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The impact of transcutaneous vagal nerve stimulation on central noradrenergicactivity as evidenced by salivary alpha amylase and the P3 event-related potential

Abstract

We applied transcutaneous vagus nerve stimulation (TVNS) in concert with electroencephalogram (EEG) recordings andsaliva samples to test for an impact of TVNS on norepinephrine (NE) activity in the central nervous system. TVNS is anew, non-invasive intervention for epilepsy and depression with a yet-to-be established efficacy for increasing central NE.Both the electroencephalogram and saliva samples offer biomarkers of central NE activity. The P3 event-related potentialmay reflect phasic changes in cortical NE levels, and salivary alpha amylase (SAA) is sensitive to changes in central NEactivity. We applied real and sham TVNS to a group of healthy subjects while they performed a standard set of oddballtasks known to elicit a P3, and analyzed EEG data and SAA to determine the efficacy of a standard TVNS protocol formanipulating central NE activity. TVNS did not affect P3 amplitude, but did increase SAA, casting doubt on the NE-P3theory.

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