Cited by 84Vagus Nerve Stimulation ResearchBlood Coagulation and Thrombosis MechanismsSepsis Diagnosis and Treatment

Vagus nerve stimulation inhibits activation of coagulation and fibrinolysis during endotoxemia in rats

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VAN WESTERLOO, D.J., GIEBELEN, I.A.J., MEIJERS, J.C.M., DAALHUISEN, J., DE VOS, A.F., LEVI, M., VAN DER POLL, T.·2006·Journal of Thrombosis and Haemostasis

Abstract

Background Sepsis and endotoxemia are associated with concurrent activation of inflammation and the hemostatic mechanism, which both contribute to organ dysfunction and death. Electrical vagus nerve stimulation (VNS) has been found to inhibit tumor necrosis factor (TNF)-alpha release during endotoxemia in rodents.Objective To determine the effect of VNS on activation of coagulation and fibrinolysis.Methods Rats received a sublethal i.v. dose of lipopolysaccharide (LPS) after electrical VNS or sham stimulation. Activation of coagulation and fibrinolysis, as well as cytokine release, was measured before LPS injection and 2, 4 and 6 h thereafter.Results LPS induced activation of the coagulation system (increases in the plasma concentrations of thrombin-antithrombin complexes and D-dimer, and a decrease in antithrombin) and biphasic changes in the fibrinolytic system [early rises of plasminogen activator activity and tissue-type plasminogen activator, followed by a delayed increase in plasminogen activator inhibitor type 1 (PAI-1)]. VNS strongly inhibited all LPS-induced procoagulant responses and more modestly attenuated the fibrinolytic response. In addition, VNS attenuated the LPS-induced increases in plasma and splenic concentrations of the proinflammatory cytokines TNF-alpha and interleukin-6 (IL-6), while not influencing the release of the anti-inflammatory cytokine IL-10.Conclusion These data illustrate a thus far unrecognized effect of VNS and suggest that the cholinergic anti-inflammatory pathway not only impacts on inflammation but also on the coagulant-anticoagulant balance.

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Crossref · 10.1111/j.1538-7836.2006.02112.x

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  • Cholinergic stimulation controls endothelial activation, leukocyte recruitment, coagulation, and fibrinolysis, which modulates the development of damage during sepsis.

    “Other studies indicate that cholinergic stimulation controls endothelial activation, leukocyte recruitment, coagulation, and fibrinolysis, which modulates the development of damage during sepsis (25,36).”

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Authors
VAN WESTERLOO, D. J., GIEBELEN, I. A. J., MEIJERS, J. C. M., DAALHUISEN, J., DE VOS, A. F., LEVI, M., & VAN DER POLL, T.
Affiliations
Amsterdam UMC Location University of Amsterdam (NL)
Venue
Journal of Thrombosis and Haemostasis
Publisher
Elsevier BV
Published
2006-09
Volume
4
Issue
9
Pages
1997-2002
ISSN
1538-7836 (ISSN-L)
OpenAlex
W2144080450
Cited by
84
References
33
Citations by year
2025: 4 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 4 · 2020: 9 · 2017: 1 · 2016: 5 · 2015: 4 · 2014: 8 · 2013: 7 · 2012: 5
FWCI
4.84
Type
journal article
Language
en
Open access
Locations
  • Journal of Thrombosis and Haemostasis (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Life Sciences › Neuroscience › Neurology › Vagus Nerve Stimulation Research
  • Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
  • Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
Keywords
vagus nerve stimulation, endotoxemia, lipopolysaccharide, coagulation activation, fibrinolysis, cholinergic anti-inflammatory pathway, TNF-α, interleukin-6, IL-10, thrombin-antithrombin complex, D-dimer, plasminogen activator inhibitor-1, tissue plasminogen activator, sepsis, hemostasis
MeSH terms
Animals, Blood Coagulation, Electric Stimulation, Electric Stimulation Therapy, Fibrinolysis, Inflammation, Kinetics, Lipopolysaccharides, Male, Rats, Inbred Lew, Tumor Necrosis Factor-alpha, Vagus Nerve, Interleukin-6, Interleukin-10, Endotoxemia, Rats

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