Evidence map›Paper›PMID 33678418›Full record

ArticleBiological psychiatry2021

Noninvasive Brain Stimulation Rescues Cocaine-Induced Prefrontal Hypoactivity and Restores Flexible Behavior.

Elizabeth A West, Mark Niedringhaus, Heather K Ortega, Rachel M Haake, Flavio Frohlich, Regina M Carelli

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  4. Aberrant Medial Prefrontal Cortex Activity and Flexible Behavior in the TgF344-AD Rat Model of Alzheimer's Disease.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
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  16. Prelimbic Cortex Activity during a Distress Tolerance Task Predicts Cocaine-Seeking Behavior in Male, But Not Female Rats.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Elizabeth A WestDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Department of Cell Biology and Neuroscience, Rowan University School of Osteopathic Medicine, Stratford, New Jersey. Electronic address: westniedringhaus@rowan.edu.
Mark NiedringhausDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Department of Cell Biology and Neuroscience, Rowan University School of Osteopathic Medicine, Stratford, New Jersey.
Heather K OrtegaDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Rachel M HaakeDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Flavio FrohlichDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Department of Cell Biology and Physiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Department of Neurology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Department of Biomedical Engineering, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Carolina Center for Neurostimulation, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Regina M CarelliDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: rcarelli@unc.edu.
University of North Carolina at Chapel Hill · US

Funding

Training on Research in Drug AbuseT32DA007244 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Regina M Carelli · 1990 to 2026
$7.6M
Neurophysiological Study: Cocaine &Natural ReinforcersR01DA014339 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CARELLI, REGINA M · 2001 to 2018
$4.5M
Rational Optimization of tACS for Targeting Thalamo-Cortical OscillationsR01MH111889 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FROHLICH, FLAVIO · 2016 to 2019
$2.4M
Neurobiological Investigation of Decision Making in RatsR01DA034021 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CARELLI, REGINA M · 2013 to 2017
$1.7M
NEURAL CIRCUITRY MEDIATING BEHAVIORAL FLEXIBILITYR00DA042934 · NIDA · ROWAN UNIVERSITY SCHOOL/OSTEOPATHIC MED · PI WEST, ELIZABETH A · 2020 to 2022
$1.4M
Non-invasive brain stimulation and addiction: preclinical modelR21DA045335 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CARELLI, REGINA M · 2018 to 2019
$414k
Neural circuitry mediating behavioral flexibilityK99DA042934 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WEST, ELIZABETH A · 2017 to 2018
$239k
The role of accumbens neural activity and dopamine release in flexible behaviorF32DA037733 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WEST, ELIZABETH A · 2014 to 2016
$171k
NIDA NIH HHS F32 DA037733NIDA NIH HHS K99 DA042934NIDA NIH HHS R00 DA042934NIDA NIH HHS R01 DA014339NIDA NIH HHS R01 DA034021NIDA NIH HHS R21 DA045335NIDA NIH HHS T32 DA007244NIMH NIH HHS R01 MH111889
6 · The paper itself

Abstract

backgroundTo obtain desirable goals, individuals must predict the outcome of specific choices, use that information to direct appropriate actions, and adjust behavior accordingly in changing environments (behavioral flexibility). Substance use disorders are marked by impairments in behavioral flexibility along with decreased prefrontal cortical function that limits the efficacy of treatment strategies. Restoring prefrontal hypoactivity, ideally in a noninvasive manner, is an intriguing target for improving flexible behavior and treatment outcomes.

methodsA behavioral flexibility task was used in Long-Evans male rats (n = 97) in conjunction with electrophysiology, optogenetics, and a novel rat model of transcranial alternating current stimulation (tACS) to examine the prelimbic cortex (PrL) to nucleus accumbens (NAc) core circuit in behavioral flexibility and determine whether tACS can restore cocaine-induced neural and cognitive dysfunction.

resultsOptogenetic inactivation revealed that the PrL-NAc core circuit is necessary for the ability to learn strategies to flexibly shift behavior. Cocaine self-administration history caused aberrant PrL-NAc core neural encoding and deficits in flexibility. Optogenetics that selectively activated the PrL-NAc core pathway prior to learning rescued cocaine-induced cognitive flexibility deficits. Remarkably, tACS prior to learning the task reestablished adaptive signaling in the PrL-NAc circuit and restored flexible behavior in a relatively noninvasive and frequency-specific manner.

conclusionsWe establish a role of NAc core-projecting PrL neurons in behavioral flexibility and provide a novel noninvasive brain stimulation method in rats to rescue cocaine-induced frontal hypofunction and restore flexible behavior, supporting a role of tACS as a therapeutic to treat cognitive deficits in substance use disorders.

Indexed as

CocaineAnimalsBrainDrug-Seeking BehaviorMaleNucleus AccumbensPrefrontal CortexRatsRats, Long-EvansCocaineAddictionBehaviorCocaineNucleus accumbensRattACS

Identifiers

PMID33678418
PMCPMC8106639
OpenAlexW3119139589

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.