Evidence map›Paper›PMID 27475769›Full record

ReviewThe lancet. Psychiatry2016

Neurobiology of addiction: a neurocircuitry analysis.

George F Koob, Nora D Volkow

4 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in The lancet. Psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 1,912 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,912citing papers in PubMed, 7 pooled it
111.1field-weighted citation impact, top 1% 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.

NCT04265339 naunknown statusnot on this mapstarted 2018, after this paper: background citation

The Interplay Between Addiction to Tobacco Smoking and Sleep Quality Among Healthy Adults

TypeinterventionalSponsorThe Max Stern Academic College Of Emek YezreelRan2018 to 2022Enrolled150ConditionsTobacco DependenceArmsSmoking cessation
NCT05142267 narecruitingnot on this mapstarted 2022, after this paper: background citation

Stress and Opioid Misuse Risk: The Role of Endogenous Opioid and Endocannabinoid Mechanisms

TypeinterventionalSponsorVanderbilt University Medical CenterRan2022 to 2026Enrolled120ConditionsOpioid Use Disorder, Back Pain, StressArmsPlacebo, Oxycodone, Naloxone
NCT05646901 recruitingnot on this mapstarted 2022, after this paper: background citation

Involvement of the Gut Microbiota-brain Cross-talk in the Loss of Eating Control (GMBCrossTalkFood)

TypeobservationalSponsorInstitut d'Investigació Biomèdica de Girona Dr. Josep TruetaRan2022 to 2027Enrolled116ConditionsObesity
NCT06860607 phase1recruitingnot on this mapstarted 2026, after this paper: background citation

Environment and Alcohol: A Pilot Study

TypeinterventionalSponsorNational Institute on Drug Abuse (NIDA)Ran2026 to 2028Enrolled44ConditionsAlcohol Use DisorderArmsEvaluate the effects of Environmental Enrichment (EE) on alcohol consumption
3 · Its place in the literature

Who cites it

1,912 citing papers in PubMed, 7 syntheses or guidelines pooled it, 3,437 citations in OpenAlex.

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  13. GutGut microbes · 2026
    Article
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  20. Pain-contingent opioid use and addiction risk in cancer pain: a reappraisal of around-the-clock dosing.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article

1,852 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 1 country.

George F KoobNational Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Rockville, MD, USA. Electronic address: gkoob@scripps.edu.
Nora D VolkowNational Institute on Drug Abuse, National Institutes of Health, Rockville, MD, USA.
National Institute on Alcohol Abuse and Alcoholism · USNational Institute on Drug Abuse · US

Funding

Neurobiology of Substance Abuse and AddictionZIAAA000550 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI VOLKOW, NORA D. · 2009 to 2025
$115.1M
Neurobiology of AddictionZICDA000602 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI KOOB, GEORGE · 2015 to 2018
$5.4M
Intramural NIH HHS Z99 AA999999
6 · The paper itself

Abstract

Drug addiction represents a dramatic dysregulation of motivational circuits that is caused by a combination of exaggerated incentive salience and habit formation, reward deficits and stress surfeits, and compromised executive function in three stages. The rewarding effects of drugs of abuse, development of incentive salience, and development of drug-seeking habits in the binge/intoxication stage involve changes in dopamine and opioid peptides in the basal ganglia. The increases in negative emotional states and dysphoric and stress-like responses in the withdrawal/negative affect stage involve decreases in the function of the dopamine component of the reward system and recruitment of brain stress neurotransmitters, such as corticotropin-releasing factor and dynorphin, in the neurocircuitry of the extended amygdala. The craving and deficits in executive function in the so-called preoccupation/anticipation stage involve the dysregulation of key afferent projections from the prefrontal cortex and insula, including glutamate, to the basal ganglia and extended amygdala. Molecular genetic studies have identified transduction and transcription factors that act in neurocircuitry associated with the development and maintenance of addiction that might mediate initial vulnerability, maintenance, and relapse associated with addiction.

Indexed as

BrainHumansNeural PathwaysNeurobiologySubstance-Related Disorders

Identifiers

PMID27475769
PMCPMC6135092
OpenAlexW2491859250

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.