{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T04:40:11Z","timestamp":1780461611413,"version":"3.54.1"},"reference-count":79,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:00:00Z","timestamp":1773705600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Integr. Neurosci."],"abstract":"<jats:p>The nucleus tractus solitarii (NTS) is a highly conserved brainstem structure that has served as a principal hub for visceral sensory integration across vertebrate evolution. While the NTS has long been described as a relay for cardiovascular and respiratory reflexes, recent work increasingly frames it as an integrative node that transforms diverse afferent signals into adaptive, context-sensitive responses. In this review, we synthesize evidence on the developmental origins of the NTS (including contributions from the dorsal alar plate and epibranchial placodes) and its comparative organization across vertebrate taxa. We argue that many interspecies differences are more plausibly interpreted as functional reweighting within a conserved circuit framework\u2014shaped by species-specific respiratory\u2013feeding strategies and ecological demands\u2014rather than as wholesale rewiring of the core network. Within this comparative context, the extensive supranuclear modulation observed in humans is discussed not as biological \u201csuperiority,\u201d but as layered control that has become particularly prominent in response to human-specific anatomical constraints and behavioral demands, including those associated with speech and complex social interaction. Clinically, we revisit dysphagia, cough hypersensitivity, and nausea\/vomiting as manifestations of network-level dysregulation and gating failure rather than isolated breakdowns of single reflex arcs. Finally, we suggest that neuromodulation strategies, including vagus nerve stimulation, may be best conceptualized as delivering patterned afferent input capable of shaping NTS network plasticity, rather than as non-specific electrical activation.<\/jats:p>","DOI":"10.3389\/fnint.2026.1768344","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T14:36:40Z","timestamp":1773758200000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["The nucleus tractus solitarii across vertebrates: developmental origins, comparative organization, and supranuclear modulation in humans"],"prefix":"10.3389","volume":"20","author":[{"given":"Yong-Shin","family":"Hong","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Anatomy, Seoul National University","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young-seok","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Anatomy, Seoul National University","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1016\/S0093-934X(03)00347-X","article-title":"The contribution of the insula to motor aspects of speech production: A review and a hypothesis.","volume":"89","author":"Ackermann","year":"2004","journal-title":"Brain Lang"},{"key":"B2","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1146\/annurev.ph.56.030194.000521","article-title":"Nucleus tractus solitarius\u2013gateway to neural circulatory control.","volume":"56","author":"Andresen","year":"1994","journal-title":"Annu. 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