Evidence map›Paper›PMID 29408808›Full record

ArticleThe Journal of clinical investigation2018

Pain control through selective chemo-axotomy of centrally projecting TRPV1+ sensory neurons.

Matthew R Sapio, John K Neubert, Danielle M LaPaglia, Dragan Maric, Jason M Keller, Stephen J Raithel, Eric L Rohrs, Ethan M Anderson, John A Butman, Robert M Caudle and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

49 citing papers in PubMed, 82 citations in OpenAlex.

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  10. Neuro-immune cross-talk in cancer.Nature reviews. Cancer · 2025
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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

14 authors at 4 institutions in 1 country.

Matthew R SapioClinical Center, Department of Perioperative Medicine, NIH, Bethesda, Maryland, USA.
John K NeubertDepartment of Orthodontics, University of Florida College of Dentistry, Gainesville, Florida, USA.
Danielle M LaPagliaClinical Center, Department of Perioperative Medicine, NIH, Bethesda, Maryland, USA.
Dragan MaricFlow Cytometry Core Facility, NIH, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland, USA.
Jason M KellerClinical Center, Department of Perioperative Medicine, NIH, Bethesda, Maryland, USA.
Stephen J RaithelClinical Center, Department of Perioperative Medicine, NIH, Bethesda, Maryland, USA.
Eric L RohrsDepartment of Orthodontics, University of Florida College of Dentistry, Gainesville, Florida, USA.
Ethan M AndersonDepartment of Oral and Maxillofacial Surgery, University of Florida College of Dentistry, Gainesville, Florida, USA.
John A ButmanClinical Center, Radiology and Imaging Services, NIH, Bethesda, Maryland, USA.
Robert M CaudleDepartment of Oral and Maxillofacial Surgery, University of Florida College of Dentistry, Gainesville, Florida, USA.
Dorothy C BrownVeterinary Clinical Investigations Center, University of Pennsylvania, School of Veterinary Medicine, Philadelphia, Pennsylvania, USA.
John D HeissSurgical Neurology Branch, NIH, National Institute of Neurological Disorders and Stroke, Bethesda, Maryland, USA.
Andrew J MannesClinical Center, Department of Perioperative Medicine, NIH, Bethesda, Maryland, USA.
Michael J IadarolaClinical Center, Department of Perioperative Medicine, NIH, Bethesda, Maryland, USA.
National Institutes of Health Clinical Center · USUniversity of Florida · USNational Institute of Neurological Disorders and Stroke · USUniversity of Pennsylvania · US

Funding

Central Nervous System Drug Delivery TechniquesZIANS003051 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI HEISS, JOHN · 2009 to 2025
$9.8M
The Pain Neural TranscriptomeZIAAT000017 · NCCIH · NATIONAL CENTER FOR COMPLEMENTARY & INTEGRATIVE HEALTH · PI IADAROLA, MICHAEL J. · 2011 to 2013
$4.8M
Measure Validation and RCT- Dog Bone Cancer Pain ModelK08DA017720 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI BROWN, DOROTHY C · 2004 to 2008
$756k
Molecular Targeting of the Vanilloid-1 ReceptorK22DE014865 · NIDCR · UNIVERSITY OF FLORIDA · PI NEUBERT, JOHN K · 2003 to 2006
$540k
Novel Operant Thermal Assessments of Orofacial PainR21DE016704 · NIDCR · UNIVERSITY OF FLORIDA · PI NEUBERT, JOHN K · 2006 to 2007
$395k
Integrative And Molecular Studies Of Pain And Pain ControlZIACL090033 · CLC · CLINICAL CENTER · PI MANNES, ANDREW · 2014 to 2025
$0k
The Pain Neural TranscriptomeZIACL090035 · CLC · CLINICAL CENTER · PI MANNES, ANDREW · 2014 to 2025
$0k
Intramural NIH HHS ZIA AT000017NIDA NIH HHS K08 DA017720NIDCR NIH HHS K22 DE014865NIDCR NIH HHS R21 DE016704
6 · The paper itself

Abstract

Agonists of the vanilloid receptor transient vanilloid potential 1 (TRPV1) are emerging as highly efficacious nonopioid analgesics in preclinical studies. These drugs selectively lesion TRPV1+ primary sensory afferents, which are responsible for the transmission of many noxious stimulus modalities. Resiniferatoxin (RTX) is a very potent and selective TRPV1 agonist and is a promising candidate for treating many types of pain. Recent work establishing intrathecal application of RTX for the treatment of pain resulting from advanced cancer has demonstrated profound analgesia in client-owned dogs with osteosarcoma. The present study uses transcriptomics and histochemistry to examine the molecular mechanism of RTX action in rats, in clinical canine subjects, and in 1 human subject with advanced cancer treated for pain using intrathecal RTX. In all 3 species, we observe a strong analgesic action, yet this was accompanied by limited transcriptional alterations at the level of the dorsal root ganglion. Functional and neuroanatomical studies demonstrated that intrathecal RTX largely spares susceptible neuronal perikarya, which remain active peripherally but unable to transmit signals to the spinal cord. The results demonstrate that central chemo-axotomy of the TRPV1+ afferents underlies RTX analgesia and refine the neurobiology underlying effective clinical use of TRPV1 agonists for pain control.

Indexed as

Pain ManagementTRPV Cation ChannelsAnalgesics, Non-NarcoticAnimalsAxotomyCancer PainDiterpenesDogsGanglia, SpinalHumansRatsSensory Receptor CellsAnalgesics, Non-NarcoticDiterpenesresiniferatoxinTRPV1 protein, humanTrpv1 protein, ratTRPV Cation ChannelsAddictionClinical TrialsExpression profilingNeurosciencePain

Identifiers

PMID29408808
PMCPMC5873867
OpenAlexW2785565128

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.