21Bioelectronic medicine is opening new perspectives for the treatment of some major chronic 22 diseases through the physical modulation of autonomic nervous system activity. Being the 23 main peripheral route for electrical signals between central nervous system and visceral 24 organs, the vagus nerve (VN) is one of the most promising targets. Closed-loop 25 neuromodulation would be crucial to increase effectiveness and reduce side effects, but it 26 depends on the possibility of extracting useful physiological information from VN electrical 27 activity, which is currently very limited. 28 Here, we present a new decoding algorithm properly detecting different functional changes 29 from VN signals. They were recorded using intraneural electrodes in anaesthetized pigs 30 during cardiovascular and respiratory challenges mimicking increases in arterial blood 31 pressure, tidal volume and respiratory rate. A novel decoding algorithm was developed 32 combining discrete wavelet transformation, principal component analysis, and ensemble 33 learning made of classification trees. It robustly achieved high accuracy levels in identifying 34 different functional changes and discriminating among them. We also introduced a new 35 index for the characterization of recording and decoding performance of neural interfaces.
36Finally, by combining an anatomically validated hybrid neural model and discrimination 37 analysis, we provided new evidence suggesting a functional topographical organization of 38 VN fascicles. This study represents an important step towards the comprehension of VN 39 signaling, paving the way to the development of effective closed-loop bioelectronic systems. 40 41 Algorithm, Hybrid Modeling Framework. 44 45 46 48 of body homeostasis. In ANS peripheral nerves, afferent and efferent fibres run together, 49 providing bidirectional communication between specific circuits of the central nervous 50 system and visceral organs. The artificial modulation of this complex circuitry is the 51 challenging goal of bioelectronic medicine (BM), a highly promising alternative to some 52 limited pharmacological tretments 1-3 . Among the main ANS nerves, the vagus nerve (VN) 53 represents a privileged target as it modulates vital functions like respiration, circulation and 54 the digestion 4 . VN stimulation (VNS) of cervical segments has shown a great potential for 55 the treatment of a wide range of pathological conditions such as epilepsy 5 , chronic heart 56 failure 6 , and inflammatory diseases 7,8 . However, the formidable amount of afferent and 57 efferent signals that simultaneously cross this VN segment, the numerous VNS side-effects 9 58 and the discovery of VN involvement in the regulation of complex functions like immunity 10 59 or central neuroplasticity 11,12 highlight the need for high precision and selectivity. In an ideal 60 scenario, the therapeutic stimulation or inhibition of VN or any other ANS nerve should be: 61 a) selectively directed to specific efferent or afferent fibres and b) regulated by a ...