Evidence map›Paper›PMID 31841668›Full record

ReviewThe journal of pain

The "Culture" of Pain Control: A Review of Opioid-Induced Dysbiosis (OID) in Antinociceptive Tolerance.

Ryan A Mischel, Karan H Muchhala, William L Dewey, Hamid I Akbarali

Open access · greenAbstract readReview
In one paragraph

Review in The journal of pain. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. The Guts of the Opioid Crisis.Physiology (Bethesda, Md.) · 2021
    Article
  9. 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

4 authors at 1 institution in 1 country.

Ryan A MischelDepartment of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia.
Karan H MuchhalaDepartment of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia.
William L DeweyDepartment of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia.
Hamid I AkbaraliDepartment of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, Virginia. Electronic address: hamid.akbarali@vcuhealth.org.
Virginia Commonwealth University · US

Funding

TRAINING IN THE PHARMACOLOGY OF ABUSED DRUGST32DA007027 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI William L. Dewey · 1985 to 2026
$14.7M
VCU Center for Drug Addiction ResearchP30DA033934 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI Matthew Sean Halquist · 2014 to 2026
$13.8M
Mechanisms of Ethanol's Reversal of Opioid ToleranceR01DA036975 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI AKBARALI, HAMID I, DEWEY, WILLIAM L. · 2014 to 2018
$2.3M
Opioid tolerance and bowel dysfunctionR01DA024009 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI AKBARALI, HAMID I, DEWEY, WILLIAM L. · 2009 to 2015
$2.1M
Role of gastrointestinal microbiome in opioid toleranceF30DA042542 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI MISCHEL, RYAN ANTHONY · 2017 to 2019
$102k
NIDA NIH HHS F30 DA042542NIDA NIH HHS P30 DA033934NIDA NIH HHS R01 DA024009NIDA NIH HHS R01 DA036975NIDA NIH HHS T32 DA007027
6 · The paper itself

Abstract

It is increasingly recognized that chronic opioid use leads to maladaptive changes in the composition and localization of gut bacteria. Recently, this "opioid-induced dysbiosis" (OID) has been linked to antinociceptive tolerance development in preclinical models and may therefore identify promising targets for new opioid-sparing strategies. Such developments are critical to curb dose escalations in the clinical setting and combat the ongoing opioid epidemic. In this article, we review the existing literature that pertains to OID, including the current evidence regarding its qualitative nature, influence on antinociceptive tolerance, and future prospects. PERSPECTIVE: This article reviews the current literature on OID of gut bacteria, including its qualitative nature, influence on antinociceptive tolerance, and future prospects. This work may help identify targets for new opioid-sparing strategies.

Indexed as

Analgesics, OpioidDrug ToleranceDysbiosisPainAnimalsGastrointestinal MicrobiomeHumansAnalgesics, Opioidanalgesiadorsal root gangliadysbiosismicrobiomemorphineOpioidtolerance

Identifiers

PMID31841668
PMCPMC7286790
OpenAlexW2994746277

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.