Evidence map›Paper›PMID 25865415›Full record

ArticleNature communications2015

Analgesia and unwanted benzodiazepine effects in point-mutated mice expressing only one benzodiazepine-sensitive GABAA receptor subtype.

William T Ralvenius, Dietmar Benke, Mario A Acuña, Uwe Rudolph, Hanns Ulrich Zeilhofer

Abstract read
In one paragraph

Article in Nature communications, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–field-weighted citation impact
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

47 citing papers in PubMed.

  1. Trial
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  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Antinociceptive Effects ofThe Journal of pharmacology and experimental therapeutics · 2024
    Article
  10. γ1 GABAThe Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  11. Initial validation of the expectancies for Benzodiazepine Analgesia Scale.Experimental and clinical psychopharmacology · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Potential novel therapeutic strategies for neuropathic pain.Frontiers in molecular neuroscience · 2023
    Review
  16. Review
  17. Review
  18. Article
  19. Modulation of GABAFrontiers in molecular neuroscience · 2022
    Article
  20. GABAFrontiers in psychiatry · 2022
    Review
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

5 authors.

William T Ralvenius1] Institute of Pharmacology and Toxicology, University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland [2] Center for Neuroscience Zurich (ZNZ), Winterthurerstrasse 190, CH-8057 Zurich, Switzerland.
Dietmar Benke1] Institute of Pharmacology and Toxicology, University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland [2] Center for Neuroscience Zurich (ZNZ), Winterthurerstrasse 190, CH-8057 Zurich, Switzerland.
Mario A Acuña1] Institute of Pharmacology and Toxicology, University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland [2] Center for Neuroscience Zurich (ZNZ), Winterthurerstrasse 190, CH-8057 Zurich, Switzerland.
Uwe Rudolph1] Laboratory of Genetic Neuropharmacology, McLean Hospital, 115 Mill Street, Belmont, Massachusetts 02478, USA [2] Department of Psychiatry, Harvard Medical School, 401 Park Drive, Boston, Massachusetts 02215, USA.
Hanns Ulrich Zeilhofer1] Institute of Pharmacology and Toxicology, University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland [2] Center for Neuroscience Zurich (ZNZ), Winterthurerstrasse 190, CH-8057 Zurich, Switzerland [3] Institute of Pharmaceutical Sciences, Swiss Federal Institute of Technology (ETH) Zurich, Vladimir-Prelog-Weg 4, CH-8093 Zurich, Switzerland.

Funding

The Role of GABA A Receptor Subtypes in Benzodiazepine Abuse LiabilityR03DA033491 · NIDA · MCLEAN HOSPITAL · PI RUDOLPH, UWE · 2012 to 2013
$155k
Emotional regulation: Modeling GABA A receptor subtype specific agents in miceR03MH094834 · NIMH · MCLEAN HOSPITAL · PI RUDOLPH, UWE · 2012 to 2013
$155k
European Research Council 250128NIDA NIH HHS R03 DA033491NIDA NIH HHS R03DA033491NIMH NIH HHS R03 MH094834NIMH NIH HHS R03MH094834
6 · The paper itself

Abstract

Agonists at the benzodiazepine-binding site of GABAA receptors (BDZs) enhance synaptic inhibition through four subtypes (α1, α2, α3 and α5) of GABAA receptors (GABAAR). When applied to the spinal cord, they alleviate pathological pain; however, insufficient efficacy after systemic administration and undesired effects preclude their use in routine pain therapy. Previous work suggested that subtype-selective drugs might allow separating desired antihyperalgesia from unwanted effects, but the lack of selective agents has hitherto prevented systematic analyses. Here we use four lines of triple GABAAR point-mutated mice, which express only one benzodiazepine-sensitive GABAAR subtype at a time, to show that targeting only α2GABAARs achieves strong antihyperalgesia and reduced side effects (that is, no sedation, motor impairment and tolerance development). Additional pharmacokinetic and pharmacodynamic analyses in these mice explain why clinically relevant antihyperalgesia cannot be achieved with nonselective BDZs. These findings should foster the development of innovative subtype-selective BDZs for novel indications such as chronic pain.

Indexed as

Point MutationAnalgesiaAnimalsArginineBenzodiazepinesDiazepamGABA ModulatorsGene ExpressionHistidineHyperalgesiaHypnotics and SedativesMaleMiceMidazolamPainPain ManagementArginineBenzodiazepinesDiazepamGABA ModulatorsHistidineHypnotics and SedativesMidazolamReceptors, GABA-A

Identifiers

PMID25865415
PMCPMC4829939

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Registered trials

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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.