Evidence map›Paper›PMID 15829634›Full record

ArticleThe Journal of neuroscience : the official journal of the Society for Neuroscience2005

cAMP-mediated mechanisms for pain sensitization during opioid withdrawal.

Bihua Bie, Yi Peng, Yong Zhang, Zhizhong Z Pan

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 88 citations in OpenAlex.

  1. Article
  2. Central amygdalar PKCδ neurons mediate fentanyl withdrawal.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. Morphine-inducedFrontiers in neuroscience · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Opioid-Induced Hyperalgesia and Tolerance Are Driven by HCN Ion Channels.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. The habenular G-protein-coupled receptor 151 regulates synaptic plasticity and nicotine intake.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Repeated Mu-Opioid Exposure Induces a Novel Form of the Hyperalgesic Priming Model for Transition to Chronic Pain.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2015
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Bihua BieDepartment of Anesthesiology, The University of Texas-M.D. Anderson Cancer Center, Houston, Texas 77030, USA.
Yi Peng
Yong Zhang
Zhizhong Z Pan
The University of Texas MD Anderson Cancer Center · US

Funding

Opioid Receptors in the Mechanisms of Opioid ToleranceR01DA014524 · NIDA · UNIVERSITY OF TEXAS MD ANDERSON CAN CTR · PI PAN, ZHIZHONG Z · 2001 to 2005
$1.3M
NIDA NIH HHS DA14524NIDA NIH HHS R01 DA014524
6 · The paper itself

Abstract

Chronic opioid-induced drug dependence and withdrawal syndrome after opioid cessation remain a severe obstacle in clinical treatment of chronic pain and opioid drug addiction. One of the key symptoms during opioid withdrawal is a state of sensitized pain. The most significant molecular adaptation induced by chronic opioids in the brain is upregulation of the cAMP-signaling pathway. Although the cAMP system is known to have multiple effects on central neuron functions, how its upregulation mediates behavioral opioid dependence and withdrawal-induced pain in vivo remains unclear. In this study, we demonstrate that withdrawal from chronic morphine significantly upregulates the mRNA level of adenylyl cyclase (AC) VI and VIII isoforms and immunoreactivity of ACV/VI in the nucleus raphe magnus (NRM), a brainstem site critically involved in opioid modulation of pain. In cellular studies of NRM neurons containing mu-opioid receptors, we show that morphine withdrawal significantly increases glutamate synaptic transmission via a presynaptic mechanism mediated by an upregulated cAMP pathway. Morphine withdrawal also enhances the hyperpolarization-activated current in these neurons by increased intracellular cAMP. Both of the withdrawal-induced cAMP actions increase the excitability of these mu-receptor-containing neurons, which are thought to facilitate spinal pain transmission. Furthermore, in morphine-dependent rats in vivo, blocking the cAMP pathway significantly reduces withdrawal-induced pain sensitization. These results illustrate neurobiological mechanisms for the cAMP-mediated withdrawal pain and provide potential therapeutic targets for the treatment of opioid dependence and withdrawal-related problems.

Indexed as

2-Amino-5-phosphonovalerate6-Cyano-7-nitroquinoxaline-2,3-dione8-Bromo Cyclic Adenosine MonophosphateAdenylyl CyclasesAnimalsAnimals, NewbornBehavior, AnimalBlotting, WesternColforsinCyclic AMPDose-Response Relationship, RadiationDrug Administration ScheduleDrug InteractionsElectric StimulationEnzyme InhibitorsExcitatory Amino Acid Antagonists2-Amino-5-phosphonovalerate6-Cyano-7-nitroquinoxaline-2,3-dione8-Bromo Cyclic Adenosine Monophosphateadenylyl cyclase 8Adenylyl CyclasesColforsinCyclic AMPEnzyme InhibitorsExcitatory Amino Acid AntagonistsICI D2788Iminesisopenicillin N synthetaseIsoquinolinesMorphineN-(2-(4-bromocinnamylamino)ethyl)-5-isoquinolinesulfonamideNaloxoneNarcotic AntagonistsNarcoticsOxidoreductasesPyrimidinesRMI 12330ARNA, MessengerSulfonamides

Identifiers

PMID15829634
PMCPMC6724939
OpenAlexW2037468933

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.