Evidence map›Paper›PMID 26233486›Full record

ArticleDrug and alcohol dependence2015

Variations in opioid receptor genes in neonatal abstinence syndrome.

Elisha M Wachman, Marie J Hayes, Richard Sherva, Mark S Brown, Jonathan M Davis, Lindsay A Farrer, David A Nielsen

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
10.9field-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

30 citing papers in PubMed, 63 citations in OpenAlex.

  1. Article
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  4. Review
  5. Article
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  8. Article
  9. Article
  10. Review
  11. Pharmacogenetics of Addiction Therapy.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  12. Article
  13. Integrated Review of the Assessment of Newborns With Neonatal Abstinence Syndrome.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2021
    Review
  14. Review
  15. Review
  16. PlacentalExploration of medicine · 2020
    Article
  17. Opioids affect the fetal brain: reframing the detoxification debate.American journal of obstetrics and gynecology · 2019
    Article
  18. Review
  19. Racial association and pharmacotherapy in neonatal opioid withdrawal syndrome.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Observational
  20. 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

7 authors at 6 institutions in 1 country.

Elisha M WachmanPediatrics, Boston Medical Center, 771 Albany Street, Dowling 4N 4109, Boston, MA 02118, United States. Electronic address: Elisha.Wachman@bmc.org.
Marie J HayesGraduate School of Biomedical Science & Engineering, University of Maine, Orono, ME 04469, United States. Electronic address: mhayes@maine.edu.
Richard ShervaBiomedical Genetics, Boston University School of Medicine, 72 East Concord Street, Boston, MA 02118, United States. Electronic address: sherva@bu.edu.
Mark S BrownPediatrics, Eastern Maine Medical Center, 489 State St, Bangor, ME 04401, United States. Electronic address: mbrown@emhs.org.
Jonathan M DavisPediatrics, The Floating Hospital for Children at Tufts Medical Center, 755 Washington Street, Boston, MA 02116, United States. Electronic address: jdavis@tuftsmedicalcenter.org.
Lindsay A FarrerBiomedical Genetics, Boston University School of Medicine, 72 East Concord Street, Boston, MA 02118, United States. Electronic address: farrer@bu.edu.
David A NielsenPsychology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, United States. Electronic address: nielsen@bcm.edu.
Boston University · USBaylor College of Medicine · USBoston Medical Center · USEastern Maine Medical Center · USTufts Children's Hospital · USUniversity of Maine · US

Funding

Tiagabine and Disulfiram for Cocaine DependenceP50DA018197 · NIDA · YALE UNIVERSITY · PI KOSTEN, THOMAS RICHARD · 2004 to 2013
$12.6M
Tufts Clinical and Translation Science Institute (UL1)UL1TR000073 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2012 to 2013
$5.5M
Improving Outcome in Neonatal Abstinence SyndromeR01DA032889 · NIDA · TUFTS MEDICAL CENTER · PI DAVIS, JONATHAN M., LESTER, BARRY M. · 2012 to 2015
$2.8M
Innovative Multidisciplinary Education: The Statistical Genetics of AddictionR25DA026120 · NIDA · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CHANG, SHINE, SHETE, SANJAY · 2010 to 2014
$1.5M
Establishing Risk in Neonatal Abstinence SyndromeR21DA041706 · NIDA · TUFTS MEDICAL CENTER · PI DAVIS, JONATHAN M., LESTER, BARRY M. · 2016 to 2017
$524k
Sleep, Arousal, and Spontaneous Movements in Opioid Exposed InfantsR21DA024806 · NIDA · UNIVERSITY OF MAINE ORONO · PI HAYES, MARIE J · 2009 to 2010
$336k
NCATS NIH HHS UL1 TR000073NCATS NIH HHS UL1UL1TR000073NIDA NIH HHS DA018197-05NIDA NIH HHS DA024806NIDA NIH HHS DA026120NIDA NIH HHS L30 DA032089NIDA NIH HHS P50 DA018197NIDA NIH HHS R01 DA032889NIDA NIH HHS R01DA032889-01A1NIDA NIH HHS R21 DA024806NIDA NIH HHS R21 DA041706NIDA NIH HHS R25 DA026120
6 · The paper itself

Abstract

backgroundThere is significant variability in the severity of neonatal abstinence syndrome (NAS) due to in-utero opioid exposure. We wanted to determine if single nucleotide polymorphisms (SNPs) in key candidate genes contribute to this variability.

methodsFull-term opioid-exposed newborns and their mothers (n=86 pairs) were studied. DNA was genotyped for 80 SNPs from 14 genes utilizing a custom designed microarray. The association of each SNP with NAS outcomes was evaluated.

resultsSNPs in two opioid receptor genes in the infants were associated with worse NAS severity: (1) The PNOC rs732636 A allele (OR=3.8, p=0.004) for treatment with 2 medications and a longer hospital stay (LOS) of 5.8 days (p=0.01), and (2) The OPRK1 rs702764 C allele (OR=4.1, p=0.003) for treatment with 2 medications. The OPRM1 rs1799971 G allele (β=-6.9 days, p=0.02) and COMT rs740603 A allele (β=-5.3 days, p=0.01) were associated with shorter LOS. The OPRD1 rs204076 A allele in the mothers was associated with a longer LOS by 6.6 days (p=0.008). Results were significant point-wise but did not meet the experiment-wide significance level.

conclusionsThese findings suggest that SNPs in opioid receptor and the PNOC genes are associated with NAS severity. However, further testing in a large sample is warranted. This has important implications for prenatal prediction and personalized treatment regimens for infants at highest risk for severe NAS.

Indexed as

Catechol O-MethyltransferaseFemaleHumansInfantInfant, NewbornLength of StayMicroarray AnalysisNeonatal Abstinence SyndromePolymorphism, Single NucleotideProtein PrecursorsReceptors, OpioidReceptors, Opioid, deltaReceptors, Opioid, kappaReceptors, Opioid, muCatechol O-MethyltransferaseCOMT protein, humanOPRD1 protein, humanOPRK1 protein, humanOPRM1 protein, humanprepronociceptinProtein PrecursorsReceptors, OpioidReceptors, Opioid, deltaReceptors, Opioid, kappaReceptors, Opioid, muGeneticsNeonatal abstinence syndrome (NAS)OpioidsSingle nucleotide polymorphisms (SNPs)

Identifiers

PMID26233486
PMCPMC4581974
OpenAlexW1810720894

What OpenQuestion holds

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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.