TY - JOUR A1 - Giraudier, Manon A1 - Ventura-Bort, Carlos A1 - Weymar, Mathias T1 - Transcutaneous Vagus Nerve Stimulation (tVNS) Improves High-Confidence Recognition Memory but Not Emotional Word Processing JF - Frontiers in Psychology N2 - Previous clinical research found that invasive vagus nerve stimulation (VNS) enhanced word recognition memory in epileptic patients, an effect assumed to be related to the activation of brainstem arousal systems. In this study, we applied non-invasive transcutaneous auricular VNS (tVNS) to replicate and extend the previous work. Using a single-blind, randomized, between-subject design, 60 healthy volunteers received active or sham stimulation during a lexical decision task, in which emotional and neutral stimuli were classified as words or non-words. In a subsequent recognition memory task (1 day after stimulation), participants' memory performance on these words and their subjective memory confidence were tested. Salivary alpha-amylase (sAA) levels, a putative indirect measure of central noradrenergic activation, were also measured before and after stimulation. During encoding, pleasant words were more accurately detected than neutral and unpleasant words. However, no tVNS effects were observed on task performance or on overall sAA level changes. tVNS also did not modulate overall recognition memory, which was particularly enhanced for pleasant emotional words. However, when hit rates were split based on confidence ratings reflecting familiarity- and recollection-based memory, higher recollection-based memory performance (irrespective of emotional category) was observed during active stimulation than during sham stimulation. To summarize, we replicated prior findings of enhanced processing and memory for emotional (pleasant) words. Whereas tVNS showed no effects on word processing, subtle effects on recollection-based memory performance emerged, which may indicate that tVNS facilitates hippocampus-mediated consolidation processes. KW - transcutaneous vagus nerve stimulation KW - salivary alpha-amylase KW - emotion KW - words KW - episodic memory KW - recognition KW - recollection KW - confidence Y1 - 2020 U6 - https://doi.org/10.3389/fpsyg.2020.01276 SN - 1664-1078 VL - 11 PB - Frontiers Research Foundation CY - Lausanne ER - TY - JOUR A1 - Giraudier, Manon A1 - Ventura-Bort, Carlos A1 - Burger, Andreas M. A1 - Claes, Nathalie A1 - D'Agostini, Martina A1 - Fischer, Rico A1 - Franssen, Mathijs A1 - Kaess, Michael A1 - Koenig, Julian A1 - Liepelt, Roman A1 - Nieuwenhuis, Sander A1 - Sommer, Aldo A1 - Usichenko, Taras A1 - Van Diest, Ilse A1 - von Leupoldt, Andreas A1 - Warren, Christopher Michael A1 - Weymar, Mathias T1 - Evidence for a modulating effect of transcutaneous auricular vagus nerve stimulation (taVNS) on salivary alpha-amylase as indirect noradrenergic marker: A pooled mega-analysis JF - Brain Stimulation N2 - Background Non-invasive transcutaneous auricular vagus nerve stimulation (taVNS) has received tremendous attention as a potential neuromodulator of cognitive and affective functions, which likely exerts its effects via activation of the locus coeruleus-noradrenaline (LC-NA) system. Reliable effects of taVNS on markers of LC-NA system activity, however, have not been demonstrated yet. Methods The aim of the present study was to overcome previous limitations by pooling raw data from a large sample of ten taVNS studies (371 healthy participants) that collected salivary alpha-amylase (sAA) as a potential marker of central NA release. Results While a meta-analytic approach using summary statistics did not yield any significant effects, linear mixed model analyses showed that afferent stimulation of the vagus nerve via taVNS increased sAA levels compared to sham stimulation (b = 0.16, SE = 0.05, p = 0.001). When considering potential confounders of sAA, we further replicated previous findings on the diurnal trajectory of sAA activity. Conclusion(s) Vagal activation via taVNS increases sAA release compared to sham stimulation, which likely substantiates the assumption that taVNS triggers NA release. Moreover, our results highlight the benefits of data pooling and data sharing in order to allow stronger conclusions in research. KW - Non-invasive vagus nerve stimulation KW - tVNS KW - sAA KW - Noradrenaline KW - Biomarker KW - Data pooling Y1 - 2022 U6 - https://doi.org/10.1016/j.brs.2022.09.009 SN - 1876-4754 VL - 15 SP - 1378 EP - 1388 PB - Elsevier CY - New York, NY, USA ET - 6 ER -