Vagus nerve stimulation promotes resolution of inflammation by a mechanism that involves Alox15 and requires the α7nAChR subunitShow others and affiliations
2022 (English)In: Proceedings of the National Academy of Sciences of the United States of America, ISSN 0027-8424, E-ISSN 1091-6490, Vol. 119, no 22, article id e2023285119Article in journal (Refereed) Published
Abstract [en]
Nonresolving inflammation underlies a range of chronic inflammatory diseases, and therapeutic acceleration of resolution of inflammation may improve outcomes. Neural reflexes regulate the intensity of inflammation (for example, through signals in the vagus nerve), but whether activation of the vagus nerve promotes the resolution of inflammation in vivo has been unknown. To investigate this, mice were subjected to electrical vagus nerve stimulation (VNS) or sham surgery at the cervical level followed by zymosan-induced peritonitis. The duration of inflammation resolution was significantly reduced and efferocytosis was significantly increased in mice treated with VNS as compared with sham. Lipid mediator (LM) metabololipidomics revealed that mice treated with VNS had higher levels of specialized proresolving mediators (SPMs), particularly from the omega-3 docosahexaenoic (DHA) and docosapentaenoic (n-3 DPA) metabolomes, in peritoneal exudates. VNS also shifted the ratio between proinflammatory and proresolving LMs toward a proresolving profile, but this effect by VNS was inverted in mice deficient in 12/15-lipoxgenase (Alox15), a key enzyme in this SPM biosynthesis. The significant VNS-mediated reduction of neutrophil numbers in peritoneal exudates was absent in mice deficient in the cholinergic α7-nicotinic acetylcholine receptor subunit (α7nAChR), an essential component of the inflammatory reflex. Thus, VNS increased local levels of SPM and accelerated resolution of inflammation in zymosan-induced peritonitis by a mechanism that involves Alox15 and requires the α7nAChR.
Place, publisher, year, edition, pages
Proceedings of the National Academy of Sciences , 2022. Vol. 119, no 22, article id e2023285119
Keywords [en]
alpha7 Nicotinic Acetylcholine Receptor, Animals, Arachidonate 12-Lipoxygenase, Arachidonate 15-Lipoxygenase, Inflammation, Inflammation Mediators, Mice, Vagus Nerve, Vagus Nerve Stimulation, bungarotoxin receptor, cervonic acid, docosapentaenoic acid, zymosan, Alox15 protein, mouse, arachidonate 12 lipoxygenase, arachidonate 15 lipoxygenase, autacoid, a7nAChR gene, Alox15 gene, animal cell, animal experiment, animal model, animal tissue, Article, controlled study, disease duration, efferocytosis, ex vivo study, gene, in vivo study, lipidomics, male, mouse, nervous system inflammation, nonhuman, peritoneum exudate, peritonitis, surgical technique, animal, genetics, physiology, autonomic reflex, lipid mediators, neuroinflammation
National Category
Immunology in the medical area
Identifiers
URN: urn:nbn:se:kth:diva-324380DOI: 10.1073/pnas.2023285119ISI: 001051443200001PubMedID: 35622894Scopus ID: 2-s2.0-85131108404OAI: oai:DiVA.org:kth-324380DiVA, id: diva2:1739768
Note
QC 20230227
2023-02-272023-02-272023-09-21Bibliographically approved