arXiv subjects

Colin Wakefield

Publications and source records attributed to Colin Wakefield.

3 recordsLinked to original sources

arXiv2022

Vagus nerve manipulation and microglial plasticity in the prenatal brain

The efferent and afferent effects of the vagus nerve on the developing brain have remained enigmatic. Here we review the evidence of such effects on microglial plasticity in the sheep model of human fetal development, one of the most recognized and deployed models of human fetal physiology. We show that vagotomy alters microglial phenotype and that this effect is hormetic under conditions of mild systemic inflammation, as may occur antepartum with chorioamnionitis. We present the methodology to assess not only biomarker-based microglial activation but also the morphometric features of the microglia. Together, these assessments provide a more comprehensive toolbox of glial phenotypical characterizations, especially in the context of investigating the locoregional vagal control of glial function. The presented findings support the earlier discoveries in preclinical and clinical models of adult physiology whereby vagotomy appeared neuroprotective for Parkinson disease, explained, at least in part, by the effects on microglia. In addition, we present the approach to measure and the findings on regional cerebral blood flow changes in relation to vagus nerve manipulation. In summary, the body of evidence underscores the importance of both the efferent and the afferent vagal pathways, via the vagus nerve, in the programming of microglial phenotype in the developing brain. The significance of these relationships for developing and treating early susceptibility to neuroinflammatory and neurodegenerative disorders in later life requires further studies.

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arXiv2020

The neonatal sepsis is diminished by cervical vagus nerve stimulation and tracked non-invasively by ECG: a preliminary report in the piglet model

An electrocardiogram (ECG)-derived heart rate variability (HRV) index reliably tracks the inflammatory response induced by low-dose lipopolysaccharide (LPS) in near-term sheep fetuses. We evaluated the effect of vagus nerve stimulation (VNS) on vagus nerve electroneurogram (VENG) and the systemic inflammatory response induced by a high dose of LPS in neonatal piglets to mimic late-onset neonatal sepsis. We tested if our HRV inflammatory index tracks inflammation in piglets and its relationship to VENG. Following anesthesia, electrodes were attached to the left vagal nerve; ECG and blood pressure (BP) were recorded throughout the experiment. Following baseline, the piglets were administered LPS as 2mg/kg IV bolus. In the VNS treated piglet, the vagus nerve was stimulated for 10 minutes prior to and 10 min after the injection of LPS. In both groups, every 15 min post LPS, the arterial blood sample was drawn for blood gas, metabolites, and inflammatory cytokines. At the end of the experiment, the piglets were euthanized. BP and HRV measures were calculated. The piglets developed a potent inflammatory response to the LPS injection with TNF-alpha, IL-1beta, IL-6 and IL-8 peaking between 45 and 90 min post-injection. VNS diminished the LPS-induced systemic inflammatory response varying across the measured cytokines from two to ten-fold. The HRV index tracked accurately the temporal profile of cytokines and VENG changes. This novel model allows manipulating and tracking neonatal sepsis: The HRV inflammatory index 1) applies across species pre- and postnatally and 2) performs well at different degrees of sepsis (i.e., nanogram and milligram doses of LPS); 3) the present VNS paradigm effectively suppresses LPS-induced inflammation, even at high doses of LPS. The potential of early postnatal VNS to counteract sepsis and of HRV monitoring to early detect and track it deserve further study.

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arXiv2019

Chronic stress may disrupt covariant fluctuations of vitamin D and cortisol plasma levels in pregnant sheep during the last trimester: a preliminary report

Psychosocial stress during pregnancy is a known contributor to preterm birth, but also has been increasingly appreciated as an in utero insult acting long-term on prenatal and postnatal neurodevelopmental trajectories. These events impact many information molecules, including both vitamin D and cortisol. Both have been linked to low birth premature babies. Cortisol tends to be further elevated in women, while vitamin D tends to be decreased from their normal levels during pregnancy. One facilitates labor in part by elevating placental CRH, the other by limiting CRH in placental tissue. Both are linked to managing adversity. Studies in large animal models with high resemblance to human physiology are sparse to model the changes induced by such stress exposure. Using an established pregnant sheep model of stress during human development, here we focused on measuring the changes in maternal Vitamin D and cortisol responses due to chronic inescapable stress mimicking daily challenges in the last trimester of human pregnancy. The present pilot data show that chronic maternal stress during pregnancy results in endocrine and metabolic chronic habituation paralleled by sensitization to acute stress challenges. Chronic stress appears to disrupt a physiological relationship between oscillations of vitamin D and cortisol. These speculations need to be explored in future studies.

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