A Focused Review of Neural Recording and Stimulation Techniques With Immune-Modulatory Targets

Front Immunol. 2021 Sep 27:12:689344. doi: 10.3389/fimmu.2021.689344. eCollection 2021.

Abstract

The complex interactions established between the nervous and immune systems have been investigated for a long time. With the advent of small and portable devices to record and stimulate nerve activity, researchers from many fields began to be interested in how nervous activity can elicit immune responses and whether this activity can be manipulated to trigger specific immune responses. Pioneering works demonstrated the existence of a cholinergic inflammatory reflex, capable of controlling the systemic inflammatory response through a vagus nerve-mediated modulation of the spleen. This work inspired many different areas of technological and conceptual advancement, which are here reviewed to provide a concise reference for the main works expanding the knowledge on vagus nerve immune-modulatory capabilities. In these works the enabling technologies of peripheral nervous activity recordings were implemented and embody the current efforts aimed at controlling neural activity with modulating functions in immune response, both in experimental and clinical contexts.

Keywords: bioelectronic medicine; immunity; inflammatory reflex; microneurography; neuro-immune interface.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Electric Stimulation
  • Humans
  • Immune System / physiology
  • Inflammation / physiopathology
  • Neuroimmunomodulation*
  • Neurons / physiology