Evidence map›Paper›PMID 26272810›Full record

ArticleJournal of nuclear medicine : official publication, Society of Nuclear Medicine2015

Decreased Nicotinic Receptor Availability in Smokers with Slow Rates of Nicotine Metabolism.

Jacob G Dubroff, Robert K Doot, Mary Falcone, Robert A Schnoll, Riju Ray, Rachel F Tyndale, Arthur L Brody, Catherine Hou, Alexander Schmitz, Caryn Lerman

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01721473 (Nicotinic Acetylcholine Receptor Density and Veteran Cigarette Smokers), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 17% 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.

NCT01721473 completednot on this map

Nicotinic Acetylcholine Receptor Density and Veteran Cigarette Smokers

TypeobservationalSponsorVA Office of Research and DevelopmentRan2012 to 2016Enrolled184ConditionsPositron Emission TomographyArmspositron emission tomography scan
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Nicotine Metabolism Predicted by CYP2A6 Genotypes in Relation to Smoking Cessation: A Systematic Review.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Pooled it
  2. Pooled it
  3. Can Treatment Support Mitigate Nicotine Metabolism-Based Disparities in Smoking Abstinence? Secondary Analysis of the Helping HAND 4 Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  4. Article
  5. NRM 2021 Abstract Booklet.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Total-Body PET: Maximizing Sensitivity to Create New Opportunities for Clinical Research and Patient Care.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2018
    Review
  13. Nicotine Metabolite Ratio (NMR) Prospectively Predicts Smoking Relapse: Longitudinal Findings From ITC Surveys in Five Countries.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2017
    Article
  14. Pharmacogenetic Optimization of Smoking Cessation Treatment.Trends in pharmacological sciences · 2017
    Review
  15. Precision Medicine for Tobacco Dependence: Development and Validation of the Nicotine Metabolite Ratio.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2016
    Review
  16. 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 4 institutions in 3 countries.

Jacob G DubroffDepartment of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania jacob.dubroff@uphs.upenn.edu.
Robert K DootDepartment of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Mary FalconeDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
Robert A SchnollDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
Riju RayGlobal Medical Affairs, GlaxoSmithKline, Brussels, Belgium.
Rachel F TyndaleDepartment of Pharmacology and Toxicology, and Department of Psychiatry, CAMH, University of Toronto, Toronto, Canada.
Arthur L BrodyDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California; and Department of Psychiatry, Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, California.
Catherine HouDepartment of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Alexander SchmitzDepartment of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Caryn LermanDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania.
University of Pennsylvania · USGlaxoSmithKline (Belgium) · BEUniversity of Toronto · CAVA Greater Los Angeles Healthcare System · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
University of Toronto Coordinating Genetics Core & Clinical Trial SiteU01DA020830 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI SWAN, GARY E · 2005 to 2014
$22.4M
PREDOCTORAL TRAINING PROGRAM IN PHARMACOLOGYT32GM008076 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI BLENDY, JULIE A · 1985 to 2023
$10.8M
Nicotine Receptor Density & Dopamine System Function in Smokers: Treatment EffectR01DA020872 · NIDA · BRENTWOOD BIOMEDICAL RESEARCH INSTITUTE · PI BRODY, ARTHUR · 2005 to 2013
$2.0M
Nicotinic Acetylcholine Receptor Density and Veteran Cigarette SmokersI01CX000412 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI BRODY, ARTHUR · 2013 to 2017
–
CSRD VA I01 CX000412NCATS NIH HHS UL1 TR000003NCATS NIH HHS UL1TR000003NIDA NIH HHS R01 DA020872NIDA NIH HHS R01DA20872NIDA NIH HHS U01 DA020830NIDA NIH HHS U01-DA20830NIGMS NIH HHS T32 GM008076
6 · The paper itself

Abstract

unlabelledThe nicotine metabolite ratio (NMR), a stable measure of hepatic nicotine metabolism via the CYP2A6 pathway and total nicotine clearance, is a predictive biomarker of response to nicotine replacement therapy, with increased quit rates in slower metabolizers. Nicotine binds directly to nicotinic acetylcholine receptors (nAChRs) to exert its psychoactive effects. This study examined the relationship between NMR and nAChR (α4β2* subtype) availability using PET imaging of the radiotracer 2-(18)F-fluoro-3-(2(S)-azetidinylmethoxy)pyridine (2-(18)F-FA-85380, or 2-(18)F-FA).

methodsTwenty-four smokers-12 slow metabolizers (NMR < 0.26) and 12 normal metabolizers (NMR ≥ 0.26)-underwent 2-(18)F-FA-PET brain imaging after overnight nicotine abstinence (18 h before scanning), using a validated bolus-plus-infusion protocol. Availability of nAChRs was compared between NMR groups in a priori volumes of interest, with total distribution volume (VT/fP) being the measure of nAChR availability. Cravings to smoke were assessed before and after the scans.

resultsThalamic nAChR α4β2* availability was significantly reduced in slow nicotine metabolizers (P = 0.04). Slow metabolizers exhibited greater reductions in cravings after scanning than normal metabolizers; however, craving was unrelated to nAChR availability.

conclusionThe rate of nicotine metabolism is associated with thalamic nAChR availability. Additional studies could examine whether altered nAChR availability underlies the differences in treatment response between slow and normal metabolizers of nicotine.

Indexed as

AdultAzetidinesBiological AvailabilityBrainCravingFemaleHumansInfusions, IntravenousKineticsMagnetic Resonance SpectroscopyMaleMiddle AgedNicotinePositron-Emission TomographyPyridinesRadiopharmaceuticals2-fluoro-3-(2-azetidinylmethoxy)pyridineAzetidinesNicotinenicotinic receptor alpha4beta2PyridinesRadiopharmaceuticalsReceptors, Nicotinic2-18F-FA-85380addictionnicotinenicotine metabolite ratioPETα4β2* nAChR

Identifiers

PMID26272810
PMCPMC4646418
OpenAlexW1126563899

What OpenQuestion holds

Textmetadata
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Registered trials

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.