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

Exp Neurol. 2024 Feb:372:114628. doi: 10.1016/j.expneurol.2023.114628. Epub 2023 Nov 30.

Abstract

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.

Keywords: Inflammation; Stroke; Vagus nerve stimulation.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antioxidants / metabolism
  • Humans
  • Immunomodulation
  • Microglia / metabolism
  • Stroke* / metabolism
  • Stroke* / therapy
  • Vagus Nerve / physiology
  • Vagus Nerve Stimulation*

Substances

  • Antioxidants