Effect of vagus nerve stimulation on thermal injury in rats |
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Authors: | Xue-Min Song Jian-Guo LiYan-Lin Wang Hui LiangYue Huang Xiang YuanQing Zhou Zong-Ze Zhang |
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Affiliation: | The Research Centre of Anesthesiology and Critical Care Medicine, Zhongnan Hospital, Wuhan University, Wuhan 430071, Hubei Province, China |
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Abstract: | ObjectiveTo investigate the effects of vagus nerve stimulation on haemodynamics, pulmonary histopathology, arterial blood gas and pro-inflammatory responses to thermal injury.InterventionsForty-eight male Sprague–Dawley (SD) rats were randomly divided into six equal groups: normal control (NC) group; thermal injury (TEM) group subjected to 40% total body surface area (%TBSA) third-degree thermal injury; vagotomy (VGX) group subjected to bilateral cervical vagotomy after thermal injury; electrical stimulation (STM) group subjected to bilateral cervical vagotomy plus the left vagus nerve trunk electrical stimulation (5 V, 2 ms and 1 Hz) after thermal injury; the antagonist of muscarinic acetylcholine receptor (MRA) group administrated with atropine (0.1 mg kg−1) before electrical stimulation and the antagonist of nicotinic acetylcholine receptor (NRA) group administrated with hexamethonium (10 mg kg−1) before electrical stimulation.Measurements and main resultsThe haemodynamics, histopathology of lung tissue, arterial blood gas, lactic acid, tumour necrosis factor-α (TNF-α) and interleukin-6 (IL-6) levels were measured. Vagus nerve electrical stimulation not only significantly increased the mean arterial pressure (MAP) and heart rate (HR), but also decreased the infiltration of inflammatory cells into interstitial and alveolar spaces after thermal challenge and attenuated TNF-α and IL-6 production. Hexamethonium pre-treatment significantly reversed the effects of vagal electrical stimulation, but atropine administration before electrical stimulation had no such effects.ConclusionsDirect electrical stimulation of the vagus nerve might produce therapeutic effect on thermal injury. The effect may be realised by limiting the inflammatory response via nicotinic acetylcholine receptors in rats. |
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Keywords: | Thermal injury Vagus nerve Electrical stimulation Haemodynamics Tumour necrosis factor-α |
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