Evidence map›Paper›PMID 22000021›Full record

ArticleCell2011

Unidirectional cross-activation of GRPR by MOR1D uncouples itch and analgesia induced by opioids.

Xian-Yu Liu, Zhong-Chun Liu, Yan-Gang Sun, Michael Ross, Seungil Kim, Feng-Fang Tsai, Qi-Fang Li, Joseph Jeffry, Ji-Young Kim, Horace H Loh and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 141 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 1 pooled it
9.4field-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.

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

141 citing papers in PubMed, 1 synthesis or guideline pooled it, 290 citations in OpenAlex.

  1. Interventions for itch in people with advanced chronic kidney disease.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Review
  3. Article
  4. GPCR Heterodimers: Implications for Biased Signaling.Handbook of experimental pharmacology · 2026
    Review
  5. Article
  6. Central neural circuits underlying itch sensation.Nature reviews. Neuroscience · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Histamine HBiomolecules · 2024
    Review
  12. Article
  13. Structures of human gastrin-releasing peptide receptors bound to antagonist and agonist for cancer and itch therapy.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Xian-Yu LiuCenter for the Study of Itch, Washington University School of Medicine Pain Center, St. Louis, MO 63110, USA.
Zhong-Chun Liu
Yan-Gang Sun
Michael Ross
Seungil Kim
Feng-Fang Tsai
Qi-Fang Li
Joseph Jeffry
Ji-Young Kim
Horace H Loh
Zhou-Feng Chen
Washington University in St. Louis · USUniversity of Minnesota · US

Funding

MOLECULAR MECHANISMS OF THE ITCH SENSATION IN THE SPINAL CORDR01AR056318 · NIAMS · WASHINGTON UNIVERSITY · PI CHEN, ZHOUFENG · 2009 to 2018
$4.5M
NIAMS NIH HHS R01 AR056318
6 · The paper itself

Abstract

Spinal opioid-induced itch, a prevalent side effect of pain management, has been proposed to result from pain inhibition. We now report that the μ-opioid receptor (MOR) isoform MOR1D is essential for morphine-induced scratching (MIS), whereas the isoform MOR1 is required only for morphine-induced analgesia (MIA). MOR1D heterodimerizes with gastrin-releasing peptide receptor (GRPR) in the spinal cord, relaying itch information. We show that morphine triggers internalization of both GRPR and MOR1D, whereas GRP specifically triggers GRPR internalization and morphine-independent scratching. Providing potential insight into opioid-induced itch prevention, we demonstrate that molecular and pharmacologic inhibition of PLCβ3 and IP3R3, downstream effectors of GRPR, specifically block MIS but not MIA. In addition, blocking MOR1D-GRPR association attenuates MIS but not MIA. Together, these data suggest that opioid-induced itch is an active process concomitant with but independent of opioid analgesia, occurring via the unidirectional cross-activation of GRPR signaling by MOR1D heterodimerization.

Indexed as

AnalgesiaAmino Acid SequenceAnalgesics, OpioidAnimalsMiceMice, KnockoutMolecular Sequence DataMorphinePainPruritusReceptors, BombesinReceptors, Opioid, muSignal TransductionAnalgesics, OpioidMorphineReceptors, BombesinReceptors, Opioid, mu

Identifiers

PMID22000021
PMCPMC3197217
OpenAlexW1997444760

What OpenQuestion holds

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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.