Evidence map›Paper›PMID 26378245›Full record

ArticleScience translational medicine2015

CT-guided injection of a TRPV1 agonist around dorsal root ganglia decreases pain transmission in swine.

Jacob D Brown, Maythem Saeed, Loi Do, Joao Braz, Allan I Basbaum, Michael J Iadarola, David M Wilson, William P Dillon

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Science translational 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 NCT06030297 (Diode Laser as a Biomarker for Neuropathic Pain of Peripheral Origin.), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.4field-weighted citation impact, top 7% 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.

NCT06030297 nacompletednot on this mapstarted 2023, after this paper: background citation

Diode Laser as a Biomarker for Neuropathic Pain of Peripheral Origin.

TypeinterventionalSponsorUniversity of UtahRan2023 to 2026Enrolled75ConditionsPeripheral NeuropathyArmsDiode Laser fiber type Selective Stimulator, ZTlido 1.8 % Topical System, PeriCam PSI NR, Medoc Quantitative Sensory Testing, Inactive Topical System
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 48 citations in OpenAlex.

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  11. Chronic ablation of TRPV1-sensitive skeletal muscle afferents attenuates the muscle metaboreflex.American journal of physiology. Regulatory, integrative and comparative physiology · 2021
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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

8 authors at 1 institution in 1 country.

Jacob D BrownDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA 94117, USA.
Maythem SaeedDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA 94117, USA.
Loi DoDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA 94117, USA.
Joao BrazDepartment of Anatomy, University of California, San Francisco, San Francisco, CA 94117, USA.
Allan I BasbaumDepartment of Anatomy, University of California, San Francisco, San Francisco, CA 94117, USA.
Michael J IadarolaDepartment of Perioperative Medicine, Clinical Center, National Institutes of Health, Bethesda, MD 20892, USA.
David M WilsonDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA 94117, USA.
William P DillonDepartment of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA 94117, USA. william.dillon@ucsf.edu.
National Institutes of Health Clinical Center · US

Funding

BRAINSTEM CONTROL OF PAIN TRANSMISSIONR01NS014627 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASBAUM, ALLAN I. · 1985 to 2016
$3.9M
Brainstem control of pain transmissionR37NS014627 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASBAUM, ALLAN I. · 2008 to 2014
$3.6M
Ascorbate-based biomarkers for predicting radiation response in prostate cancerR01CA166766 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WILSON, DAVID M · 2012 to 2016
$2.4M
Multiple Opioid Receptors and the Control of PainR01DA029204 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASBAUM, ALLAN I. · 2011 to 2015
$1.9M
NCI NIH HHS R01 CA166766NIDA NIH HHS DA29204NIDA NIH HHS R01 DA029204NINDS NIH HHS NS14627NINDS NIH HHS R01 NS014627NINDS NIH HHS R37 NS014627
6 · The paper itself

Abstract

One approach to analgesia is to block pain at the site of origin or along the peripheral pathway by selectively ablating pain-transmitting neurons or nerve terminals directly. The heat/capsaicin receptor (TRPV1) expressed by nociceptive neurons is a compelling target for selective interventional analgesia because it leaves somatosensory and proprioceptive neurons intact. Resiniferatoxin (RTX), like capsaicin, is a TRPV1 agonist but has greater potency. We combine RTX-mediated inactivation with the precision of computed tomography (CT)-guided delivery to ablate peripheral pain fibers in swine. Under CT guidance, RTX was delivered unilaterally around the lumbar dorsal root ganglia (DRG), and vehicle only was administered to the contralateral side. During a 4-week observation period, animals demonstrated delayed or absent withdrawal responses to infrared laser heat stimuli delivered to sensory dermatomes corresponding to DRG receiving RTX treatment. Motor function was unimpaired as assessed by disability scoring and gait analysis. In treated DRG, TRPV1 mRNA expression was reduced, as were nociceptive neuronal perikarya in ganglia and their nerve terminals in the ipsilateral dorsal horn. CT guidance to precisely deliver RTX to sites of peripheral pain transmission in swine may be an approach that could be tailored to block an array of clinical pain conditions in patients.

Indexed as

Tomography, X-Ray ComputedAnimalsBehavior, AnimalDiterpenesFemaleGangliaGanglia, SpinalGene Expression ProfilingHot TemperatureLasersLumbar VertebraeMicroscopy, FluorescenceMotor SkillsNeuronsPainRNA, MessengerDiterpenesresiniferatoxinRNA, MessengerTRPV1 receptorTRPV Cation Channels

Identifiers

PMID26378245
PMCPMC4854290
OpenAlexW2180745787

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.