Evidence map›Paper›PMID 31376441›Full record

ArticleBehavioural brain research2019

Hyperactivity, dopaminergic abnormalities, iron deficiency and anemia in an in vivo opioid receptors knockout mouse: Implications for the restless legs syndrome.

Shangru Lyu, Mark P DeAndrade, Stefan Mueller, Alexander Oksche, Arthur S Walters, Yuqing Li

Open access · greenAbstract read
In one paragraph

Article in Behavioural brain research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Putative Animal Models of Restless Legs Syndrome: A Systematic Review and Evaluation of Their Face and Construct Validity.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Vitamin D and Restless Legs Syndrome: A Review of Current Literature.Tremor and other hyperkinetic movements (New York, N.Y.) · 2023
    Review
  6. Circadian rhythm in restless legs syndrome.Frontiers in neurology · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Association of Rare Genetic Variants in Opioid Receptors with Tourette Syndrome.Tremor and other hyperkinetic movements (New York, N.Y.) · 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 4 institutions in 3 countries.

Shangru LyuNorman Fixel Institute for Neurological Diseases, Department of Neurology, College of Medicine, University of Florida, Gainesville, FL, USA.
Mark P DeAndradeNorman Fixel Institute for Neurological Diseases, Department of Neurology, College of Medicine, University of Florida, Gainesville, FL, USA.
Stefan MuellerMundipharma Research GmbH & Co. KG, Höhenstraße 10, Limburg, Germany.
Alexander OkscheMundipharma Research Limited, Cambridge, UK; Rudolf-Buchheim-Institut für Pharmakologie, University of Giessen, Giessen, Germany.
Arthur S WaltersDivision of Sleep Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Yuqing LiNorman Fixel Institute for Neurological Diseases, Department of Neurology, College of Medicine, University of Florida, Gainesville, FL, USA. Electronic address: yuqingli@ufl.edu.
University of Florida · USMundipharma (Germany) · DEMundipharma (United Kingdom) · GBVanderbilt University Medical Center · US

Funding

Restless Legs Syndrome: Pathophysiology using Btbd9 Conditional Knockout MiceR01NS082244 · NINDS · UNIVERSITY OF FLORIDA · PI LI, YUQING · 2014 to 2018
$1.6M
Pathophysiology and Animal Model of Restless Legs Syndrome (RLS): Btbd9 Null MicR21NS065273 · NINDS · UNIVERSITY OF FLORIDA · PI LI, YUQING · 2009 to 2010
$401k
NINDS NIH HHS R01 NS082244NINDS NIH HHS R21 NS065273
6 · The paper itself

Abstract

Previous studies have uncovered a potential role of the opioid system in iron hemostasis and dopamine metabolism. Abnormalities in both of these systems have been noted in human RLS. Autopsy studies of human RLS have shown an endogenous opioid deficiency in the thalamus. Opioids, particularly prolonged-release oxycodone/naloxone, have been approved in Europe to be a second-line therapy for severe restless legs syndrome (RLS). To study the role of opioid receptors in the pathogenesis of RLS, we used a triple knockout (KO) mouse strain that lack mu, delta, and kappa opioid receptors and explored the behavioral and biochemical parameters relevant to RLS. The triple KO mice showed hyperactivity and a trend of increased probability of waking during the rest period (day) akin to that in human RLS (night). Surprisingly, triple KO mice also exhibit decreased serum iron concentration, evidence of anemia, a significant dysfunction in dopamine metabolism akin to that noted in human RLS, as well as an increased latency in response to thermal stimuli. To our knowledge, this is the first study to demonstrate that the endogenous opioid system may play a role in iron metabolism and subsequently in the pathogenesis of anemia. It is also the first study showing that opioid receptors are involved in the production of motor restlessness with a circadian predominance. Our findings support the role of endogenous opioids in the pathogenesis of RLS, and the triple KO mice can be used to understand the relationship between iron deficiency, anemia, dopaminergic dysfunction, and RLS.

Indexed as

Iron DeficienciesAnalgesics, OpioidAnemiaAnemia, Iron-DeficiencyAnimalsDopamineDopaminergic NeuronsIronMaleMiceMice, KnockoutNaloxoneOpioid PeptidesPsychomotor AgitationReceptors, Opioid, muRestless Legs SyndromeAnalgesics, OpioidDopamineIronNaloxoneOpioid PeptidesReceptors, Opioid, muAnemiaDopamine metabolismIron deficiencyOpioid receptor knockout mouseRestless legs syndrome (RLS)Rest-phase specific hyperactivity

Identifiers

PMID31376441
PMCPMC6728912
OpenAlexW2966638228

What OpenQuestion holds

Textmetadata
LicenceTDM
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.