Comparison of vagus nerve cross-sectional area between brain-first and body-first Parkinson’s disease

Abstract The vagus nerve (VN) is the main neural pathway linking the gut and brain in Parkinson’s disease (PD). In this study, we utilized high-resolution ultrasound to measure the VN cross-sectional area (CSA) in 96 healthy controls (HCs) and 75 PD patients. The PD group was further categorized int...

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Main Authors: Shuangshuang Dong, Bo Shen, Xu Jiang, Jun Zhu, Haiying Zhang, Yang Zhao, Yaning Chen, Dongfeng Li, Yuanyuan Feng, Yi Chen, Yang Pan, Feng Han, Ben Liu, Li Zhang
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-024-00844-6
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author Shuangshuang Dong
Bo Shen
Xu Jiang
Jun Zhu
Haiying Zhang
Yang Zhao
Yaning Chen
Dongfeng Li
Yuanyuan Feng
Yi Chen
Yang Pan
Feng Han
Ben Liu
Li Zhang
author_facet Shuangshuang Dong
Bo Shen
Xu Jiang
Jun Zhu
Haiying Zhang
Yang Zhao
Yaning Chen
Dongfeng Li
Yuanyuan Feng
Yi Chen
Yang Pan
Feng Han
Ben Liu
Li Zhang
author_sort Shuangshuang Dong
collection DOAJ
description Abstract The vagus nerve (VN) is the main neural pathway linking the gut and brain in Parkinson’s disease (PD). In this study, we utilized high-resolution ultrasound to measure the VN cross-sectional area (CSA) in 96 healthy controls (HCs) and 75 PD patients. The PD group was further categorized into three subgroups: PD-preRBD, PD-postRBD, and PD-nonRBD. PD-preRBD was the body-first subtype, and PD-postRBD and PD-nonRBD were the brain-first subtype. The PD group had a significantly lower VN CSA than HCs. Subgroup analysis revealed that the PD-preRBD group tended to exhibit a smaller VN CSA than both the PD-postRBD and PD-nonRBD groups. The VN CSA, specifically the right VN, was significantly correlated with the body-first subtype and some components of PD-related assessment scales. Overall, these findings provide evidence of VN atrophy in PD, especially in body-first PD, suggesting that VN ultrasound could serve as an adjunctive diagnostic tool.
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series npj Parkinson's Disease
spelling doaj-art-c2ffae62a28a42b683a23a77b863d6bf2025-08-20T02:20:45ZengNature Portfolionpj Parkinson's Disease2373-80572024-12-011011910.1038/s41531-024-00844-6Comparison of vagus nerve cross-sectional area between brain-first and body-first Parkinson’s diseaseShuangshuang Dong0Bo Shen1Xu Jiang2Jun Zhu3Haiying Zhang4Yang Zhao5Yaning Chen6Dongfeng Li7Yuanyuan Feng8Yi Chen9Yang Pan10Feng Han11Ben Liu12Li Zhang13Department of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityInternational Joint Laboratory for Drug Target of Critical Illnesses, School of Pharmacy, Nanjing Medical UniversityDepartment of Physical Diagnosis, Affiliated Brain Hospital of Nanjing Medical UniversityDepartment of Geriatric Neurology, Affiliated Brain Hospital of Nanjing Medical UniversityAbstract The vagus nerve (VN) is the main neural pathway linking the gut and brain in Parkinson’s disease (PD). In this study, we utilized high-resolution ultrasound to measure the VN cross-sectional area (CSA) in 96 healthy controls (HCs) and 75 PD patients. The PD group was further categorized into three subgroups: PD-preRBD, PD-postRBD, and PD-nonRBD. PD-preRBD was the body-first subtype, and PD-postRBD and PD-nonRBD were the brain-first subtype. The PD group had a significantly lower VN CSA than HCs. Subgroup analysis revealed that the PD-preRBD group tended to exhibit a smaller VN CSA than both the PD-postRBD and PD-nonRBD groups. The VN CSA, specifically the right VN, was significantly correlated with the body-first subtype and some components of PD-related assessment scales. Overall, these findings provide evidence of VN atrophy in PD, especially in body-first PD, suggesting that VN ultrasound could serve as an adjunctive diagnostic tool.https://doi.org/10.1038/s41531-024-00844-6
spellingShingle Shuangshuang Dong
Bo Shen
Xu Jiang
Jun Zhu
Haiying Zhang
Yang Zhao
Yaning Chen
Dongfeng Li
Yuanyuan Feng
Yi Chen
Yang Pan
Feng Han
Ben Liu
Li Zhang
Comparison of vagus nerve cross-sectional area between brain-first and body-first Parkinson’s disease
npj Parkinson's Disease
title Comparison of vagus nerve cross-sectional area between brain-first and body-first Parkinson’s disease
title_full Comparison of vagus nerve cross-sectional area between brain-first and body-first Parkinson’s disease
title_fullStr Comparison of vagus nerve cross-sectional area between brain-first and body-first Parkinson’s disease
title_full_unstemmed Comparison of vagus nerve cross-sectional area between brain-first and body-first Parkinson’s disease
title_short Comparison of vagus nerve cross-sectional area between brain-first and body-first Parkinson’s disease
title_sort comparison of vagus nerve cross sectional area between brain first and body first parkinson s disease
url https://doi.org/10.1038/s41531-024-00844-6
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