Evidence map›Paper›PMID 19941895›Full record

ReviewNeuroscience and biobehavioral reviews2010

Translating the neuroscience of alcoholism into clinical treatments: from blocking the buzz to curing the blues.

Markus Heilig, Annika Thorsell, Wolfgang H Sommer, Anita C Hansson, Vijay A Ramchandani, David T George, Daniel Hommer, Christina S Barr

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Neuroscience and biobehavioral reviews, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 62 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT02181608 withdrawnnot on this mapstarted 2014, after this paper: background citation

Traits Associated With Early Life Stress Among Treatment-Seeking Alcoholics

TypeobservationalSponsorNational Institute on Alcohol Abuse and Alcoholism (NIAAA)Ran2014 to 2015Enrolled0ConditionsFear, Stress, Alcohol Dependence
NCT02438969 completednot on this mapstarted 2015, after this paper: background citation

(Epi)Genetic Modulators of Fear Extinction in Alcohol Dependence

TypeobservationalSponsorNational Institute on Alcohol Abuse and Alcoholism (NIAAA)Ran2015 to 2022Enrolled96ConditionsFear, Stress, Alcohol Dependence
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Precision Medicine in Alcohol Dependence: A Controlled Trial Testing Pharmacotherapy Response Among Reward and Relief Drinking Phenotypes.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2018
    Trial
  5. Development of the Neuroimmune Modulator Ibudilast for the Treatment of Alcoholism: A Randomized, Placebo-Controlled, Human Laboratory Trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2017
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. The Role of the Central Amygdala in Alcohol Dependence.Cold Spring Harbor perspectives in medicine · 2021
    Review
  18. Do behavioral pharmacology findings predict clinical trial outcomes? A proof-of-concept in medication development for alcohol use disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Article
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

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

8 authors.

Markus HeiligLaboratory of Clinical and Translational Studies, National Inst. on Alcohol Abuse and Alcoholism, National Inst of Health, Bethesda, MD, United States. markus.heilig@mail.nih.gov
Annika Thorsell
Wolfgang H Sommer
Anita C Hansson
Vijay A Ramchandani
David T George
Daniel Hommer
Christina S Barr

Funding

Alcohol Pharmacokinetics and Pharmacodynamics in HumansZIAAA000466 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI RAMCHANDANI, VIJAY ARJUN · 2009 to 2025
$31.2M
Discovery and validation of novel targets for pharmacotherapy of alcoholismZIAAA000487 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI LOVINGER, DAVID M · 2009 to 2015
$23.6M
Cross-Species Genetic and Epigenetic Studies of Stress Response and RewardZIAAA000311 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI BARR, CHRISTINA · 2010 to 2020
$14.0M
Clinical Assessment and Treatment Evaluation of Alcohol Dependent PatientsZIAAA000213 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI LEGGIO, LORENZO · 2009 to 2014
$10.4M
Functional Magnetic Resonance Imaging Of Emotion As Related To AlcoholismZIAAA000081 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI HEILIG, MARKUS · 2009 to 2014
$10.1M
Intramural NIH HHS ZIA AA000487
6 · The paper itself

Abstract

Understanding the pathophysiology of addictive disorders is critical for development of new treatments. A major focus of addiction research has for a long time been on systems that mediate acute positively reinforcing effects of addictive drugs, most prominently the mesolimbic dopaminergic (DA) system and its connections. This research line has been successful in shedding light on the physiology of both natural and drug reward, but has not led to therapeutic breakthroughs. The role of classical reward systems is perhaps least clear in alcohol addiction. Here, recent work is summarized that points to some clinically important conclusions. First, important pharmacogenetic differences exist with regard to positively reinforcing effects of alcohol and the ability of this drug to activate classical reward pathways. This offers an opportunity for personalized treatment approaches in alcoholism. Second, brain stress and fear systems become pathologically activated in later stages of alcoholism and their activation is a major influence in escalation of alcohol intake, sensitization of stress responses, and susceptibility to relapse. These findings offer a new category of treatment mechanisms. Corticotropin-releasing hormone (CRH) signaling through CRH1 receptors is a major candidate target in this category, but recent data indicate that antagonists for substance P (SP) neurokinin 1 (NK1) receptors may have a similar potential.

Indexed as

AlcoholismAnimalsBrainCorticotropin-Releasing HormoneCRF Receptor, Type 1Drug Delivery SystemsEthanolHumansModels, BiologicalNeurokinin-1 Receptor AntagonistsReceptors, Corticotropin-Releasing HormoneSubstance PTranslational Research, BiomedicalCorticotropin-Releasing HormoneCRF Receptor, Type 1EthanolNeurokinin-1 Receptor AntagonistsReceptors, Corticotropin-Releasing HormoneSubstance P

Identifiers

PMID19941895
PMCPMC2891917

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.