Evidence map›Paper›PMID 30188512›Full record

SynthesisNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2019

Effects of sedative drug use on the dopamine system: a systematic review and meta-analysis of in vivo neuroimaging studies.

Felicia Kamp, Lisa Proebstl, Nora Penzel, Kristina Adorjan, Andrej Ilankovic, Oliver Pogarell, Gabi Koller, Michael Soyka, Peter Falkai, Nikolaos Koutsouleris and 1 more

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 19% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. mBio · 2025
    Article
  7. Article
  8. The Dopamine System in Mediating Alcohol Effects in Humans.Current topics in behavioral neurosciences · 2025
    Review
  9. Review
  10. Article
  11. Long-term alcohol consumption alters dorsal striatal dopamine release and regulation by D2 dopamine receptors in rhesus macaques.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Article
  12. Neuroimaging the Neuropathogenesis of HIV.Current HIV/AIDS reports · 2021
    Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. 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

11 authors at 3 institutions in 2 countries.

Felicia KampDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany. Felicia.Kamp@med.uni-muenchen.de.
Lisa ProebstlDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Nora PenzelDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Kristina AdorjanDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Andrej IlankovicClinic of Psychiatry, Medical School, University of Belgrade, Belgrade, Serbia.
Oliver PogarellDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Gabi KollerDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Michael SoykaDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Peter FalkaiDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Nikolaos KoutsoulerisDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Joseph KambeitzDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DEUniversity of Belgrade · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Use of alcohol, cannabis and opioids is highly prevalent and is associated with global disease burden and high economic costs. The exact pathophysiology of abuse or addiction associated with these sedative substances is not completely understood, but previous research implicates the important role of the striatal dopamine system in the addiction process. Multiple studies investigated changes in the striatal dopamine systems of users of sedative substances, but currently these results are very heterogeneous. Therefore, we conducted a meta-analysis of in vivo neuroimaging studies investigating dopaminergic alterations in the striatum of users of alcohol, opioids or cannabis. Analyses for each substance were conducted separately for the availability of D2/D3 dopamine receptors, dopamine transporters and dopamine synthesis capacity. In total, 723 substance users and 752 healthy controls were included. The results indicated a significant lower striatal D2/D3 receptor availability in alcohol users compared to controls (g = 0.46) but no difference in dopamine transporter availability or dopamine synthesis capacity. Our analysis indicated that changes of dopamine receptors and transporters are moderated by the duration of abstinence. Comparing opioid users with controls revealed a significant lower D2/D3 receptor availability (g = 1.17) and a significantly lower transporter availability (g = 1.55) in opioid users. For cannabis users, there was no significant difference in receptor availability compared to controls and too few studies provided information on dopamine transporter availability or synthesis capacity. Our analysis provides strong evidence for a central role of the striatal dopamine system in use of alcohol or opioids. Further studies are needed to clarify the impact of the dopamine system in cannabis users.

Indexed as

NeuroimagingAlcoholismCorpus StriatumDopamine Plasma Membrane Transport ProteinsHumansMarijuana AbuseOpioid-Related DisordersReceptors, Dopamine D2Receptors, Dopamine D3Dopamine Plasma Membrane Transport ProteinsReceptors, Dopamine D2Receptors, Dopamine D3

Identifiers

PMID30188512
PMCPMC6372711
OpenAlexW2888480561

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.