Evidence map›Paper›PMID 23382147›Full record

ReviewILAR journal2011

Changing mechanisms of opiate tolerance and withdrawal during early development: animal models of the human experience.

Gordon A Barr, Anika McPhie-Lalmansingh, Jessica Perez, Michelle Riley

Open access · bronzeAbstract readReview
In one paragraph

Review in ILAR journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Risk factors associated with iatrogenic opioid and benzodiazepine withdrawal in critically ill pediatric patients: a systematic review and conceptual model.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2015
    Pooled it
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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

4 authors at 2 institutions in 1 country.

Gordon A Barr
Anika McPhie-Lalmansingh
Jessica Perez
Michelle Riley
New York State Psychiatric InstituteChildren's Hospital of Philadelphia · US

Funding

WILD TYPE &MUTANT P53 INTERACTIONS WITH HIV LTR DNAG12RR003037 · NCRR · HUNTER COLLEGE · PI DOTTIN, ROBERT P · 1985 to 2011
$27.6M
RISE Program Hunter College Option IIIR25GM060665 · NIGMS · HUNTER COLLEGE · PI ORTIZ, BENJAMIN D.,, SERRANO, PETER A · 2000 to 2022
$22.8M
RESEARCH TRAINING-PSYCHOBIOLOGICAL SCIENCEST32MH018264 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI MYERS, MICHAEL MORGAN · 1985 to 2012
$3.4M
Opiate Withdrawal &Tolerance: Development &PlasticityR01DA006600 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BARR, GORDON ALFRED · 1989 to 2006
$1.4M
NEUROBEHAVIORAL STUDIES OF OPIATE DRUGS IN DEVELOPMENTK02DA000325 · NIDA · HUNTER COLLEGE · PI BARR, GORDON ALFRED · 1997 to 2007
$795k
Protein Kinases and Morphine Exposure in Young RatsF31DA015274 · NIDA · HUNTER COLLEGE · PI MCPHIE, ANIKA A · 2002 to 2004
$73k
NCRR NIH HHS G12 RR003037NIDA NIH HHS F31 DA015274NIDA NIH HHS F31 DA15274NIDA NIH HHS K02 DA000325NIDA NIH HHS K02 DA00325NIDA NIH HHS R01 DA006600NIDA NIH HHS R01 DA06600NIGMS NIH HHS R25 GM060665NIMH NIH HHS T32 MH018264NIMH NIH HHS T32 MH18264
6 · The paper itself

Abstract

Human infants may be exposed to opiates through placental transfer from an opiate-using mother or through the direct administration of such drugs to relieve pain (e.g., due to illness or neonatal surgery). Infants of many species show physical dependence and tolerance to opiates. The magnitude of tolerance and the nature of withdrawal differ from those of the adult. Moreover, the mechanisms that contribute to the chronic effects of opiates are not well understood in the infant but include biological processes that are both common to and distinct from those of the adult. We review the animal research literature on the effects of chronic and acute opiate exposure in infants and identify mechanisms of withdrawal and tolerance that are similar to and different from those understood in adults. These mechanisms include opioid pharmacology, underlying neural substrates, and the involvement of other neurotransmitter systems. It appears that brain circuitry and opioid receptor types are similar but that NMDA receptor function is immature in the infant. Intracellular signaling cascades may differ but data are complicated by differences between the effects of chronic versus acute morphine treatment. Given the limited treatment options for the dependent infant patient, further study of the biological functions that are altered by chronic opiate treatment is necessary to guide evidenced-based treatment modalities.

Indexed as

Analgesics, OpioidOpioid-Related DisordersAnimalsBrainHumansModels, AnimalPainAnalgesics, Opioid

Identifiers

PMID23382147
PMCPMC6040919
OpenAlexW2108950883

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.