Evidence map›Paper›PMID 33903611›Full record

Trial reportScientific reports2021

Stimulation of zona incerta selectively modulates pain in humans.

Charles W Lu, Daniel E Harper, Asra Askari, Matthew S Willsey, Philip P Vu, Andrew D Schrepf, Steven E Harte, Parag G Patil

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Abnormal iron metabolism in the zona incerta in Parkinson's disease mice.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Article
  6. Article
  7. Zona incerta: from Parkinson's disease to addiction.Frontiers in neural circuits · 2025
    Article
  8. Dopaminergic Neurons in Zona Incerta Drives Appetitive Self-Grooming.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Dorsal subthalamic deep brain stimulation improves pain in Parkinson's disease.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Article
  14. Article
  15. Article
  16. Parvalbumin Neurons in Zona Incerta Regulate Itch in Mice.Frontiers in molecular neuroscience · 2022
    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

8 authors at 2 institutions in 1 country.

Charles W LuDepartment of Neurosurgery, University of Michigan, 1500 E Medical Center Drive, SPC 5338, Ann Arbor, MI, 48109-5338, USA.
Daniel E HarperDepartment of Anesthesiology, Emory University, Atlanta, GA, USA.
Asra AskariDepartment of Neurosurgery, University of Michigan, 1500 E Medical Center Drive, SPC 5338, Ann Arbor, MI, 48109-5338, USA.
Matthew S WillseyDepartment of Neurosurgery, University of Michigan, 1500 E Medical Center Drive, SPC 5338, Ann Arbor, MI, 48109-5338, USA.
Philip P VuDepartment of Neurosurgery, University of Michigan, 1500 E Medical Center Drive, SPC 5338, Ann Arbor, MI, 48109-5338, USA.
Andrew D SchrepfDepartment of Anesthesiology, Chronic Pain and Fatigue Research Center, University of Michigan Medical School, Ann Arbor, MI, USA.
Steven E HarteDepartment of Anesthesiology, Chronic Pain and Fatigue Research Center, University of Michigan Medical School, Ann Arbor, MI, USA.
Parag G PatilDepartment of Neurosurgery, University of Michigan, 1500 E Medical Center Drive, SPC 5338, Ann Arbor, MI, 48109-5338, USA. pgpatil@med.umich.edu.
University of Michigan–Ann Arbor · USEmory University · US

Funding

MICHIGAN MEDICAL SCIENTIST TRAINING PROGRAMT32GM007863 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI COLLINS, KATHLEEN L. · 1985 to 2024
$38.3M
NIGMS NIH HHS T32 GM007863
6 · The paper itself

Abstract

Stimulation of zona incerta in rodent models has been shown to modulate behavioral reactions to noxious stimuli. Sensory changes observed in Parkinsonian patients with subthalamic deep brain stimulation suggest that this effect is translatable to humans. Here, we utilized the serendipitous placement of subthalamic deep brain stimulation leads in 6 + 5 Parkinsonian patients to directly investigate the effects of zona incerta stimulation on human pain perception. We found that stimulation at 20 Hz, the physiological firing frequency of zona incerta, reduces experimental heat pain by a modest but significant amount, achieving a 30% reduction in one fifth of implants. Stimulation at higher frequencies did not modulate heat pain. Modulation was selective for heat pain and was not observed for warmth perception or pressure pain. These findings provide a mechanistic explanation of sensory changes seen in subthalamic deep brain stimulation patients and identify zona incerta as a potential target for neuromodulation of pain.

Indexed as

Deep Brain StimulationPain ManagementParkinson DiseaseAgedFemaleHumansMaleMiddle AgedPainZona Incerta

Identifiers

PMID33903611
PMCPMC8076305
OpenAlexW3159396024

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.