Evidence map›Paper›PMID 25414036›Full record

ArticleBrain : a journal of neurology2015

Endogenous adenosine A3 receptor activation selectively alleviates persistent pain states.

Joshua W Little, Amanda Ford, Ashley M Symons-Liguori, Zhoumou Chen, Kali Janes, Timothy Doyle, Jennifer Xie, Livio Luongo, Dillip K Tosh, Sabatino Maione and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in Brain : a journal of neurology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 1 pooled it
7.3field-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

95 citing papers in PubMed, 1 synthesis or guideline pooled it, 140 citations in OpenAlex.

  1. Pooled it
  2. Special issue of Medicinal Chemistry Research in honor of Dr. Kenneth A. Jacobson.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. The therapeutic pipeline in migraine: What does the future hold?Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Potent and Selective Human 5-HTJournal of medicinal chemistry · 2024
    Article
  14. Article
  15. Article
  16. Covalently Binding Adenosine APurinergic signalling · 2024
    Article
  17. Review
  18. Multi-Functional Small Molecule Alleviates Fracture Pain and Promotes Bone Healing.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
    Article
  19. Adenosine Receptors as Potential Therapeutic Analgesic Targets.International journal of molecular sciences · 2023
    Review
  20. Curcumin Stereoisomer, Cis-Trans Curcumin, as a Novel Ligand to APharmaceuticals (Basel, Switzerland) · 2023
    Article

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

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

16 authors at 5 institutions in 3 countries.

Joshua W Little1 Saint Louis University School of Medicine, Saint Louis, MO USA.
Amanda Ford1 Saint Louis University School of Medicine, Saint Louis, MO USA.
Ashley M Symons-Liguori2 University of Arizona, Department of Pharmacology and Anesthesiology, Tucson, AZ USA.
Zhoumou Chen1 Saint Louis University School of Medicine, Saint Louis, MO USA.
Kali Janes1 Saint Louis University School of Medicine, Saint Louis, MO USA.
Timothy Doyle1 Saint Louis University School of Medicine, Saint Louis, MO USA.
Jennifer Xie2 University of Arizona, Department of Pharmacology and Anesthesiology, Tucson, AZ USA.
Livio Luongo3 Department of Experimental Medicine, Division of Pharmacology, Second University of Naples, Naples, Italy.
Dillip K Tosh4 National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD USA.
Sabatino Maione3 Department of Experimental Medicine, Division of Pharmacology, Second University of Naples, Naples, Italy.
Kirsty Bannister5 University College London, Department of Neuroscience, Physiology and Pharmacology, London, UK.
Anthony H Dickenson5 University College London, Department of Neuroscience, Physiology and Pharmacology, London, UK.
Todd W Vanderah2 University of Arizona, Department of Pharmacology and Anesthesiology, Tucson, AZ USA.
Frank Porreca2 University of Arizona, Department of Pharmacology and Anesthesiology, Tucson, AZ USA.
Kenneth A Jacobson4 National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD USA.
Daniela Salvemini1 Saint Louis University School of Medicine, Saint Louis, MO USA salvemd@slu.edu.
Saint Louis University · USUniversity of Arizona · USNational Institute of Diabetes and Digestive and Kidney Diseases · USUniversity College London · GBUniversity of Campania "Luigi Vanvitelli" · IT

Funding

Development Of Drugs Acting At Adenosine ReceptorsZIADK031117 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI JACOBSON, KENNETH ALAN · 2009 to 2025
$10.4M
Pharmacological Sciences Training GrantT32GM008306 · NIGMS · SAINT LOUIS UNIVERSITY · PI EGAN, TERRANCE M, WALKER, JOHN K. · 1990 to 2020
$3.6M
Brain reward circuits and relief of ongoing painR01DA034975 · NIDA · UNIVERSITY OF ARIZONA · PI PORRECA, FRANK · 2013 to 2017
$2.8M
A3AR agonists to prevent chemotherapy-induced painful peripheral neuropathyR01CA169519 · NCI · SAINT LOUIS UNIVERSITY · PI SALVEMINI, DANIELA · 2013 to 2017
$1.5M
Intramural NIH HHS ZIA DK031117NCI NIH HHS R01CA169519NIDA NIH HHS R01 DA034975NIGMS NIH HHS 5T32GM008306Wellcome Trust 102645
6 · The paper itself

Abstract

Chronic pain is a global burden that promotes disability and unnecessary suffering. To date, efficacious treatment of chronic pain has not been achieved. Thus, new therapeutic targets are needed. Here, we demonstrate that increasing endogenous adenosine levels through selective adenosine kinase inhibition produces powerful analgesic effects in rodent models of experimental neuropathic pain through the A3 adenosine receptor (A3AR, now known as ADORA3) signalling pathway. Similar results were obtained by the administration of a novel and highly selective A3AR agonist. These effects were prevented by blockade of spinal and supraspinal A3AR, lost in A3AR knock-out mice, and independent of opioid and endocannabinoid mechanisms. A3AR activation also relieved non-evoked spontaneous pain behaviours without promoting analgesic tolerance or inherent reward. Further examination revealed that A3AR activation reduced spinal cord pain processing by decreasing the excitability of spinal wide dynamic range neurons and producing supraspinal inhibition of spinal nociception through activation of serotonergic and noradrenergic bulbospinal circuits. Critically, engaging the A3AR mechanism did not alter nociceptive thresholds in non-neuropathy animals and therefore produced selective alleviation of persistent neuropathic pain states. These studies reveal A3AR activation by adenosine as an endogenous anti-nociceptive pathway and support the development of A3AR agonists as novel therapeutics to treat chronic pain.

Indexed as

AdenosineAnimalsDisease Models, AnimalGene Expression RegulationHyperalgesiaMaleMedulla OblongataMiceMice, Inbred C57BLMice, TransgenicMorpholinesNaloxoneNeuralgiaNeuronsPain MeasurementPain Threshold2,3-diethyl-4,5-dipropyl-6-phenylpyridine-3-thiocarboxylate-5-carboxylateABT 702AdenosineMorpholinesNaloxonePurinergic P1 Receptor AntagonistsPyridinesPyrimidinesReceptor, Adenosine A3A3ARadenosinechronic painrostral ventromedial medullaspontaneous pain

Identifiers

PMID25414036
PMCPMC4285194
OpenAlexW2069423981

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.