Evidence map›Paper›PMID 33181192›Full record

ReviewPharmacology & therapeutics2021

Fight fire with fire: Neurobiology of capsaicin-induced analgesia for chronic pain.

Vipin Arora, James N Campbell, Man-Kyo Chung

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Pharmacology & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05523934 (Capsaïcin patch8% in Adult Complex Regional Pain Syndromes), which is not on this map. Cited by 91 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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.

NCT05523934 unknown statusnot on this mapstarted 2022, after this paper: background citation

Capsaïcin patch8% in Adult Complex Regional Pain Syndromes: a Retrospective Analysis

TypeobservationalSponsorBrugmann University HospitalRan2022 to 2023Enrolled50ConditionsComplex Regional Pain SyndromesArmsCapsaïcine patch
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 1 synthesis or guideline pooled it, 181 citations in OpenAlex.

  1. Pooled it
  2. Effect ofNutrients · 2026
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  7. Functional and molecular diversity of human C-fibers in pain modulation.Current opinion in supportive and palliative care · 2026
    Review
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31 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 1 country.

Vipin AroraDepartment of Neural and Pain Sciences, School of Dentistry, Program in Neuroscience, Center to Advance Chronic Pain Research, University of Maryland, Baltimore, MD 21201, United States of America.
James N CampbellCentrexion Therapeutics, Boston, MA, 02109, United States of America.
Man-Kyo ChungDepartment of Neural and Pain Sciences, School of Dentistry, Program in Neuroscience, Center to Advance Chronic Pain Research, University of Maryland, Baltimore, MD 21201, United States of America. Electronic address: mchung@umaryland.edu.
University of Maryland, Baltimore · USCentrexion Therapeutics (United States) · US

Funding

Trigeminal nociceptors: Neural intersection of chronic pain and alveolar bone remodelingR35DE030045 · NIDCR · UNIVERSITY OF MARYLAND BALTIMORE · PI Man-Kyo Chung · 2020 to 2026
$7.1M
Primary afferent plasticity in chronic painR01DE027731 · NIDCR · UNIVERSITY OF MARYLAND BALTIMORE · PI CHUNG, MAN-KYO, WEI, FENG · 2018 to 2022
$2.7M
NIDCR NIH HHS R01 DE027731NIDCR NIH HHS R35 DE030045
6 · The paper itself

Abstract

Capsaicin, the pungent ingredient in chili peppers, produces intense burning pain in humans. Capsaicin selectively activates the transient receptor potential vanilloid 1 (TRPV1), which is enriched in nociceptive primary afferents, and underpins the mechanism for capsaicin-induced burning pain. Paradoxically, capsaicin has long been used as an analgesic. The development of topical patches and injectable formulations containing capsaicin has led to application in clinical settings to treat chronic pain conditions, such as neuropathic pain and the potential to treat osteoarthritis. More detailed determination of the neurobiological mechanisms of capsaicin-induced analgesia should provide the logical rationale for capsaicin therapy and help to overcome the treatment's limitations, which include individual differences in treatment outcome and procedural discomfort. Low concentrations of capsaicin induce short-term defunctionalization of nociceptor terminals. This phenomenon is reversible within hours and, hence, likely does not account for the clinical benefit. By contrast, high concentrations of capsaicin lead to long-term defunctionalization mediated by the ablation of TRPV1-expressing afferent terminals, resulting in long-lasting analgesia persisting for several months. Recent studies have shown that capsaicin-induced Ca

Indexed as

AnalgesicsCapsaicinChronic PainAnalgesiaAnimalsCalpainMiceNeuralgiaTRPV Cation ChannelsAnalgesicsCalpainCapsaicinTRPV Cation ChannelsAnalgesiaCalpainCapsaicinMicrotubuleNeuropathic painOsteoarthritisResiniferatoxinTRPV1

Identifiers

PMID33181192
PMCPMC7969397
OpenAlexW3098192848

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.