Evidence map›Paper›PMID 31279240›Full record

Trial reportNeuroImage. Clinical2019

Impact of chronic migraine attacks and their severity on the endogenous μ-opioid neurotransmission in the limbic system.

Hassan Jassar, Thiago D Nascimento, Niko Kaciroti, Marcos F DosSantos, Theodora Danciu, Robert A Koeppe, Yolanda R Smith, Marcelo E Bigal, Frank Porreca, Kenneth L Casey and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in NeuroImage. Clinical, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03004313 (Structural and Molecular Neuroplasticity in Migraine), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT03004313 nacompletednot on this map

Structural and Molecular Neuroplasticity in Migraine

TypeinterventionalSponsorUniversity of MichiganRan2011 to 2014Enrolled32ConditionsMigraineArmsPet Scan, MRI scan, Quantitative Sensory Testing (QST)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Migraine in men.The journal of headache and pain · 2025
    Review
  8. Article
  9. Women in Dental Clinical and Translational Research.Advances in dental research · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Cortical pain processing in migraine.Journal of neural transmission (Vienna, Austria : 1996) · 2020
    Review
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

12 authors at 3 institutions in 1 country.

Hassan JassarHeadache & Orofacial Pain Effort (H.O.P.E.), Biologic & Materials Sciences Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA. Electronic address: hjassar@umich.edu.
Thiago D NascimentoHeadache & Orofacial Pain Effort (H.O.P.E.), Biologic & Materials Sciences Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA.
Niko KacirotiHeadache & Orofacial Pain Effort (H.O.P.E.), Biologic & Materials Sciences Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA; Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA; Center for Human Growth and Development, University of Michigan, Ann Arbor, MI 48104, USA; Center for Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI 48109, USA. Electronic address: nicola@umich.edu.
Marcos F DosSantosHeadache & Orofacial Pain Effort (H.O.P.E.), Biologic & Materials Sciences Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA.
Theodora DanciuHeadache & Orofacial Pain Effort (H.O.P.E.), Biologic & Materials Sciences Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA; Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI 48104, USA.
Robert A KoeppePET Physics Section, Division of Nuclear Medicine, Radiology Department, University of Michigan, Ann Arbor, MI 48109-5030, USA.
Yolanda R SmithDepartment of Obstetrics and Gynecology, Medical School, University of Michigan, Ann Arbor, MI 48109-0276, USA.
Marcelo E BigalVentus Therapeutics, Montreal, Canada.
Frank PorrecaDepartment of Pharmacology, University of Arizona, Tucson, AZ 85724-5050, USA.
Kenneth L CaseyDepartment of Neurology, University of Michigan, Ann Arbor, MI 48109, USA.
Jon-Kar ZubietaDepartment of Psychiatry and Behavioral Heal, Stony Brook University, Stony Brook, NY 11794, USA.
Alexandre F DaSilvaHeadache & Orofacial Pain Effort (H.O.P.E.), Biologic & Materials Sciences Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USA; Center for Human Growth and Development, University of Michigan, Ann Arbor, MI 48104, USA. Electronic address: adasilva@umich.edu.
University of Michigan–Ann Arbor · USStony Brook University · USUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate, in vivo, the impact of ongoing chronic migraine (CM) attacks on the endogenous μ-opioid neurotransmission.

backgroundCM is associated with cognitive-emotional dysfunction. CM is commonly associated with frequent acute medication use, including opioids.

methodsWe scanned 15 migraine patients during the spontaneous headache attack (ictal phase): 7 individuals with CM and 8 with episodic migraine (EM), as well as 7 healthy controls (HC), using positron emission tomography (PET) with the selective μ-opioid receptor (μOR) radiotracer [

resultsμOR availability, measured with [

conclusionsIncreased endogenous μ-opioid receptor-mediated neurotransmission is seen in the limbic system of CM patients, especially in right amygdala, which is highly modulated by the attack frequency, pain severity, and sensitivity. This study demonstrates for the first time the negative impact of chronification and exacerbation of headache attacks on the endogenous μ-opioid mechanisms of migraine patients. ClinicalTrials.gov identifier: NCT03004313.

Indexed as

AdultAmygdalaAnalgesics, OpioidCaudate NucleusChronic DiseaseFemaleFentanylHumansMaleMiddle AgedMigraine DisordersNociceptionPain ThresholdParahippocampal GyrusPhysical StimulationPositron-Emission TomographyAnalgesics, OpioidcarfentanilFentanylRadiopharmaceuticalsReceptors, Opioid, muCentral painMigraineMRIOpioidPETThermal pain threshold

Identifiers

PMID31279240
PMCPMC6612052
OpenAlexW2952463259

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.