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Fascicles Split or Merge Every ~560 Microns Within the Human Cervical Vagus Nerve

View ORCID ProfileAniruddha R. Upadhye, View ORCID ProfileChaitanya Kolluru, View ORCID ProfileLindsey Druschel, View ORCID ProfileLuna Al Lababidi, View ORCID ProfileSami S. Ahmad, View ORCID ProfileDhariyat M. Menendez, View ORCID ProfileOzge N. Buyukcelik, View ORCID ProfileMegan L. Settell, Stephan L. Blanz, View ORCID ProfileMichael W. Jenkins, View ORCID ProfileDavid L. Wilson, View ORCID ProfileJing Zhang, View ORCID ProfileCurtis Tatsuoka, View ORCID ProfileWarren M. Grill, View ORCID ProfileNicole A. Pelot, View ORCID ProfileKip A. Ludwig, View ORCID ProfileKenneth J. Gustafson, View ORCID ProfileAndrew J. Shoffstall
doi: https://doi.org/10.1101/2021.11.09.467343
Aniruddha R. Upadhye
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
2APT Center, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, United States of America
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  • ORCID record for Aniruddha R. Upadhye
Chaitanya Kolluru
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
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  • ORCID record for Chaitanya Kolluru
Lindsey Druschel
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
2APT Center, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, United States of America
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Luna Al Lababidi
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
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  • ORCID record for Luna Al Lababidi
Sami S. Ahmad
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
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Dhariyat M. Menendez
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
2APT Center, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, United States of America
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Ozge N. Buyukcelik
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
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  • ORCID record for Ozge N. Buyukcelik
Megan L. Settell
3Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
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  • ORCID record for Megan L. Settell
Stephan L. Blanz
3Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
11Wisconsin Institute of Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, USA
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Michael W. Jenkins
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
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David L. Wilson
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
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Jing Zhang
4Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, United States of America
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Curtis Tatsuoka
4Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, United States of America
5FES Center, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, United States of America
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Warren M. Grill
6Department of Biomedical Engineering, Duke University, Durham, NC, United States of America
7Department of Electrical and Computer Engineering, Duke University, Durham, NC, United States of America
8Department of Neurobiology, Duke University, Durham, NC, United States of America
9Department of Neurosurgery, Duke University, Durham, NC, United States of America
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Nicole A. Pelot
6Department of Biomedical Engineering, Duke University, Durham, NC, United States of America
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Kip A. Ludwig
3Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America
10Department of Neurosurgery, University of Wisconsin-Madison, Madison, WI, United States of America
11Wisconsin Institute of Neuroengineering (WITNe), University of Wisconsin-Madison, Madison, WI, USA
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Kenneth J. Gustafson
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
5FES Center, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, United States of America
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Andrew J. Shoffstall
1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America
2APT Center, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, United States of America
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  • For correspondence: Ajs215@case.edu
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1 Abstract

Vagus nerve stimulation (VNS) is FDA approved for stroke rehabilitation, epilepsy, and depression; however, the vagus functional anatomy underlying the implant is poorly understood. We used microCT to quantify fascicular structure and neuroanatomy within human cervical vagus nerves. Fascicles split or merged every ~560 μm (17.8 ± 6.1 events/cm). The high degree of fascicular splitting and merging in humans may explain the clinical heterogeneity in patient responses.

Competing Interest Statement

KAL is a scientific board member and has stock interests in NeuroOne Medical Inc., a company developing next generation epilepsy monitoring devices. KAL is also paid member of the scientific advisory board of Cala Health, Blackfynn, Abbott and Battelle. KAL also is a paid consultant for Galvani and Boston Scientific. KAL and AJS are consultants to and co-founders of Neuronoff Inc. None of these associations are directly relevant to the work presented in this manuscript.

Footnotes

  • Revised introduction; added acknowledements.

Copyright 
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. All rights reserved. No reuse allowed without permission.
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Posted April 19, 2022.
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Fascicles Split or Merge Every ~560 Microns Within the Human Cervical Vagus Nerve
Aniruddha R. Upadhye, Chaitanya Kolluru, Lindsey Druschel, Luna Al Lababidi, Sami S. Ahmad, Dhariyat M. Menendez, Ozge N. Buyukcelik, Megan L. Settell, Stephan L. Blanz, Michael W. Jenkins, David L. Wilson, Jing Zhang, Curtis Tatsuoka, Warren M. Grill, Nicole A. Pelot, Kip A. Ludwig, Kenneth J. Gustafson, Andrew J. Shoffstall
bioRxiv 2021.11.09.467343; doi: https://doi.org/10.1101/2021.11.09.467343
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Fascicles Split or Merge Every ~560 Microns Within the Human Cervical Vagus Nerve
Aniruddha R. Upadhye, Chaitanya Kolluru, Lindsey Druschel, Luna Al Lababidi, Sami S. Ahmad, Dhariyat M. Menendez, Ozge N. Buyukcelik, Megan L. Settell, Stephan L. Blanz, Michael W. Jenkins, David L. Wilson, Jing Zhang, Curtis Tatsuoka, Warren M. Grill, Nicole A. Pelot, Kip A. Ludwig, Kenneth J. Gustafson, Andrew J. Shoffstall
bioRxiv 2021.11.09.467343; doi: https://doi.org/10.1101/2021.11.09.467343

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