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Nocturnal vagus nerve stimulation enhances cognitive functions in patients with early Alzheimer’s disease

AI Summary
  • Nocturnal auricular transcutaneous vagus nerve stimulation (atVNS) using a Vguard device administered during sleep shows cognitive benefits in MCI and AD patients.
  • Repeated nightly atVNS over several months was associated with significant improvements in global cognitive function; ADAS-Cog detected greatest stimulation-related changes.
  • Nocturnal atVNS leverages sleep-related vagal activity and may delay or prevent progression from MCI to Alzheimer's disease and dementia.
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J Alzheimers Dis. 2026 Jun 9:13872877261458276. doi: 10.1177/13872877261458276. Online ahead of print.

ABSTRACT

BackgroundAuricular transcutaneous vagus nerve stimulation (atVNS) has been proposed as a non-invasive neuromodulation approach for cognitive disorders, including Alzheimer’s disease (AD). Sleep represents a physiological state characterized by enhanced vagal activity and memory consolidation, making it a potentially optimal window for stimulation.ObjectiveTo investigate the cognitive effects of nocturnal atVNS in individuals diagnosed with mild cognitive impairment (MCI) and AD.MethodsParticipants underwent nightly atVNS using a Vguard device, specifically designed for non-invasive stimulation during sleep. Cognitive performance was evaluated using four standardized neuropsychological instruments, including the Alzheimer’s Disease Assessment Scale Cognitive Subscale (ADAS-Cog).ResultsRepeated nocturnal atVNS over several months was associated with significant improvements in global cognitive function. Among the administered tests, the ADAS-Cog demonstrated the greatest sensitivity in detecting stimulation-related changes.ConclusionsNocturnal atVNS may constitute a promising therapeutic strategy for enhancing cognition in patients with MCI and AD. By leveraging sleep-related vagal activity, this approach could potentially delay or prevent the progression of MCI to AD and dementia.

PMID:42261688 | DOI:10.1177/13872877261458276

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