Evidence map›Paper›PMID 21402143›Full record

ReviewBrain, behavior, and immunity2011

Induction of innate immune genes in brain create the neurobiology of addiction.

F T Crews, Jian Zou, Liya Qin

Registry-linked trialAbstract readReview
In one paragraph

Review in Brain, behavior, and immunity, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01631630 (Role of Proinflammatory Signaling in Alcohol Craving), which is not on this map. Cited by 193 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
193citing papers in PubMed, 2 pooled it
17.9field-weighted citation impact, top 1% 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.

NCT01631630 phase2terminatednot on this mapstarted 2012, after this paper: background citation

Role of Proinflammatory Signaling in Alcohol Craving

TypeinterventionalSponsorNational Institute on Alcohol Abuse and Alcoholism (NIAAA)Ran2012 to 2015Enrolled16ConditionsAlcohol Dependence, Alcohol Drinking, Stress, Alcohol-Related DisordersArmsPioglitazone, Placebo
3 · Its place in the literature

Who cites it

193 citing papers in PubMed, 2 syntheses or guidelines pooled it, 310 citations in OpenAlex.

  1. Pooled it
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  12. A history of addiction through the six editions of Kandel'sFrontiers in behavioral neuroscience · 2026
    Review
  13. Article
  14. Review
  15. Stress across systems and lifespan: emerging biomarkers and mechanisms of resilience.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Article
  16. Review
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  18. Review
  19. Article
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133 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

3 authors at 1 institution in 1 country.

F T CrewsBowles Center for Alcohol Studies, Department of Pharmacology and Psychiatry, The School of Medicine, The University of North Carolina at Chapel Hill, 1021 Thurston-Bowles Building, CB #7178, Chapel Hill, NC 27599-7178, USA. fulton_crews@med.unc.edu
Jian Zou
Liya Qin
University of North Carolina at Chapel Hill · US

Funding

UNC ARC Information/Dissemination CoreP60AA011605 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A Herman · 2003 to 2026
$46.3M
UNC-CH NADIA Underage Drinking and Adult Brain Morphology in RatsU01AA020023 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CREWS, FULTON T · 2010 to 2024
$7.5M
UNC-CH NADIA Administrative CoreU24AA020024 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CREWS, FULTON T · 2010 to 2024
$6.6M
MOLECULAR AND CELLULAR PATHOGENESIS IN ALCOHOLISMP50AA011605 · NIAAA · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI CREWS, FULTON T · 1998 to 2002
$4.9M
UNC-CH NADIA Scientific CoreU24AA020022 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CREWS, FULTON T · 2010 to 2014
$2.2M
Pregnane X receptor (PRX)-dependent mechanisms of alcoholic liver diseaseU54AA019767 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CREWS, FULTON T · 2010 to 2019
$2.1M
NIAAA NIH HHS AA019767NIAAA NIH HHS AA020022NIAAA NIH HHS AA020023NIAAA NIH HHS AA020024NIAAA NIH HHS AA11605NIAAA NIH HHS P50 AA011605NIAAA NIH HHS P60 AA011605NIAAA NIH HHS U01 AA020023NIAAA NIH HHS U24 AA020022NIAAA NIH HHS U24 AA020024NIAAA NIH HHS U54 AA019767
6 · The paper itself

Abstract

Addiction occurs through repeated abuse of drugs that progressively reduce behavioral control and cognitive flexibility while increasing limbic negative emotion. Recent discoveries indicate neuroimmune signaling underlies addiction and co-morbid depression. Low threshold microglia undergo progressive stages of innate immune activation involving astrocytes and neurons with repeated drug abuse, stress, and/or cell damage signals. Increased brain NF-κB transcription of proinflammatory chemokines, cytokines, oxidases, proteases, TLR and other genes create loops amplifying NF-κB transcription and innate immune target gene expression. Human post-mortem alcoholic brain has increased NF-κB and NF-κB target gene message, increased microglial markers and chemokine-MCP1. Polymorphisms of human NF-κB1 and other innate immune genes contribute to genetic risk for alcoholism. Animal transgenic and genetic studies link NF-κB innate immune gene expression to alcohol drinking. Human drug addicts show deficits in behavioral flexibility modeled pre-clinically using reversal learning. Binge alcohol, chronic cocaine, and lesions link addiction neurobiology to frontal cortex, neuroimmune signaling and loss of behavioral flexibility. Addiction also involves increasing limbic negative emotion and depression-like behavior that is reflected in hippocampal neurogenesis. Innate immune activation parallels loss of neurogenesis and increased depression-like behavior. Protection against loss of neurogenesis and negative affect by anti-oxidant, anti-inflammatory, anti-depressant, opiate antagonist and abstinence from ethanol dependence link limbic affect to changes in innate immune signaling. The hypothesis that innate immune gene induction underlies addiction and affective disorders creates new targets for therapy.

Indexed as

NeuroimmunomodulationBehavior, AddictiveBrainHumansSubstance-Related Disorders

Identifiers

PMID21402143
PMCPMC3552373
OpenAlexW2018062658

What OpenQuestion holds

Textmetadata
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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.