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Noninvasive acoustic vagus nerve stimulation modulates Emotion-Related brain networks

Yiyue Zhu, Houminji Chen, Qianlin Xie, Chuanao Lei, Zhengrong Lin, Long Meng, Lili Niu

Ultrasonics 2027 · 10.1016/j.ultras.2026.108294

rodenthealthyanxietydepressionsystemic inflammationotherbehaviourhistology molecular

Abstract

The vagus nerve, a critical bidirectional pathway linking the central nervous system and peripheral organ systems, plays a core role in emotional regulation. Here, we introduce a noninvasive acoustic vagus nerve stimulation (aVNS) paradigm and systematically characterize its modulatory effects on emotion-related brain circuitry using in vivo fiber photometry, behavioral assays, and transcriptomic profiling. The pulsed aVNS protocol was defined as follows: fundamental frequency = 1 MHz, sonication duration = 1 s, inter-stimulus interval = 9 s, pulse repetition frequency = 100 Hz, tone-burst duration = 0.5 ms, duty cycle = 5 %, and acoustic pressure = 3 MPa. Acoustic field mapping confirmed a spatially confined ultrasound beam, supporting localized stimulation of the cervical vagus nerve region. In vivo calcium imaging revealed robust aVNS-evoked neural responses across multiple emotion-associated brain regions, with the medial prefrontal cortex (mPFC) showing the strongest response magnitude, as indicated by significantly increased area under the curve values during both the stimulation period (0-1 s, p = 0.0156) and the post-stimulation period (1-10 s, p = 0.0156). Response-profile and inter-regional similarity analyses further demonstrated that aVNS organized distributed neural responses into a coordinated network-level activation pattern rather than inducing isolated regional excitation. Behaviorally, aVNS alleviated anxiety-like and depressive-like behaviors in acute lipopolysaccharide-treated mice (0.5 mg/kg), as shown by increased open-arm exploration in the elevated plus maze (EPM; p = 0.0018) and reduced immobility in the tail suspension test (TST; p = 0.0045), as well as in chronic restraint stress mice (6 h/day for 28 consecutive days), as shown by increased open-arm exploration (p = 0.0167) and reduced immobility time (p = 0.0057). Bulk RNA sequencing further showed that repeated aVNS partially reversed stress-induced transcriptional alterations in the mPFC, particularly inflammation-related signatures. Together, these findings demonstrate that noninvasive aVNS modulates emotion-related brain networks and provide neural, behavioral, and molecular evidence supporting its potential for intervention in emotional dysfunction.

Abstract via europepmc.

Speciesmouse (C57BL/6)
Subjects7, 6, 5, 5, 5, 9, 9, 4swept animals
Sessions per subject7
Randomisednot reported
Blindingdouble
Sham / controlinactive transducer
Auditory controlnot reported
Readout timingboth
Anaesthesiaanaesthetised
Readoutsother, behaviour, histology molecular — fibre photometry of GCaMP7s calcium signals; elevated plus maze; tail suspension test; open field test; bulk RNA-seq of mPFC
Direction of effectexcitatoryaVNS increased calcium activity in mPFC, PirC, dHipp, BLA, vHIP, VTA and DRN; repeated aVNS improved anxiety-like and depressive-like behaviour in LPS and chronic restraint stress mice and partially reversed mPFC transcriptional changes.
Adverse eventsnot reportedPassive cavitation detection showed no detectable cavitation in water; focal-zone temperature rise stayed below 1 C during 15 min stimulation (4 mice); no histology of the nerve was done.

Exposures

Exposure 1: aVNS to left cervical vagus nerve

Target: vagus nerve — “left cervical VN region”
Device: Olympus / Panametrics · NDT, USA · IBP0106 SF-1.75 in focused transducer with custom collimator ✓

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)1,000✓✓✓
Pulse duration (ms)0.5✓✓✓
Pulse repetition frequency (Hz)100✓✓✓
Duty cycle (%)5pulse duration × PRF gives 5%✓✓✓⚑
Sonication duration (s)1✓✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)not reported
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatenot reported
In-situ pressure (kPa)not reported
In-situ Isppa (W/cm²)not reported
In-situ Ispta (W/cm²)not reported
Pressure, domain unspecified (kPa)3,000✓✓✓⚑
Ispta, domain unspecified (W/cm²)0.365✓✓✓⚑
Protocol, in the paper’s words

1 s sonication followed by a 9 s inter-stimulus interval; 15 min of aVNS in LPS mice; 7 consecutive days of aVNS in chronic restraint stress mice.

Flags from extraction

  • exposures[0].timing.duty_cycle_pct — Abstract, PCD methods and Discussion state 5% duty cycle; Section 2.2 states 10%. 0.5 ms x 100 Hz = 5%; recorded 5.
  • n_subjects — Group sizes vary by experiment (n = 5-7 per photometry region, n = 9 per behavioural group, n = 3 per RNA-seq group); no total stated.
  • exposures[0].unspecified_domain.pressure_kpa — 3 MPa stated as acoustic pressure without domain; hydrophone mapping was in water but the pressure is not explicitly attributed to it.
  • exposures[0].unspecified_domain.ispta_w_cm2 — Intensity described as 'calculated' Ispta of 365.26 mW/cm2; domain not stated.
  • n_sessions_per_subject — Varies by experiment (single 15 min session in LPS, 7 days in CRS); not a single number.