Evidence map›Paper›PMID 30289053›Full record

ArticleMolecular pain

Multimodal antidepressant vortioxetine causes analgesia in a mouse model of chronic neuropathic pain.

Anna Rita Zuena, Daniela Maftei, Giovanni Sebastiano Alemà, Francesca Dal Moro, Roberta Lattanzi, Paola Casolini, Ferdinando Nicoletti

Open access · goldAbstract read
In one paragraph

Article in Molecular pain. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.6field-weighted citation impact, top 10% 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, 34 citations in OpenAlex.

  1. VortioxetineCurrent neuropharmacology · 2025
    Trial
  2. Trial
  3. Article
  4. Management strategies for burning mouth syndrome: a comprehensive review.Journal of oral & facial pain and headache · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. 5-HTMolecules (Basel, Switzerland) · 2021
    Article
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  12. Article
  13. Review
  14. Article
  15. Article
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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

7 authors at 2 institutions in 1 country.

Anna Rita Zuena1 Department of Physiology and Pharmacology, Sapienza University of Rome, Italy.
Daniela Maftei1 Department of Physiology and Pharmacology, Sapienza University of Rome, Italy.
Giovanni Sebastiano Alemà1 Department of Physiology and Pharmacology, Sapienza University of Rome, Italy.
Francesca Dal Moro1 Department of Physiology and Pharmacology, Sapienza University of Rome, Italy.
Roberta Lattanzi1 Department of Physiology and Pharmacology, Sapienza University of Rome, Italy.
Paola Casolini1 Department of Physiology and Pharmacology, Sapienza University of Rome, Italy.
Ferdinando Nicoletti1 Department of Physiology and Pharmacology, Sapienza University of Rome, Italy.
Sapienza University of Rome · ITIstituto Neurologico Mediterraneo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vortioxetine is a multimodal antidepressant that potently antagonizes 5-HT3 serotonin receptors, inhibits the high-affinity serotonin transporter, activates 5-HT1A and 5-HT1B receptors, and antagonizes 5-HT1D and 5-HT7 receptors. 5-HT3 receptors largely mediate the hyperalgesic activity of serotonin that occurs in response to nerve injury. Activation of 5-HT3 receptors contributes to explain why selective serotonin reuptake inhibitors, such as fluoxetine, are not indicated in the treatment of neuropathic pain. Here, we studied the analgesic action of vortioxetine in the chronic constriction injury model of neuropathic pain in mice. Vortioxetine was injected once a day for 27 days at doses (10 mg/kg, intraperitoneally) that determine >90% 5-HT3 receptor occupancy in the central nervous system. The action of vortioxetine was compared to the action of equal doses of the serotonin-noradrenaline reuptake inhibitor, venlafaxine (one of the gold standard drugs in the treatment of neuropathic pain), and fluoxetine. Vortioxetine caused a robust analgesia in chronic constriction injury mice, and its effect was identical to that produced by venlafaxine. In contrast, fluoxetine was inactive in chronic constriction injury mice. Vortioxetine enhanced mechanical pain thresholds in chronic constriction injury mice without changing motor activity, as assessed by the open-field and horizontal bar tests. None of the three antidepressants caused analgesia in the complete Freund's adjuvant model of chronic inflammatory pain. These findings raise the attractive possibility that vortioxetine can be effective in the treatment of neuropathic pain, particularly in patients with comorbid depression and cognitive dysfunction.

Indexed as

AnalgesiaAnimalsAntidepressive AgentsChronic PainDisease Models, AnimalHippocampusMaleMicePyrimidinesReceptors, SerotoninSelective Serotonin Reuptake InhibitorsSerotoninVortioxetineAntidepressive AgentsfluoxydinePyrimidinesReceptors, SerotoninSelective Serotonin Reuptake InhibitorsSerotoninserotonin 5 receptorVortioxetinefluoxetineinflammatory painneuropathic painvenlafaxineVortioxetine

Identifiers

PMID30289053
PMCPMC6207957
OpenAlexW2895641316

What OpenQuestion holds

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LicenceCC BY-NC
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.