TY - JOUR A1 - Kessler, Wolfram A1 - Diedrich, Stephan A1 - Menges, Pia A1 - Ebker, Tobias A1 - Nielson, Michael A1 - Partecke, Lars Ivo A1 - Traeger, Tobias A1 - Cziupka, Katharina A1 - van der Linde, Julia A1 - Puls, Ralf A1 - Busemann, Alexandra A1 - Heidecke, Claus-Dieter A1 - Maier, Stefan T1 - The role of the vagus nerve: modulation of the inflammatory reaction in murine polymicrobial sepsis T2 - Mediators of Inflammation N2 - The particular importance of the vagus nerve for the pathophysiology of peritonitis becomes more and more apparent. In this work we provide evidence for the vagal modulation of inflammation in the murine model of colon ascendens stent peritonitis (CASP). Vagotomy significantly increases mortality in polymicrobial sepsis. This effect is not accounted for by the dilatation of gastric volume following vagotomy. As the stimulation of cholinergic receptors by nicotine has no therapeutic effect, the lack of nicotine is also not the reason for the reduced survival rate. In fact, increased septic mortality is a consequence of the absent modulating influence of the vagus nerve on the immune system: we detected significantly elevated serum corticosterone levels in vagotomised mice 24 h following CASP and a decreased ex vivo TNF-alpha secretion of Kupffer cells upon stimulation with LPS. In conclusion, the vagus nerve has a modulating influence in polymicrobial sepsis by attenuating the immune dysregulation. Y1 - 2012 UR - https://opus.bibliothek.uni-augsburg.de/opus4/frontdoor/index/index/docId/124147 UR - https://nbn-resolving.org/urn:nbn:de:bvb:384-opus4-1241477 SN - 0962-9351 SN - 1466-1861 VL - 2012 SP - 467620 PB - Hindawi ER -