Evidence map›Paper›PMID 32957037›Full record

ReviewJournal of the neurological sciences2020

Neurological correlates of brain reward circuitry linked to opioid use disorder (OUD): Do homo sapiens acquire or have a reward deficiency syndrome?

Mark S Gold, David Baron, Abdalla Bowirrat, Kenneth Blum

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of the neurological sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.4field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Dopaminergic Homeostatic Therapy (DHTActa scientific neurology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Neurogenetics and Epigenetics of Loneliness.Psychology research and behavior management · 2023
    Review
  15. How to Combat the Global Opioid Crisis.CPQ neurology and psychology · 2023
    Article
  16. Article
  17. Futuristic Exploration of Addiction Neuroscience in the Genomic Era.Psychology research and behavior management · 2023
    Article
  18. Review
  19. Article
  20. 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 3 institutions in 2 countries.

Mark S GoldDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, United States. Electronic address: drmarkgold@gmail.com.
David BaronGraduate School of Biomedical Sciences, Western University Health Sciences, Pomona, CA, United States.
Abdalla BowirratDepartment of Neuroscience and Genetics, Interdisciplinary Center Herzliya, Israel.
Kenneth BlumGraduate School of Biomedical Sciences, Western University Health Sciences, Pomona, CA, United States.
Western University of Health Sciences · USReichman University · ILWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The extant literature confirms that an array of polymorphic genes related to- neurotransmitters and second messengers govern the net release of dopamine in the Nucleus Accumbens (NAc) in the mesolimbic region of the brain. They are linked predominantly to motivation, anti-stress, incentive salience (wanting), and wellbeing. Notably, in 2000 the Nobel Prize was awarded to Carlsson, Greengard, and Kandel for their work on the molecular and cellular function of dopaminergic activity at neurons. This historical psychopharmacological work involved neurotransmission of serotonin, endorphins, glutamate, and dopamine, and the seminal work of Blum, Gold, Volkow, Nestler, and others related to neurotransmitter function and related behaviors. Currently, Americans are facing their second and worst opioid epidemic, prescribed opioids, and easy access drive this epidemic of overdoses, and opioid use disorders (OUDs). Presently the clinical consensus is to treat OUD, as if it were an opioid deficiency syndrome, with long-term to life-long opioid substitution therapy. Opioid agonist administration is seen as necessary to replace missing opioids, treat OUD, and prevent overdoses, like insulin is used to treat diabetes. Treatment of OUD and addiction, in general, is similar to the endocrinopathy conceptualization in that it views opioid agonist MATs as an essential core to therapy. Is this approach logical? Other than as harm reduction, is using opioids to treat OUD therapeutic or harmful in the long term? This historical Trieste provides a molecular framework to understand the current underpinnings of endorphinergic/dopaminergic mechanisms related to opioid deficiency syndrome and generalized reward processing depletion. WC 249.

Indexed as

Behavior, AddictiveOpioid-Related DisordersBrainHumansRewardSyndromeBrain reward Cascade (BRC)Dopamine deficiency syndromeDopamine release and homeostasisEndorphinergic deficiency syndromeEndorphinergic mechanismsGenetic testing of addiction liabilityNeurotransmissionOpioid use disorder (OUD)Precision addiction management’Reward deficiency syndrome (RDS)

Identifiers

PMID32957037
PMCPMC7490287
OpenAlexW3087165214

What OpenQuestion holds

Textmetadata
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.