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Record W3216464276 · doi:10.1016/j.brs.2021.10.298

A rodent model of acute vagus nerve stimulation for modulation of gastric function characterized by a gastric balloon

2021· article· en· W3216464276 on OpenAlexaff
Daniel Tovbis, Paul B. Yoo

Bibliographic record

VenueBrain stimulation · 2021
Typearticle
Languageen
FieldNeuroscience
TopicVagus Nerve Stimulation Research
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsGastroparesisGastric emptyingMedicineVagus nerve stimulationVagus nerveStomachGastric distensionStimulationAnesthesiaNeurostimulationInternal medicine

Abstract

fetched live from OpenAlex

Abstract Gastroparesis refers to partial paralysis of the stomach muscles resulting in delayed gastric emptying. It is largely idiopathic, and prokinetic drugs can be ineffective or cause adverse effects. Electrical stimulation of the stomach wall (GES) is an FDA-approved treatment method, though it is invasive and there is limited clinical evidence that GES effectively increases rates of gastric emptying. Vagus nerve stimulation (VNS) is an investigative treatment modality aimed at addressing symptoms of gastroparesis. Unlike GES, pre-clinical experiments and human studies suggest that cervical VNS can improve rates of gastric emptying and ameliorate symptoms of gastroparesis when provided acutely. However, optimal stimulation parameters for gastric emptying have not been determined, and the neural pathway for this activity has not been characterized. In this study, we investigated the feasibility of modulating gastric function by applying electrical stimulation to the left cervical vagus. In anesthetized rats, a bipolar nerve cuff electrode was implanted on the nerve and a gastric balloon was inserted via the fundus following a transabdominal midline dissection. The balloon was connected in series to a pressure transducer and an infusion pump. Stimulation trials were repeated using symmetric biphasic pulses applied with varying stimulation amplitudes and frequencies. Preliminary results showed that higher amplitude VNS (amplitude ≥ bradycardia threshold) can effectively disrupt gastric slow-wave activity and reduce gastric tone. In contrast, lower amplitude VNS (amplitude < bradycardia threshold) was able to augment gastric muscle tone and contraction amplitudes. Our preliminary findings suggest that VNS may be an effective method of modulating gastric function. The amplitude-dependent effects of VNS on rodent gastric function indicate that gastric excitation is mediated via a central mechanism. Further work is needed to better understand the functional role of vagal nerve fibers in this pathway, such that it can be translated into an effective clinical therapy. Keywords: Gastroparesis, Nerve Cuff Electrode, Vagus Nerve Stimulation, Neural Pathways

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Simulation or modeling · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.482
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.058
GPT teacher head0.319
Teacher spread0.261 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designSimulation or modeling
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2021
Admission routes1
Has abstractyes

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