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Publication : Vagus nerve stimulation drives selective circuit modulation through cholinergic reinforcement.

First Author  Bowles S Year  2022
Journal  Neuron Volume  110
Issue  17 Pages  2867-2885.e7
PubMed ID  35858623 Mgi Jnum  J:328587
Mgi Id  MGI:7335911 Doi  10.1016/j.neuron.2022.06.017
Citation  Bowles S, et al. (2022) Vagus nerve stimulation drives selective circuit modulation through cholinergic reinforcement. Neuron 110(17):2867-2885.e7
abstractText  Vagus nerve stimulation (VNS) is a neuromodulation therapy for a broad and expanding set of neurologic conditions. However, the mechanism through which VNS influences central nervous system circuitry is not well described, limiting therapeutic optimization. VNS leads to widespread brain activation, but the effects on behavior are remarkably specific, indicating plasticity unique to behaviorally engaged neural circuits. To understand how VNS can lead to specific circuit modulation, we leveraged genetic tools including optogenetics and in vivo calcium imaging in mice learning a skilled reach task. We find that VNS enhances skilled motor learning in healthy animals via a cholinergic reinforcement mechanism, producing a rapid consolidation of an expert reach trajectory. In primary motor cortex (M1), VNS drives precise temporal modulation of neurons that respond to behavioral outcome. This suggests that VNS may accelerate motor refinement in M1 via cholinergic signaling, opening new avenues for optimizing VNS to target specific disease-relevant circuitry.
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