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Background: Intracerebral hemorrhage (ICH) leads to severe neurological deficits by disrupting brain structure and function, particularly in the sensorimotor cortex. Effective interventions to promote post-ICH brain remodeling remain limited. This study investigated the effects of transcutaneous auricular vagus nerve stimulation (taVNS) on structural and functional remodeling in the sensorimotor networks of rats with ICH, using multi-scale analyses spanning micro-, meso-, and macro-levels.
Methods: A rat model of left basal ganglia ICH was established, followed by taVNS intervention. Structural remodeling was assessed through histology, immunofluorescence, and transmission electron microscopy. Functional remodeling was evaluated using fractional amplitude of low-frequency fluctuations (fALFF) and degree centrality (DC) analyses.
Results: taVNS enhanced myelin repair and axonal remodeling, indicated by increased myelin basic protein (MBP) expression, reduced dephosphorylated neurofilament protein (SMI-32), and partial restoration of synaptic ultrastructure. Functional imaging showed significant longitudinal increases in zfALFF and zDC values in sensorimotor regions, including the primary and secondary motor cortices, which negatively correlated with modified neurological severity scores (mNSS).
Conclusion: taVNS promotes structural and functional remodeling in the sensorimotor cortex after ICH, offering a potential therapeutic strategy for neurological recovery.
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http://dx.doi.org/10.1186/s12984-025-01700-1 | DOI Listing |
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Department of Biological Sciences, College of Arts, Sciences, and Education, Florida International University, Miami, Florida, USA.
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Department of Plastic Surgery and Burn, Third XiangYa Hospital, Central South University, Changsha, Hunan, China.
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Cardiovascular Division, Department of Medicine, Froedtert and Medical College of Wisconsin, Milwaukee, Wisconsin, USA. Electronic address:
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Institute of Cardiology, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Atrial functional mitral regurgitation (AFMR) is an increasingly recognized subtype of mitral regurgitation, characterized by left atrial remodelling and mitral annular dilation in the absence of primary mitral valve disease or left ventricular dysfunction. Closely linked to chronic atrial fibrillation and heart failure with preserved ejection fraction, AFMR is associated with poor clinical outcomes and represents a growing therapeutic challenge. This expert opinion paper summarizes current evidence on the epidemiology, pathophysiology, diagnosis and management strategies, including medical therapy and emerging data supporting surgical and transcatheter interventions in selected patients.
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