A Holistic and Dynamic Network-Level View of the Autonomic Nervous System.

Publication Year
2026

Type

Journal Article
Abstract

The autonomic nervous system (ANS) plays a vital role in health care for both acute care and chronic diseases. The traditional view of the ANS is to divide it into individual organ systems and study the separate components with a reductionist approach, which has proven insufficient. Here, we argue that a holistic network-level view of the ANS is critical for generating new insights and deepening our understanding of its complex and dynamic functions. In this review, we treat the ANS as such a coordinated and dynamic network. We advocate for studying its interactions with major organ systems and the central nervous system using continuous and longitudinal monitoring in ambulatory and at-home settings rather than clinic-based snapshots. We first briefly review ANS physiology, then outline our network perspective, and finally highlight cutting-edge research directions and emerging engineering innovations in ANS monitoring, modeling, and modulation that benefit from this network-level view.

Journal
Annual review of biomedical engineering
Volume
28
Issue
1
Pages
1-23
Date Published
05/2026
ISSN Number
1545-4274
Alternate Journal
Annu Rev Biomed Eng
PMCID
PMC13127166
PMID
41417980