Evidence map›Paper›PMID 29570993›Full record

ArticleCell2018

A Neural Circuit for the Suppression of Pain by a Competing Need State.

Amber L Alhadeff, Zhenwei Su, Elen Hernandez, Michelle L Klima, Sophie Z Phillips, Ruby A Holland, Caiying Guo, Adam W Hantman, Bart C De Jonghe, J Nicholas Betley

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed
13.5field-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.

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

124 citing papers in PubMed, 225 citations in OpenAlex.

  1. Article
  2. Article
  3. Hypothalamic prolactin receptorNature communications · 2026
    Article
  4. ParabrachialProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Synergistic deficits in parvalbumin interneurons and dopamine signaling drive ACC dysfunction in chronic pain.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. Article

64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Amber L AlhadeffDepartment of Biology, University of Pennsylvania, Philadelphia, PA 19104, USA.
Zhenwei SuDepartment of Biology, University of Pennsylvania, Philadelphia, PA 19104, USA.
Elen HernandezDepartment of Biology, University of Pennsylvania, Philadelphia, PA 19104, USA.
Michelle L KlimaDepartment of Biology, University of Pennsylvania, Philadelphia, PA 19104, USA.
Sophie Z PhillipsDepartment of Biology, University of Pennsylvania, Philadelphia, PA 19104, USA.
Ruby A HollandDepartment of Biobehavioral Health Sciences, University of Pennsylvania, Philadelphia, PA 19104, USA.
Caiying GuoJanelia Research Campus, Howard Hughes Medical Institute, Ashburn, VA 20147, USA.
Adam W HantmanJanelia Research Campus, Howard Hughes Medical Institute, Ashburn, VA 20147, USA.
Bart C De JongheDepartment of Biobehavioral Health Sciences, University of Pennsylvania, Philadelphia, PA 19104, USA.
J Nicholas BetleyDepartment of Biology, University of Pennsylvania, Philadelphia, PA 19104, USA. Electronic address: jnbetley@sas.upenn.edu.
University of Pennsylvania · USHoward Hughes Medical Institute · US

Funding

Diabetes, Endocrine, and MetabolismT32DK007314 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI DORIS A STOFFERS, Patrick Seale · 1986 to 2026
$9.0M
Neural Mechanisms of Nausea, Vomiting, and Energy DysregulationR01DK112812 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Bart C DE JONGHE, MATTHEW R HAYES · 2017 to 2026
$4.4M
Deconstructing the Neural Control of Food SeekingR01DK114104 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI BETLEY, JOHN NICHOLAS · 2017 to 2021
$2.0M
The role of AGRP neurons in mediating food intake, valence, and obesityF32DK112561 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI ALHADEFF, AMBER L · 2017 to 2018
$71k
NIDDK NIH HHS F32 DK112561NIDDK NIH HHS R01 DK112812NIDDK NIH HHS R01 DK114104NIDDK NIH HHS T32 DK007314
6 · The paper itself

Abstract

Hunger and pain are two competing signals that individuals must resolve to ensure survival. However, the neural processes that prioritize conflicting survival needs are poorly understood. We discovered that hunger attenuates behavioral responses and affective properties of inflammatory pain without altering acute nociceptive responses. This effect is centrally controlled, as activity in hunger-sensitive agouti-related protein (AgRP)-expressing neurons abrogates inflammatory pain. Systematic analysis of AgRP projection subpopulations revealed that the neural processing of hunger and inflammatory pain converge in the hindbrain parabrachial nucleus (PBN). Strikingly, activity in AgRP → PBN neurons blocked the behavioral response to inflammatory pain as effectively as hunger or analgesics. The anti-nociceptive effect of hunger is mediated by neuropeptide Y (NPY) signaling in the PBN. By investigating the intersection between hunger and pain, we have identified a neural circuit that mediates competing survival needs and uncovered NPY Y1 receptor signaling in the PBN as a target for pain suppression.

Indexed as

Agouti-Related ProteinAnalgesics, OpioidAnimalsAnti-Inflammatory Agents, Non-SteroidalBehavior, AnimalDietFeeding BehaviorFormaldehydeGlutamate DecarboxylaseLocomotionMiceMice, Inbred C57BLMorphineNeuronsPainParabrachial NucleusAgouti-Related ProteinAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalFormaldehydeGlutamate DecarboxylaseMorphineneuropeptide Y-Y1 receptorReceptors, Neuropeptide YAgRP neuronsanalgesiacalcium imaginghungerinflammationneuropeptide Ynociceptionoptogeneticspainparabrachial nucleus

Identifiers

PMID29570993
PMCPMC5877408
OpenAlexW2789360989

What OpenQuestion holds

Textmetadata
LicenceTDM
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.