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Clinical applications and mechanisms of vagus nerve stimulation in the treatment of immune diseases: a review

Jingjing Liu, Kaiyuan Zheng, Linghui Dong, Jingyi Lin, Chunyu Zhang, Yulei Xie, Yinxu Wang

2025International Journal of Surgery5 citationsDOIOpen Access PDF

Abstract

Vagus nerve stimulation (VNS) is a widely used neurostimulation technique for managing neurological diseases such as drug-resistant epilepsy and depression. Moreover, VNS has shown considerable potential for application in immune diseases. Herein, clinical studies on VNS application in immune disease treatments, such as for rheumatoid arthritis and Crohn's disease, have been systematically reviewed, with a focus on stimulation methods, clinical efficacy, mechanisms of action, and safety. This review highlights the therapeutic effects of VNS in improving the clinical symptoms of patients with immune diseases through neuroimmune interactions and underscores the need for further large-scale, randomized controlled clinical trials to validate its long-term efficacy and safety.

Topics & Concepts

MedicineVagus nerve stimulationNeurostimulationClinical trialEpilepsyRheumatoid arthritisImmune systemDiseaseIntensive care medicineStimulationVagus nerveImmunologyInternal medicinePsychiatryVagus Nerve Stimulation ResearchAdenosine and Purinergic SignalingInhalation and Respiratory Drug Delivery