Evidence map›Paper›PMID 32555608›Full record

ArticlePloS one2020

Genetic variants in NECTIN4 encoding an adhesion molecule are associated with continued opioid use.

Chiu-Ping Fang, Tung-Hsia Liu, Ren-Hua Chung, Hsiao-Hui Tsou, Hsiang-Wei Kuo, Sheng-Chang Wang, Chia-Chen Liu, Shu Chih Liu, Andrew C H Chen, Yu-Li Liu

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Trans-synaptic modulation of cholinergic circuits tunes opioid reinforcement.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  4. Review
  5. Article
  6. Pharmacogenetics of Addiction Therapy.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  7. 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

10 authors at 2 institutions in 2 countries.

Chiu-Ping FangCenter for Neuropsychiatric Research, National Health Research Institutes, Zhunan, Miaoli County, Taiwan.
Tung-Hsia LiuCenter for Neuropsychiatric Research, National Health Research Institutes, Zhunan, Miaoli County, Taiwan.
Ren-Hua ChungDivision of Biostatistics and Bioinformatics, Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, Taiwan.
Hsiao-Hui TsouDivision of Biostatistics and Bioinformatics, Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, Taiwan.
Hsiang-Wei KuoCenter for Neuropsychiatric Research, National Health Research Institutes, Zhunan, Miaoli County, Taiwan.
Sheng-Chang WangCenter for Neuropsychiatric Research, National Health Research Institutes, Zhunan, Miaoli County, Taiwan.
Chia-Chen LiuCenter for Neuropsychiatric Research, National Health Research Institutes, Zhunan, Miaoli County, Taiwan.
Shu Chih LiuCenter for Neuropsychiatric Research, National Health Research Institutes, Zhunan, Miaoli County, Taiwan.
Andrew C H ChenDepartment of Psychiatry, the Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York, United States of America.
Yu-Li LiuCenter for Neuropsychiatric Research, National Health Research Institutes, Zhunan, Miaoli County, Taiwan.ORCID 0000-0001-7519-2965
National Health Research Institutes · TWNorthwell Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Methadone is a synthetic opioid used as maintenance treatment for patients addicted to heroin. Skin irritation is one of the adverse events caused by opioid use. 344 methadone maintenance treatment (MMT) patients were recruited with records and measurements on methadone dose, plasma methadone concentrations, and treatment emergent symptom scales (TESS). 15 patients reported with skin irritation. Five SNPs located within the NECTIN4 genetic region were genotyped. The NECTIN4 gene within the adherens junction interaction pathway was associated with methadone dose in pathway-based genome wide association analyses (P = 0.0008). Three highly-linked SNPs, rs11265549, rs3820097, and rs4656978, were significantly associated with methadone dose (P = 0.0003), plasma concentrations of R,S-methadone (P = 0.0004) and TNF-α (P = 0.010) in all 344 MMT patients, and with self-report skin irritation symptom scores (P = 0.010) in the 15 MMT patients who reported with skin irritation. To identify the possible roles of plasma level of Nectin-4 in the responses to MMT and opioid use, additional age- and gender-matched 51 controls and 83 methadone-free abstinent former heroin users were recruited. Plasma level of Nectin-4 was the highest in MMT patients among the three groups. The results suggest involvement of genetic variants on NECTIN4 in methadone dose. Plasma Nectin-4 level is likely an indicator for continued use of opioids.

Indexed as

AdultAnalgesics, OpioidCell Adhesion MoleculesFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHeroin DependenceHumansMaleMethadoneNectinsOpiate Substitution TreatmentOpioid-Related DisordersAnalgesics, OpioidCell Adhesion MoleculesMethadoneNECTIN4 protein, humanNectins

Identifiers

PMID32555608
PMCPMC7302666
OpenAlexW3036944397

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.