Evidence map›Paper›PMID 21426575›Full record

Trial reportMolecular pain2011

Selective nociceptor activation in volunteers by infrared diode laser.

Alexander Z Tzabazis, Michael Klukinov, Sonia Crottaz-Herbette, Mikhail I Nemenov, Martin S Angst, David C Yeomans

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Molecular pain, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Article
  3. Skin innervation and itsFrontiers in cellular neuroscience · 2026
    Review
  4. Article
  5. Artificial Photothermal Nociceptor Using Mott Oscillators.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. ATP P2X3 receptors and neuronal sensitization.Frontiers in cellular neuroscience · 2013
    Review
  13. Translational aspects of rectal evoked potentials: a comparative study in rats and humans.American journal of physiology. Gastrointestinal and liver physiology · 2013
    Article
  14. Article
  15. Article
  16. Article
  17. 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

6 authors at 2 institutions in 2 countries.

Alexander Z TzabazisDepartment of Anesthesia, Friedrich Alexander University, Erlangen, Germany.
Michael Klukinov
Sonia Crottaz-Herbette
Mikhail I Nemenov
Martin S Angst
David C Yeomans
Stanford University · USFriedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

Laser Diode for Ion Channel StimulationR44NS046951 · NINDS · LASMED, LLC · PI NEMENOV, MIKHAIL I. · 2007 to 2008
$1.0M
Selective Laser Stimulator of C and A delta fibersR44DA016840 · NIDA · LASMED, LLC · PI NEMENOV, MIKHAIL I. · 2007 to 2008
$813k
NIDA NIH HHS R44 DA016840NIDA NIH HHS R44DA016840-01A1NINDS NIH HHS R44 NS046951
6 · The paper itself

Abstract

backgroundTwo main classes of peripheral sensory neurons contribute to thermal pain sensitivity: the unmyelinated C fibers and thinly myelinated Aδ fibers. These two fiber types may differentially underlie different clinical pain states and distinctions in the efficacy of analgesic treatments. Methods of differentially testing C and Aδ thermal pain are widely used in animal experimentation, but these methods are not optimal for human volunteer and patient use. Thus, this project aimed to provide psychophysical and electrophysiological evidence that whether different protocols of infrared diode laser stimulation, which allows for direct activation of nociceptive terminals deep in the skin, could differentially activate Aδ or C fiber thermonociceptors in volunteers.

resultsShort (60 ms), high intensity laser pulses (SP) evoked monomodal "pricking" pain which was not enhanced by topical capsaicin, whereas longer, lower power pulses (LP) evoked monomodal "burning" pain which was enhanced by topical capsaicin. SP also produced cortical evoked EEG potentials consistent with Aδ mediation, the amplitude of which was directly correlated with pain intensity but was not affected by topical capsaicin. LP also produced a distinct evoked potential pattern the amplitude of which was also correlated with pain intensity, which was enhanced by topical capsaicin, and the latency of which could be used to estimate the conduction velocity of the mediating nociceptive fibers.

conclusionsPsychophysical and electrophysiological data were consistent with the ability of short high intensity infrared laser pulses to selectively produce Aδ mediated pain and of longer pulses to selectively produce C fiber mediated thermal pain. Thus, the use of these or similar protocols may be useful in developing and testing novel therapeutics based on the differential molecular mechanisms underlying activation of the two fiber types (e.g., TRPV1, TRPV2, etc). In addition, these protocol may be useful in determining the fiber mediation of different clinical pain types which may, in turn be useful in treatment choice.

Indexed as

Lasers, SemiconductorAdultFemaleHumansMaleMiddle AgedNociceptorsYoung Adult

Identifiers

PMID21426575
PMCPMC3070669
OpenAlexW2132655048

What OpenQuestion holds

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LicenceCC BY
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.