Evidence map›Paper›PMID 33432189›Full record

ArticleMolecular psychiatry2021

Drug repurposing for opioid use disorders: integration of computational prediction, clinical corroboration, and mechanism of action analyses.

Mengshi Zhou, QuanQiu Wang, Chunlei Zheng, A John Rush, Nora D Volkow, Rong Xu

Open access · bronzeAbstract read
In one paragraph

Article in Molecular psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

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  15. Article
  16. Article
  17. Artificial intelligence and Psychiatry: An overview.Asian journal of psychiatry · 2022
    Review
  18. Article
  19. The use of real-world data in drug repurposing.Translational and clinical pharmacology · 2021
    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

6 authors at 4 institutions in 2 countries.

Mengshi Zhou *Center for Artificial Intelligence in Drug Discovery, Case Western Reserve University, Cleveland, OH, USA.
QuanQiu Wang *Center for Artificial Intelligence in Drug Discovery, Case Western Reserve University, Cleveland, OH, USA.
Chunlei ZhengCenter for Artificial Intelligence in Drug Discovery, Case Western Reserve University, Cleveland, OH, USA.
A John RushDuke University School of Medicine, Durham, NC, USA.
Nora D VolkowNational Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, USA.ORCID http://orcid.org/0000-0001-6668-0908
Rong XuCenter for Artificial Intelligence in Drug Discovery, Case Western Reserve University, Cleveland, OH, USA. rxx@case.edu.ORCID http://orcid.org/0000-0003-3127-4795
Case Western Reserve University · USNational Institutes of Health · USSt. Cloud State University · USThe University of Texas of the Permian Basin · US

Funding

Neurobiology of Substance Abuse and AddictionZIAAA000550 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI VOLKOW, NORA D. · 2009 to 2025
$115.1M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages to Equity in Health (CLE Health)UM1TR004528 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI GRACE A MCCOMSEY · 2023 to 2026
$32.1M
Greater Southern California Node of the Clinical Trials NetworkUG1DA049435 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI YIH-ING HSER · 2019 to 2026
$16.7M
Combine computational prediction, network analysis and genetic screening in C elegans to uncover neurodegenerative causes in Alzheimer's DiseaseR01AG061388 · NIA · CASE WESTERN RESERVE UNIVERSITY · PI CHEN, SHU G., XU, RONG · 2018 to 2022
$3.4M
An Integrated Reverse Engineering Approach Toward Rapid drug Re positioning for Alzheimer's DiseaseR01AG057557 · NIA · CASE WESTERN RESERVE UNIVERSITY · PI XU, RONG · 2017 to 2021
$2.8M
Computational Genomic Epidemiology of Cancer (CoGEC) Training ProgramT32CA094186 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI Thomas Louis LaFramboise, Rong Xu · 2017 to 2026
$2.6M
Rapid reverse translational drug repositioningDP2HD084068 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI XU, RONG · 2014 to 2014
$2.4M
Repositioning of Clinically Approved Drugs toward the Prevention and Risk Evaluation of Early Cataract ProgressionR01EY029297 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI MONNIER, VINCENT M, XU, RONG · 2019 to 2021
$2.0M
Construct large-scale phenomes of disease and drugs and develop data-driven systems approaches to understand genetic links between Alzheimer's disease and Neuropsychiatric symptomsR56AG062272 · NIA · CASE WESTERN RESERVE UNIVERSITY · PI XU, RONG · 2018 to 2019
$1.6M
NCATS NIH HHS UL1 TR002548NCATS NIH HHS UM1 TR004528NCI NIH HHS T32 CA094186NIA NIH HHS R01 AG057557NIA NIH HHS R01 AG061388NIA NIH HHS R56 AG062272NICHD NIH HHS DP2 HD084068NIDA NIH HHS UG1 DA049435
6 · The paper itself

Abstract

Morbidity and mortality from opioid use disorders (OUD) and other substance use disorders (SUD) is a major public health crisis, yet there are few medications to treat them. There is an urgency to accelerate SUD medication development. We present an integrated drug repurposing strategy that combines computational prediction, clinical corroboration using electronic health records (EHRs) of over 72.9 million patients and mechanisms of action analysis. Among top-ranked repurposed candidate drugs, tramadol, olanzapine, mirtazapine, bupropion, and atomoxetine were associated with increased odds of OUD remission (adjusted odds ratio: 1.51 [1.38-1.66], 1.90 [1.66-2.18], 1.38 [1.31-1.46], 1.37 [1.29-1.46], 1.48 [1.25-1.76], p value < 0.001, respectively). Genetic and functional analyses showed these five candidate drugs directly target multiple OUD-associated genes including BDNF, CYP2D6, OPRD1, OPRK1, OPRM1, HTR1B, POMC, SLC6A4 and OUD-associated pathways, including opioid signaling, G-protein activation, serotonin receptors, and GPCR signaling. In summary, we developed an integrated drug repurposing approach and identified five repurposed candidate drugs that might be of value for treating OUD patients, including those suffering from comorbid conditions.

Indexed as

Drug RepositioningOpioid-Related DisordersAnalgesics, OpioidElectronic Health RecordsHumansOdds RatioSerotonin Plasma Membrane Transport ProteinsAnalgesics, OpioidSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, human

Identifiers

PMID33432189
PMCPMC7797705
OpenAlexW3118755727

What OpenQuestion holds

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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.