Cardiac vagal afferent neurotransmission in health and disease: review and knowledge gaps

The meticulous control of cardiac sympathetic and parasympathetic tone regulates all facets of cardiac function. This precise calibration of cardiac efferent innervation is dependent on sensory information that is relayed from the heart to the central nervous system. The vagus nerve, which contains...

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Main Authors: Valerie Y. H. van Weperen, Marmar Vaseghi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2023.1192188/full
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author Valerie Y. H. van Weperen
Marmar Vaseghi
Marmar Vaseghi
author_facet Valerie Y. H. van Weperen
Marmar Vaseghi
Marmar Vaseghi
author_sort Valerie Y. H. van Weperen
collection DOAJ
description The meticulous control of cardiac sympathetic and parasympathetic tone regulates all facets of cardiac function. This precise calibration of cardiac efferent innervation is dependent on sensory information that is relayed from the heart to the central nervous system. The vagus nerve, which contains vagal cardiac afferent fibers, carries sensory information to the brainstem. Vagal afferent signaling has been predominantly shown to increase parasympathetic efferent response and vagal tone. However, cardiac vagal afferent signaling appears to change after cardiac injury, though much remains unknown. Even though subsequent cardiac autonomic imbalance is characterized by sympathoexcitation and parasympathetic dysfunction, it remains unclear if, and to what extent, vagal afferent dysfunction is involved in the development of vagal withdrawal. This review aims to summarize the current understanding of cardiac vagal afferent signaling under in health and in the setting of cardiovascular disease, especially after myocardial infarction, and to highlight the knowledge gaps that remain to be addressed.
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spelling doaj.art-5fea30965926479089e29d83c477d2062023-06-07T04:42:18ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2023-06-011710.3389/fnins.2023.11921881192188Cardiac vagal afferent neurotransmission in health and disease: review and knowledge gapsValerie Y. H. van Weperen0Marmar Vaseghi1Marmar Vaseghi2Division of Cardiology, Department of Medicine, UCLA Cardiac Arrhythmia Center, Los Angeles, CA, United StatesDivision of Cardiology, Department of Medicine, UCLA Cardiac Arrhythmia Center, Los Angeles, CA, United StatesMolecular, Cellular, and Integrative Physiology Interdepartmental Program, University of California, Los Angeles, Los Angeles, CA, United StatesThe meticulous control of cardiac sympathetic and parasympathetic tone regulates all facets of cardiac function. This precise calibration of cardiac efferent innervation is dependent on sensory information that is relayed from the heart to the central nervous system. The vagus nerve, which contains vagal cardiac afferent fibers, carries sensory information to the brainstem. Vagal afferent signaling has been predominantly shown to increase parasympathetic efferent response and vagal tone. However, cardiac vagal afferent signaling appears to change after cardiac injury, though much remains unknown. Even though subsequent cardiac autonomic imbalance is characterized by sympathoexcitation and parasympathetic dysfunction, it remains unclear if, and to what extent, vagal afferent dysfunction is involved in the development of vagal withdrawal. This review aims to summarize the current understanding of cardiac vagal afferent signaling under in health and in the setting of cardiovascular disease, especially after myocardial infarction, and to highlight the knowledge gaps that remain to be addressed.https://www.frontiersin.org/articles/10.3389/fnins.2023.1192188/fullautonomicvagusafferentcardiovascular diseaseparasympatheticmyocardial infarction
spellingShingle Valerie Y. H. van Weperen
Marmar Vaseghi
Marmar Vaseghi
Cardiac vagal afferent neurotransmission in health and disease: review and knowledge gaps
Frontiers in Neuroscience
autonomic
vagus
afferent
cardiovascular disease
parasympathetic
myocardial infarction
title Cardiac vagal afferent neurotransmission in health and disease: review and knowledge gaps
title_full Cardiac vagal afferent neurotransmission in health and disease: review and knowledge gaps
title_fullStr Cardiac vagal afferent neurotransmission in health and disease: review and knowledge gaps
title_full_unstemmed Cardiac vagal afferent neurotransmission in health and disease: review and knowledge gaps
title_short Cardiac vagal afferent neurotransmission in health and disease: review and knowledge gaps
title_sort cardiac vagal afferent neurotransmission in health and disease review and knowledge gaps
topic autonomic
vagus
afferent
cardiovascular disease
parasympathetic
myocardial infarction
url https://www.frontiersin.org/articles/10.3389/fnins.2023.1192188/full
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AT marmarvaseghi cardiacvagalafferentneurotransmissioninhealthanddiseasereviewandknowledgegaps
AT marmarvaseghi cardiacvagalafferentneurotransmissioninhealthanddiseasereviewandknowledgegaps