Evidence map›Paper›PMID 30295396›Full record

ArticleAddiction biology2020

Hypothalamic response to cocaine cues and cocaine addiction severity.

Sheng Zhang, Simon Zhornitsky, Gustavo A Angarita, Chiang-Shan R Li

Open access · greenAbstract read
In one paragraph

Article in Addiction biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 24% 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, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
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  6. Review
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  12. Article
  13. Noradrenergic correlates of chronic cocaine craving: neuromelanin and functional brain imaging.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Article
  14. Article
  15. Article
  16. Hypothalamic Responses to Cocaine and Food Cues in Individuals with Cocaine Dependence.The international journal of neuropsychopharmacology · 2019
    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

4 authors at 1 institution in 1 country.

Sheng ZhangDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0001-5786-6516
Simon ZhornitskyDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Gustavo A AngaritaDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.
Chiang-Shan R LiDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.ORCID 0000-0002-9393-1212
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Cognitive control and cocaine dependence: thalamic noradrenergic processesR01DA023248 · NIDA · YALE UNIVERSITY · PI LI, CHIANG-SHAN RAY · 2008 to 2018
$4.0M
Thalamic cortical dysfunction and predictors of relapse in cocaine dependenceK25DA040032 · NIDA · YALE UNIVERSITY · PI ZHANG, SHENG · 2015 to 2019
$834k
Imaging the monoaminergic midbrain and cognitive control in cocaine addictionR21DA044749 · NIDA · YALE UNIVERSITY · PI LI, CHIANG-SHAN RAY · 2018 to 2019
$704k
Department of Mental Health and Addiction Services (DMHAS) of the State of ConnecticutNCATS NIH HHS UL1 TR001863NIDA NIH HHS K25 DA040032NIDA NIH HHS R01 DA023248NIDA NIH HHS R21 DA044749Peter McManus Charitable Trust
6 · The paper itself

Abstract

The dopaminergic motive system is compromised in cocaine addiction. Abundant research has examined the roles of the dopaminergic midbrain and ventral striatum (VS) in cue-induced craving and habitual drug consumption. Interconnected with the dopaminergic circuits, the hypothalamus is widely implicated in motivated behavior, including food and drug seeking. However, very few studies have investigated how the hypothalamus responds to drug cues and whether hypothalamic responses are related to clinical features such as craving and addiction severity. Here, in 23 cocaine-dependent individuals (CD) exposed to cocaine vs neutral cues during functional magnetic resonance imaging (fMRI), we examined regional responses using established routines. At a corrected threshold, CD demonstrated increased activation to cocaine vs neutral cues in bilateral visual cortex, inferior parietal and middle frontal gyri, and the hypothalamus. The extent of hypothalamus but not other regional response was correlated with craving and cocaine addiction severity, each as assessed by the Cocaine Craving Questionnaire (CCQ) and Cocaine Selective Severity Assessment (CSSA). In contrast, subjective "acute" craving as elicited by cocaine cues during fMRI involved deactivation of bilateral orbitofrontal cortex (OFC) and angular gyri (AG), and the OFC and AG responses were not related to CCQ or CSSA score. These findings distinguished tonic craving as a critical factor in capturing cocaine addiction severity and substantiated a role of the hypothalamus in motivational dysfunction in cocaine addiction.

Indexed as

CuesAdultCocaineCocaine-Related DisordersFemaleHumansHypothalamusMagnetic Resonance ImagingMaleSeverity of Illness IndexCocainecocaine addictionfMRIhypothalamus

Identifiers

PMID30295396
PMCPMC6453736
OpenAlexW2896356502

What OpenQuestion holds

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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.