Evidence map›Paper›PMID 32926950›Full record

ArticleBrain research bulletin2020

Centrally administered CYP2D inhibitors increase oral tramadol analgesia in rats.

Douglas M McMillan, Ahmed A El-Sherbeni, Janielle Richards, Rachel F Tyndale

Open access · greenAbstract read
In one paragraph

Article in Brain research bulletin, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Human CYP2D6 varies across the estrous cycle in brains of transgenic mice altering drug response.Progress in neuro-psychopharmacology & biological psychiatry · 2024
    Article
  3. Article
  4. Review
  5. Study on individualized analgesia guided byAmerican journal of translational research · 2021
    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 2 countries.

Douglas M McMillanDepartment of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada.
Ahmed A El-SherbeniDepartment of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada; Department of Clinical Pharmacy, Faculty of Pharmacy, Tanta University, Tanta, Egypt.
Janielle RichardsDepartment of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada.
Rachel F TyndaleDepartment of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada; Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Ontario, Canada; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Electronic address: r.tyndale@utoronto.ca.
University of Toronto · CA

Funding

Variable brain oxycodone metabolism alters drug effectR01DA043526 · NIDA · UNIVERSITY OF TORONTO · PI TYNDALE, RACHEL FYNVOLA · 2018 to 2022
$1.5M
CIHR FDN-154294NIDA NIH HHS R01 DA043526
6 · The paper itself

Abstract

Cytochrome P450 2D (CYP2D) mediates the activation and inactivation of several classes of psychoactive drugs, including opioids, which can alter drug response. Tramadol is a synthetic opioid with analgesic activity of its own as well as being metabolically activated by CYP2D to O-desmethyltramadol (ODMST) an opioid receptor agonist. We investigated the impact of brain CYP2D metabolism on central tramadol and ODSMT levels, and resulting analgesic response after oral tramadol administration in rats. CYP2D inhibitors propranolol and propafenone were administered intracerebroventricularly prior to oral tramadol administration and analgesia was measured by tail-flick latency. Drug levels of tramadol and its metabolites, ODSMT and N-desmethyltramadol, were assessed in plasma and in brain by microdialysis using LC-ESI-MS/MS. Inhibiting brain CYP2D with propafenone pretreatment increased analgesia after oral tramadol administration (ANOVA p = 0.02), resulting in a 1.5-fold increase in area under the analgesia-time curve (AUC

Indexed as

AnalgesiaAnimalsCytochrome P-450 Enzyme InhibitorsCytochrome P450 Family 2Drug Therapy, CombinationMaleNarcoticsPainPain ManagementPain MeasurementPain ThresholdRatsRats, WistarTramadolCyp2d1 protein, ratCytochrome P-450 Enzyme InhibitorsCytochrome P450 Family 2NarcoticsTramadolAnalgesiaBrainCytochrome P450MetabolismOpioidsTramadol

Identifiers

PMID32926950
PMCPMC8262591
OpenAlexW3085203878

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.