What is it about?

The vagus nerve (CN X) consists of both sensory (afferent) and motor (efferent) axons. It also provides the main autonomic (parasympathetic) supply to most abdominal viscera and other organs . However, CNX has a more intricate role with the brain-gut axis (BGA). CN X seems to be the most relevant component of the peripheral nervous system. It establishes the anatomic connection between the central and enteric components of the nervous system, potentiating important neural processes, brain functions, and certain behaviors (e.g., feeding and mood).

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Why is it important?

CN X comprises a direct anatomic connection by which the PNS, ANS, and ENS can communicate with the CNS, integrating all functional circuits of the BGA, including the neural pathway (e.g., CN X, ENS, and neurotransmitters), the immune pathway (e.g., cytokines), and the neuroendocrine pathway (e.g., HPA axis, EECs, and gut microbiome).

Perspectives

In the context of the BGA, CN X has a broad role in mental health beyond its wide anatomic distribution and well-known somatic and visceral functions.

Wilfredo Lopez-Ojeda
VA Medical Center and Wake Forest School of Medicine

Read the Original

This page is a summary of: The Vagus Nerve and the Brain-Gut Axis: Implications for Neuropsychiatric Disorders, Journal of Neuropsychiatry, October 2024, American Psychiatric Association,
DOI: 10.1176/appi.neuropsych.20240118.
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