DEVELOPMENTAL NEUROBIOLOGY, cilt.1, sa.1, ss.1-22, 2025 (SCI-Expanded, Scopus)
Autism spectrum disorder (ASD) is a multifactorial neurodevelopmental condition defined by social deficits, stereotypical
or repetitive behaviors, and anxiety. This study evaluates the therapeutic potential of transauricular vagal nerve stimulation
(tVNS) ina valproic acid (VPA)-induced mousemodelof ASD. The studycomprisedthree groups:thecontrol+ sham(saline-
treated offsprings receiving sham stimulation), the autistic + sham (VPA-treated offspring receiving sham stimulation), and
the autistic + tVNS (VPA-treated offsprings receiving tVNS). Male C57BL/6 mice exposed to VPA on embryonic day 12.5 were
evaluatedforbehavioralandneurobiologicalalterations.tVNSwasappliedtwiceweeklyfor3weekstoinvestigateitseffectson
sociability,anxiety-likebehaviors,neurogenesismarkers,andapoptosispathways.Behavioraltesting,includingthethree-chamber
test, mirrored chamber test, open field test, and elevated plus maze, revealed that tVNS significantly improved sociability and
socialpreferenceindices,reducedsocialanxiety,anddecreasedgeneralanxiety-likebehaviorsinVPA-inducedmice.Histological
and immunohistochemical analyses have shown a decrease in neuron density, brain-derived neurotrophic factor (BDNF), and
doublecortin (DCX) expression in the hippocampus, amygdala, and prefrontal cortex of VPA-induced mice. Additionally, the
increaseincaspase-3immunoreactivityindicatesincreasedapoptosis.tVNStreatmentrestoredBDNFandDCXlevels,promoting
neurogenesisandsynapticplasticitywhilesignificantlyreducingcaspase-3-mediatedapoptosisinaffectedbrainregions.These
findingssuggestthattVNSmaycounteracttheneuralandbehavioraldeficitsassociatedwithASDbymodulatingneurogenesis,
neuronalplasticity,andapoptosis.ThestudyhighlightstVNSasapotentialtherapeuticinterventionforASD,emphasizingitsrole
intargetingbothbehavioralalterationsandunderlyingneurobiologicalmechanisms.