Evidence map›Paper›PMID 23348028›Full record

ArticleBrain, behavior, and immunity2013

Glucuronic acid and the ethanol metabolite ethyl-glucuronide cause toll-like receptor 4 activation and enhanced pain.

Susannah S Lewis, Mark R Hutchinson, Yingning Zhang, Dana K Hund, Steven F Maier, Kenner C Rice, Linda R Watkins

Abstract read
In one paragraph

Article in Brain, behavior, and immunity, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

42 citing papers in PubMed, 63 citations in OpenAlex.

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  15. Morphine-3-Glucuronide, Physiology and Behavior.Frontiers in molecular neuroscience · 2022
    Review
  16. Review
  17. Review
  18. The Relationship between Pain Sensitivity, Pain Catastrophizing and Hangover Severity.International journal of environmental research and public health · 2021
    Article
  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

7 authors at 3 institutions in 2 countries.

Susannah S LewisDepartment of Psychology & Neuroscience, University of Colorado at Boulder, Boulder, CO 80309-0345, USA.
Mark R Hutchinson
Yingning Zhang
Dana K Hund
Steven F Maier
Kenner C Rice
Linda R Watkins
University of Colorado Boulder · USNational Institute on Alcohol Abuse and Alcoholism · USUniversity of Adelaide · AU

Funding

Preventing Transition of Acute-to-Chronic Neuropathic Pain: Models, Mechanisms &R01DE021966 · NIDCR · UNIVERSITY OF COLORADO · PI BARTH, DANIEL S., FLESHNER, MONIKA · 2011 to 2015
$2.0M
Exploring the Potential of Glia for Regulating Clinically Relevant Opiod ActionsR01DA023132 · NIDA · UNIVERSITY OF COLORADO · PI WATKINS, LINDA · 2008 to 2012
$1.9M
Optoid Analgesics: Modulation of Trigeminal & Spinal Glial ActivationR01DE017782 · NIDCR · UNIVERSITY OF COLORADO · PI WATKINS, LINDA · 2006 to 2010
$1.9M
Medicinal Chemistry in the Study of Alcohol AbuseZIADA000531 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI RICE, KENNER · 2009 to 2016
$1.1M
Immune and Gilia Regulation of Pain & Analgesic ActionsK05DA024044 · NIDA · UNIVERSITY OF COLORADO · PI WATKINS, LINDA · 2008 to 2012
$616k
Intramural NIH HHSNIDA NIH HHS DA023132NIDA NIH HHS DA024044NIDA NIH HHS K05 DA024044NIDA NIH HHS R01 DA023132NIDCR NIH HHS DE017782NIDCR NIH HHS R01 DE017782NIDCR NIH HHS R01 DE021966
6 · The paper itself

Abstract

We have previously observed that the non-opioid morphine metabolite, morphine-3-glucuronide, enhances pain via a toll-like receptor 4 (TLR4) dependent mechanism. The present studies were undertaken to determine whether TLR4-dependent pain enhancement generalizes to other classes of glucuronide metabolites. In silico modeling predicted that glucuronic acid alone and ethyl glucuronide, a minor but long-lasting ethanol metabolite, would dock to the same MD-2 portion of the TLR4 receptor complex previously characterized as the docking site for morphine-3-glucuronide. Glucuronic acid, ethyl glucuronide and ethanol all caused an increase in TLR4-dependent reporter protein expression in a cell line transfected with TLR4 and associated co-signaling molecules. Glucuronic acid-, ethyl glucuronide-, and ethanol-induced increases in TLR4 signaling were blocked by the TLR4 antagonists LPS-RS and (+)-naloxone. Glucuronic acid and ethyl glucuronide both caused allodynia following intrathecal injection in rats, which was blocked by intrathecal co-administration of the TLR4 antagonist LPS-RS. The finding that ethyl glucuronide can cause TLR4-dependent pain could have implications for human conditions such as hangover headache and alcohol withdrawal hyperalgesia, as well as suggesting that other classes of glucuronide metabolites could have similar effects.

Indexed as

AnimalsEthanolGlucuronic AcidGlucuronidesHEK293 CellsHumansHyperalgesiaMalePainPain MeasurementPhysical StimulationRatsRats, Sprague-DawleySignal TransductionToll-Like Receptor 4EthanolGlucuronic AcidGlucuronidesToll-Like Receptor 4

Identifiers

PMID23348028
PMCPMC3641160
OpenAlexW1995824405

What OpenQuestion holds

Textmetadata
LicenceTDM
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.