is located at the ear tip overlying lesser occipital nerve, the auricular somatic nerve. The modulation of pressor reflexes by ABVN stimulation was significantly (P<0.05) reversed by microinjection of kynurenic acid (25 mM; n=7) into the NTS as well as naloxone (1 mM; a non‐selective opioid receptor antagonist; n=8) or gabazine (27 mM; a GABA A receptor antagonist; n=8) into the rVLM, but not by their vehicles, 0.9% normal saline. Furthermore, in rats subjected to no GD intervention, we noted that ABVN stimulation induced markedly increase in c‐Fos expression in both NTS and rVLM, compared to sham‐ABVN stimulation. Our data suggest that ABVN stimulation with manual acupuncture excites the NTS through a glutamatergic mechanism, which, in turn, attenuate excitatory cardiovascular reflexes evoked by visceral stimulation through GABA and opioids in the rVLM. Support or Funding Information The National Center for Complementary & Integrative Health, R01 grant AT009347 and diversity supplement award to this grant.