The Founders Behind the Science

From discovery to a new field of medicine

Kevin J. Tracey, MD is a New York–based neurosurgeon and molecular scientist whose career has reshaped our understanding of inflammation. In the 1980s at Rockefeller University, he contributed to the identification of tumor necrosis factor (TNF) as a central driver of inflammatory disease and he was instrumental advancing the development of the first monoclonal antibodies targeting TNF—work that laid the foundation for modern biologic therapies used by millions of patients today.

In the 1990s, driven by a deeper question—what controls inflammation in the body?—Tracey began studying an experimental compound named CNI-1493, shown to suppress TNF production. This work led to a close collaboration with the Swedish immunologist and pediatrician Ulf Andersson of Karolinska Institutet. What began as a scientific partnership soon became a lifelong collaboration and friendship that would prove pivotal for an entire field.

The discovery of the inflammatory reflex

Tracey and his colleagues uncovered the breakthrough insight: the immune system is regulated by the nervous system. Subsequent research revealed a previously unknown neural circuit—the inflammatory reflex—through which signals traveling in the vagus nerve actively control immune responses.

This discovery emerged from an unexpected finding. When CNI-1493 was administered into the brain of experimental animals, it not only suppressed inflammation locally but also reduced TNF production throughout the body. When the vagus nerve was severed, this effect disappeared. When the vagus nerve was electrically stimulated, the anti-inflammatory effect returned, even in the absence of CNI-1493. These experiments demonstrated, for the first time, that electrical signals in the vagus nerve can regulate inflammation.

This insight laid the scientific foundation for vagus nerve stimulation as a therapeutic strategy for chronic inflammatory diseases—and gave rise to the field now known as bioelectronic medicine.

“The brain does not just sense inflammation—it actively controls it.”

- Kevin J. Tracey

Kevin Tracey: When science became personal

Over the past 25 years, Tracey and Andersson have continued to refine the understanding of the inflammatory reflex and explore how it can be safely activated for clinical benefit. During this time, an unexpected convergence occurred: Ulf Andersson himself developed a severe chronic inflammatory illness. Guided by their own research, Andersson chose to apply transcutaneous auricular vagus nerve stimulation to himself. Over time, his disabling symptoms gradually receded and ultimately resolved—creating a rare and powerful intersection between scientific discovery and lived experience.

The origin of Cymbathera

This continuous, curiosity-driven research—spanning decades, institutions, and disciplines—forms the scientific backbone of Cymbathera and the development of non-invasive, cymba conchae–mediated vagus nerve stimulation for chronic inflammation and pain. Cymbathera was founded to translate this deep scientific heritage into practical, accessible bioelectronic solutions—grounded in data, driven by purpose, and designed to help restore balance where conventional approaches fall short.

Founders

Ulf Andersson

Ulf Andersson, professor of pediatric rheumatology at Karolinska Institutet, has for 50 years treated patients and led a basic science research program focused on inflammation. A co-discoverer of HMGB1 as the prototype alarmin molecule, he holds an honorary doctorate at The Elmezzi Graduate School of Molecular Medicine in New York, and is recognized as a Highly Cited Clarivate Researcher by Web of Science.

Kevin Tracey

Kevin Tracey is a professor of neurosurgery and molecular medicine at Hofstra University and Executive Vice President at Northwell Health in New York. He is an honorary doctor at Karolinska Institutet and a global leader in inflammation and bioelectronic medicine. He discovered the inflammatory reflex, the cholinergic anti-inflammatory pathway and contributed to anti-TNF monoclonal antibody therapy. He is an inventor with 75 U.S. patents and author of more than 400 scientific publications.

“The nervous system plays a central
role in controlling inflammation, acting as a critical regulator of immune balance.”

- Ulf Andersson