Evidence map›Paper›PMID 28832395›Full record

ArticlePain2017

Multiple sites and actions of gabapentin-induced relief of ongoing experimental neuropathic pain.

Kirsty Bannister, Chaoling Qu, Edita Navratilova, Janice Oyarzo, Jennifer Yanhua Xie, Tamara King, Anthony H Dickenson, Frank Porreca

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03334903 (Gabapentin Regimens and Their Effects on Opioid Consumption), which is not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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.

NCT03334903 phase4completednot on this mapstarted 2018, after this paper: background citation

Gabapentin Regimens and Their Effects on Opioid Consumption

TypeinterventionalSponsorBrigham and Women's HospitalRan2018 to 2019Enrolled77ConditionsKnee Osteoarthritis, Knee Pain Chronic, Opioid Use, Opioid DependenceArmsGabapentin
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Keratinocyte-TRPV1 sensory neuron interactions in a genetically controllable mouse model of chronic neuropathic itch.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  9. Article
  10. Pathology of pain and its implications for therapeutic interventions.Signal transduction and targeted therapy · 2024
    Review
  11. Review
  12. Review
  13. Principles of nociceptive coding in the anterior cingulate cortex.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  14. Article
  15. Review
  16. Neuropathic pain; what we know and what we should do about it.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Review
  17. Gabapentin-Friend or foe?Pain practice : the official journal of World Institute of Pain · 2023
    Review
  18. Review
  19. Article
  20. 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

8 authors at 3 institutions in 2 countries.

Kirsty BannisterDepartment of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom.
Chaoling QuDepartment of Pharmacology, Arizona Health Sciences Center, University of Arizona, Tucson, AZ, USA.
Edita NavratilovaDepartment of Pharmacology, Arizona Health Sciences Center, University of Arizona, Tucson, AZ, USA.
Janice OyarzoDepartment of Pharmacology, Arizona Health Sciences Center, University of Arizona, Tucson, AZ, USA.
Jennifer Yanhua XieDepartment of Pharmacology, Arizona Health Sciences Center, University of Arizona, Tucson, AZ, USA.
Tamara KingDepartment of Biomedical Sciences, Center for Excellence in the Neurosciences, University of New England, Biddeford, ME, USA.
Anthony H DickensonDepartment of Neuroscience, Physiology and Pharmacology, University College London, London, United Kingdom.
Frank PorrecaDepartment of Pharmacology, Arizona Health Sciences Center, University of Arizona, Tucson, AZ, USA.
University of Arizona · USUniversity College London · GBUniversity of New England · US

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Teri L Bankhead · 1985 to 2026
$110.2M
THERAPEUTIC PROFILES OF OPIOID DELTA RECEPTORS--NEW MODALITIESP01DA006284 · NIDA · UNIVERSITY OF ARIZONA · PI HRUBY, VICTOR J · 1989 to 2015
$14.8M
New Modalities for the Treatment of Pain and Drug Abuse-Biochemical CoreP01DA041307 · NIDA · UNIVERSITY OF ARIZONA · PI PORRECA, FRANK · 2017 to 2021
$3.0M
Brain reward circuits and relief of ongoing painR01DA034975 · NIDA · UNIVERSITY OF ARIZONA · PI PORRECA, FRANK · 2013 to 2017
$2.8M
Cortical opioid dysfunction in chronic painR01DA041809 · NIDA · UNIVERSITY OF ARIZONA · PI PORRECA, FRANK, WANG, ZAIJIE JIM · 2016 to 2020
$2.7M
SPINAL DYNORPHIN AND OPIOID TOLERANCER01DA012656 · NIDA · UNIVERSITY OF ARIZONA · PI PORRECA, FRANK · 1999 to 2011
$2.3M
NCI NIH HHS P30 CA023074NIDA NIH HHS P01 DA006284NIDA NIH HHS P01 DA041307NIDA NIH HHS R01 DA012656NIDA NIH HHS R01 DA034975NIDA NIH HHS R01 DA041809Wellcome Trust
6 · The paper itself

Abstract

Gabapentin (GBP) is a first-line therapy for neuropathic pain, but its mechanisms and sites of action remain uncertain. We investigated GBP-induced modulation of neuropathic pain following spinal nerve ligation (SNL) in rats. Intravenous or intrathecal GBP reversed evoked mechanical hypersensitivity and produced conditioned place preference (CPP) and dopamine (DA) release in the nucleus accumbens (NAc) selectively in SNL rats. Spinal GBP also significantly inhibited dorsal horn wide-dynamic-range neuronal responses to a range of evoked stimuli in SNL rats. By contrast, GBP microinjected bilaterally into the rostral anterior cingulate cortex (rACC), produced CPP, and elicited NAc DA release selectively in SNL rats but did not reverse tactile allodynia and had marginal effects on wide-dynamic-range neuronal activity. Moreover, blockade of endogenous opioid signaling in the rACC prevented intravenous GBP-induced CPP and NAc DA release but failed to block its inhibition of tactile allodynia. Gabapentin, therefore, can potentially act to produce its pain relieving effects by (a) inhibition of injury-induced spinal neuronal excitability, evoked hypersensitivity, and ongoing pain and (b) selective supraspinal modulation of affective qualities of pain, without alteration of reflexive behaviors. Consistent with previous findings of pain relief from nonopioid analgesics, GBP requires engagement of rACC endogenous opioid circuits and downstream activation of mesolimbic reward circuits reflected in learned pain-motivated behaviors. These findings support the partial separation of sensory and affective dimensions of pain in this experimental model and suggest that modulation of affective-motivational qualities of pain may be the preferential mechanism of GBP's analgesic effects in patients.

Indexed as

AminesAnimalsCyclohexanecarboxylic AcidsDisease Models, AnimalGabapentingamma-Aminobutyric AcidGyrus CinguliMaleNeuralgiaNucleus AccumbensPain ThresholdPosterior Horn CellsRats, Sprague-DawleySpinal NervesAminesCyclohexanecarboxylic AcidsGabapentingamma-Aminobutyric Acid

Identifiers

PMID28832395
PMCPMC5681862
OpenAlexW2745890299

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.