Evidence map›Paper›PMID 26514581›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2016

Brain Mapping-Based Model of Δ(9)-Tetrahydrocannabinol Effects on Connectivity in the Pain Matrix.

Carmen Walter, Bruno G Oertel, Lisa Felden, Christian A Kell, Ulrike Nöth, Johannes Vermehren, Jochen Kaiser, Ralf Deichmann, Jörn Lötsch

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Effects of oral ΔEuropean journal of clinical pharmacology · 2017
    Trial
  7. Review
  8. Article
  9. Review
  10. Review
  11. "Biomedicines · 2022
    Article
  12. Functional Connectivity of the Chemosenses: A Review.Frontiers in systems neuroscience · 2022
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Medical cannabis: aligning use to evidence-based medicine approach.British journal of clinical pharmacology · 2018
    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

9 authors at 1 institution in 1 country.

Carmen WalterInstitute of Clinical Pharmacology, Goethe University, Frankfurt am Main, Germany.
Bruno G OertelInstitute of Clinical Pharmacology, Goethe University, Frankfurt am Main, Germany.
Lisa FeldenInstitute of Clinical Pharmacology, Goethe University, Frankfurt am Main, Germany.
Christian A KellBrain Imaging Center, Goethe University, Frankfurt am Main, Germany.
Ulrike NöthBrain Imaging Center, Goethe University, Frankfurt am Main, Germany.
Johannes VermehrenInstitute of Clinical Pharmacology, Goethe University, Frankfurt am Main, Germany.
Jochen KaiserInstitute of Medical Psychology, Goethe University, Frankfurt am Main, Germany.
Ralf DeichmannBrain Imaging Center, Goethe University, Frankfurt am Main, Germany.
Jörn LötschInstitute of Clinical Pharmacology, Goethe University, Frankfurt am Main, Germany.
Goethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cannabinoids receive increasing interest as analgesic treatments. However, the clinical use of Δ(9)-tetrahydrocannabinol (Δ(9)-THC) has progressed with justified caution, which also owes to the incomplete mechanistic understanding of its analgesic effects, in particular its interference with the processing of sensory or affective components of pain. The present placebo-controlled crossover study therefore focused on the effects of 20 mg oral THC on the connectivity between brain areas of the pain matrix following experimental stimulation of trigeminal nocisensors in 15 non-addicted healthy volunteers. A general linear model (GLM) analysis identified reduced activations in the hippocampus and the anterior insula following THC administration. However, assessment of psychophysiological interaction (PPI) revealed that the effects of THC first consisted in a weakening of the interaction between the thalamus and the secondary somatosensory cortex (S2). From there, dynamic causal modeling (DCM) was employed to infer that THC attenuated the connections to the hippocampus and to the anterior insula, suggesting that the reduced activations in these regions are secondary to a reduction of the connectivity from somatosensory regions by THC. These findings may have consequences for the way THC effects are currently interpreted: as cannabinoids are increasingly considered in pain treatment, present results provide relevant information about how THC interferes with the affective component of pain. Specifically, the present experiment suggests that THC does not selectively affect limbic regions, but rather interferes with sensory processing which in turn reduces sensory-limbic connectivity, leading to deactivation of affective regions.

Indexed as

Brain MappingAdultAnalgesicsBrainCross-Over StudiesDouble-Blind MethodDronabinolFemaleFunctional NeuroimagingHippocampusHumansMagnetic Resonance ImagingMaleModels, NeurologicalNeural PathwaysPainAnalgesicsDronabinol

Identifiers

PMID26514581
PMCPMC4832029
OpenAlexW2227139817

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.