Evidence map›Paper›PMID 23222890›Full record

Trial reportCerebral cortex (New York, N.Y. : 1991)2014

The brain circuitry mediating antipruritic effects of acupuncture.

Vitaly Napadow, Ang Li, Marco L Loggia, Jieun Kim, Peter C Schalock, Ethan Lerner, Thanh-Nga Tran, Johannes Ring, Bruce R Rosen, Ted J Kaptchuk and 1 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Cerebral cortex (New York, N.Y. : 1991), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
8.4field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 92 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Treatment Options for Troublesome Itch.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Itch Matrixes.Frontiers in medicine · 2021
    Article
  16. Emerging Therapeutic Options for Chronic Pruritus.American journal of clinical dermatology · 2020
    Review
  17. Article
  18. Review
  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

11 authors at 6 institutions in 2 countries.

Vitaly NapadowMartinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Ang Li
Marco L Loggia
Jieun Kim
Peter C Schalock
Ethan Lerner
Thanh-Nga Tran
Johannes Ring
Bruce R Rosen
Ted J Kaptchuk
Florian Pfab
Harvard University · USMassachusetts General Hospital · USBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USENT and Allergy · USLogan University · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
ULTRAHIGH FIELD TECHNOLOGY FOR FUNCTIONAL IMAGINGP41RR014075 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BOAS, DAVID A · 1999 to 2011
$16.4M
The Role of Context Effect in Acupuncture Treatment of Low Back/J.KongP01AT006663 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HIRSCHTICK, RANDY L, ROSEN, BRUCE R · 2011 to 2017
$10.0M
Project 3P01AT002048 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 2003 to 2010
$8.5M
Brain Plasticity in Carpal Tunnel Syndrome and its Response to AcupunctureR01AT004714 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI NAPADOW, VITALY · 2008 to 2012
$4.5M
Itch, proteases and protease-activated receptorsR01AR057744 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI LERNER, ETHAN A · 2010 to 2014
$1.9M
Mentoring and Research in Placebo Studies, Asian Medicine, and CAMK24AT004095 · NCCIH · HARVARD MEDICAL SCHOOL · PI KAPTCHUK, TED · 2007 to 2016
$1.4M
Exploring Neurocircuitry of Acupunture Action with fMRIK01AT002166 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI NAPADOW, VITALY · 2004 to 2008
$653k
NCCIH NIH HHS K01 AT002166NCCIH NIH HHS K01-AT002166NCCIH NIH HHS K24 AT004095NCCIH NIH HHS K24-AT004095NCCIH NIH HHS P01 AT002048NCCIH NIH HHS P01-AT002048NCCIH NIH HHS P01 AT006663NCCIH NIH HHS R01 AT004714NCCIH NIH HHS R01-AT004714NCRR NIH HHS 1 UL1 RR025758NCRR NIH HHS P41 RR014075NCRR NIH HHS P41RR14075NCRR NIH HHS UL1 RR025758NIAMS NIH HHS R01 AR057744NIAMS NIH HHS R01-AR057744
6 · The paper itself

Abstract

Itch is an aversive sensory experience and while systemic therapies, such as acupuncture, have shown promise in alleviating itch in patients suffering from chronic itch, their antipruritic mechanisms are unknown. As several lines of evidence implicate brain-focused mechanisms, we applied functional magnetic resonance imaging and our validated temperature-modulation itch model to evaluate the underlying brain circuitry supporting allergen-induced itch reduction in atopic dermatitis patients by acupuncture, antihistamine, and respective placebo treatments. Brain response to allergen itch demonstrated phase dependency. During an increasing itch phase, activation was localized in anterior insula and striatum, regions associated with salience/interoception and motivation processing. Once itch reached peak plateau, robust activation was noted in prefrontal cognitive and premotor areas. Acupuncture reduced itch and itch-evoked activation in the insula, putamen, and premotor and prefrontal cortical areas. Neither itch sensation nor itch-evoked brain response was altered following antihistamine or placebo acupuncture. Greater itch reduction following acupuncture was associated with greater reduction in putamen response, a region implicated in motivation and habitual behavior underlying the urge to scratch, specifically implicating this region in acupuncture's antipruritic effects. Understanding brain circuitry underlying itch reduction following acupuncture and related neuromodulatory therapies will significantly impact the development and applicability of novel therapies to reduce an itch.

Indexed as

Acupuncture TherapyAdolescentAdultAnalysis of VarianceAntipruriticsBrainBrain MappingCross-Over StudiesDermatitis, AtopicFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedOxygenAntipruriticsOxygenatopic dermatitiscounter irritationcounter stimulusinsulaitchpruritusputamen

Identifiers

PMID23222890
PMCPMC3948489
OpenAlexW2117794807

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.