Evidence map›Paper›PMID 29610348›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2018

Activation of AMPK by metformin improves withdrawal signs precipitated by nicotine withdrawal.

Julia K Brynildsen, Bridgin G Lee, Isaac J Perron, Sunghee Jin, Sangwon F Kim, Julie A Blendy

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 45 citations in OpenAlex.

  1. Cordycepin alleviates nicotine withdrawal-induced anxietyDrug and alcohol dependence reports · 2026
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  20. Insulin modulates the strong reinforcing effects of nicotine and changes in insulin biomarkers in a rodent model of diabetes.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019
    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

6 authors at 3 institutions in 1 country.

Julia K BrynildsenDepartment of Systems Pharmacology and Translational Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104.
Bridgin G LeeDepartment of Systems Pharmacology and Translational Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104.
Isaac J PerronDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104.
Sunghee JinDivision of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21224.
Sangwon F KimDivision of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21224; skim132@jhmi.edu blendy@pennmedicine.upenn.edu.
Julie A BlendyDepartment of Systems Pharmacology and Translational Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104; skim132@jhmi.edu blendy@pennmedicine.upenn.edu.
University of Pennsylvania · USJohns Hopkins Medicine · USJohns Hopkins University · US

Funding

PREDOCTORAL TRAINING PROGRAM IN PHARMACOLOGYT32GM008076 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI BLENDY, JULIE A · 1985 to 2023
$10.8M
T32 Translational Addiction Research Fellowship ProgramT32DA028874 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI Julie A Blendy, Anna Rose Childress · 2010 to 2026
$5.0M
AMP-activated protein kinase (AMPK) and nicotine dependenceR01DA041180 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI BLENDY, JULIE A, KIM, SANGWON F · 2016 to 2020
$1.8M
Molecular basis of atypical antipsychotic drugs-induced weight gainR01DK084336 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI KIM, SANGWON F · 2010 to 2014
$1.5M
Institutional Clinical and Translational Science AwardTL1TR000138 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$877k
NCATS NIH HHS TL1 TR000138NIDA NIH HHS R01 DA041180NIDA NIH HHS T32 DA028874NIDDK NIH HHS R01 DK084336NIGMS NIH HHS T32 GM008076
6 · The paper itself

Abstract

Cigarette smoking is the leading cause of preventable disease and death in the United States, with more persons dying from nicotine addiction than any other preventable cause of death. Even though smoking cessation incurs multiple health benefits, the abstinence rate remains low with current medications. Here we show that the AMP-activated protein kinase (AMPK) pathway in the hippocampus is activated following chronic nicotine use, an effect that is rapidly reversed by nicotine withdrawal. Increasing pAMPK levels and, consequently, downstream AMPK signaling pharmacologically attenuate anxiety-like behavior following nicotine withdrawal. We show that metformin, a known AMPK activator in the periphery, reduces withdrawal symptoms through a mechanism dependent on the presence of the AMPKα subunits within the hippocampus. This study provides evidence of a direct effect of AMPK modulation on nicotine withdrawal symptoms and suggests central AMPK activation as a therapeutic target for smoking cessation.

Indexed as

Aminoimidazole CarboxamideAMP-Activated Protein KinasesAnimalsAnxiety DisordersDrug Evaluation, PreclinicalEnzyme ActivationFeeding BehaviorGene Knockdown TechniquesHippocampusMaleMetforminMiceMice, 129 StrainMice, Inbred C57BLNerve Tissue ProteinsNicotineAICA ribonucleotideAminoimidazole CarboxamideAMP-Activated Protein KinasesMetforminNerve Tissue ProteinsNicotineRibonucleotides5′ AMP-activated protein kinaseCREBmetforminnicotine

Identifiers

PMID29610348
PMCPMC5910809
OpenAlexW2795546890

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.