Evidence map›Paper›PMID 23429725›Full record

Trial reportThe American journal of psychiatry2013

Effect of a nicotine vaccine on nicotine binding to β2*-nicotinic acetylcholine receptors in vivo in human tobacco smokers.

Irina Esterlis, Jonas O Hannestad, Evgenia Perkins, Frederic Bois, D Cyril D'Souza, Rachel F Tyndale, John P Seibyl, Dorothy M Hatsukami, Kelly P Cosgrove, Stephanie S O'Malley

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The American journal of psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. NICBrain sciences · 2025
    Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Opioid Dose- and Route-Dependent Efficacy of Oxycodone and Heroin Vaccines in Rats.The Journal of pharmacology and experimental therapeutics · 2018
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Biologic Approaches to Treat Substance-Use Disorders.Trends in pharmacological sciences · 2015
    Review
  16. Article
  17. Review
  18. Article
  19. New directions in nicotine vaccine design and use.Advances in pharmacology (San Diego, Calif.) · 2014
    Review
  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

10 authors at 1 institution in 1 country.

Irina EsterlisDepartment of Psychiatry, Yale University, New Haven, Conneticut, USA. irina.esterlis@yale.edu
Jonas O Hannestad
Evgenia Perkins
Frederic Bois
D Cyril D'Souza
Rachel F Tyndale
John P Seibyl
Dorothy M Hatsukami
Kelly P Cosgrove
Stephanie S O'Malley
Yale University · US

Funding

University of Toronto Coordinating Genetics Core & Clinical Trial SiteU01DA020830 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI SWAN, GARY E · 2005 to 2014
$22.4M
SUBSTANCE ABUSEK12DA000167 · NIDA · YALE UNIVERSITY · PI STEPHANIE S O'MALLEY, Marc N Potenza · 1991 to 2026
$17.7M
Role of Beta2-nAChR in Bipolar DisorderK01MH092681 · NIMH · YALE UNIVERSITY · PI ESTERLIS, IRINA · 2011 to 2015
$850k
Nicotine Vaccine & Nicotine Occupancy of Brain Nicotinic ReceptorsR21DA024388 · NIDA · YALE UNIVERSITY · PI ESTERLIS, IRINA · 2008 to 2010
$351k
CIHR 86471NIDA NIH HHS DA-020830NIDA NIH HHS K12 DA-000167NIDA NIH HHS K12 DA000167NIDA NIH HHS R21 DA-024388NIDA NIH HHS R21 DA024388NIDA NIH HHS U01 DA020830NIMH NIH HHS K01 MH-092681NIMH NIH HHS K01 MH092681
6 · The paper itself

Abstract

objectiveNicotine promotes smoking partly by binding to β2-containing nicotinic acetylcholine receptors (β2*-nAChRs) in the brain. Smoking one tobacco cigarette results in occupation of 80% of β2*-nAChRs for more than 6 hours. This likely contributes to maintenance of smoking dependence and cessation difficulty. Developing nicotine vaccines could improve treatments. The authors used [123I]5-I-A-85380 single photon emission computed tomography (SPECT) to evaluate the effect of 3'-AmNic-rEPA on the amount of nicotine that binds to β2*-nAChRs in smokers' brain cortical and subcortical regions.

methodEleven smokers who smoked an average of 19 cigarettes per day, had smoked for 10 years on average, and met criteria for nicotine dependence were given SPECT scans on two days: before and after immunization with 4-400 μg of 3'-AmNic-rEPA. On scan days, three 30-minute baseline emission scans were followed by intravenous administration of nicotine (1.5 mg/70 kg body weight) and up to nine 30-minute emission scans.

resultsβ2*-nAChR availability was quantified as VT/fP (total distribution volume divided by free plasma concentration), and nicotine binding was derived by the Lassen plot approach. Immunization led to a 12.5% reduction in nicotine binding. Nicotine bound to β2*-nAChRs correlated positively with nicotine injected before but not after vaccination. The daily number of cigarettes and desire for a cigarette decreased after vaccination.

conclusionsThis proof-of-concept study demonstrates that immunization with nicotine vaccine can reduce the amount of nicotine binding to β2*-nAChRs and disrupt the relationship between administered nicotine and nicotine available to occupy β2*-nAChRs.

Indexed as

Smoking PreventionAdultAzetidinesBrainFemaleFunctional NeuroimagingHumansIodine RadioisotopesMaleNicotinePyridinesReceptors, NicotinicSmokingSmoking CessationTobacco Use DisorderTomography, Emission-Computed, Single-Photon5-iodo-3-(2-azetidinylmethoxy)pyridineAzetidinesIodine RadioisotopesNicotineNicVAXPyridinesReceptors, NicotinicVaccines

Identifiers

PMID23429725
PMCPMC3738000
OpenAlexW2102206653

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.