Evidence map›Paper›PMID 34002697›Full record

ArticleeLife2021

ß-arrestin 2 germline knockout does not attenuate opioid respiratory depression.

Iris Bachmutsky, Xin Paul Wei, Adelae Durand, Kevin Yackle

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. 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
3.5field-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, 54 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Structure-Bias Relationship of μ-Opioid Receptor Agonists.Handbook of experimental pharmacology · 2026
    Review
  6. Article
  7. Role of β-Arrestin 2 in the antinociceptive and side effect profile of morphine and the novel mu opioid receptor agonists, kurkinorin and kurkinol.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Pathology of pain and its implications for therapeutic interventions.Signal transduction and targeted therapy · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Pharmacological reviews · 2023
    Review
  18. Article
  19. Article
  20. 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

4 authors at 1 institution in 1 country.

Iris Bachmutsky *Department of Physiology, University of California, San Francisco, San Francisco, United States.
Xin Paul Wei *Department of Physiology, University of California, San Francisco, San Francisco, United States.ORCID 0000-0002-6621-3143
Adelae DurandDepartment of Physiology, University of California, San Francisco, San Francisco, United States.
Kevin YackleDepartment of Physiology, University of California, San Francisco, San Francisco, United States.ORCID 0000-0003-1870-2759
University of California, San Francisco · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007618 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ANDERSON, MARK S · 1985 to 2020
$29.6M
Cellular and Molecular Identification of the Breathing Pacemaker NeuronsDP5OD023116 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI YACKLE, KEVIN · 2016 to 2020
$1.9M
NIGMS NIH HHS T32 GM007618NIH HHS DP5 OD023116
6 · The paper itself

Abstract

Opioids are perhaps the most effective analgesics in medicine. However, between 1999 and 2018, over 400,000 people in the United States died from opioid overdose. Excessive opioids make breathing lethally slow and shallow, a side-effect called opioid-induced respiratory depression. This doubled-edged sword has sparked the desire to develop novel therapeutics that provide opioid-like analgesia without depressing breathing. One such approach has been the design of so-called 'biased agonists' that signal through some, but not all pathways downstream of the µ-opioid receptor (MOR), the target of morphine and other opioid analgesics. This rationale stems from a study suggesting that MOR-induced ß-arrestin 2 dependent signaling is responsible for opioid respiratory depression, whereas adenylyl cyclase inhibition produces analgesia. To verify this important result that motivated the 'biased agonist' approach, we re-examined breathing in ß-arrestin 2-deficient mice and instead find no connection between ß-arrestin 2 and opioid respiratory depression. This result suggests that any attenuated effect of 'biased agonists' on breathing is through an as-yet defined mechanism.

Indexed as

Analgesics, OpioidAnimalsbeta-Arrestin 2MiceMice, KnockoutMorphinePlethysmographyRespirationRespiratory InsufficiencyAnalgesics, Opioidbeta-Arrestin 2Morphinebiased agonistbreathingmouseneuroscienceopioid induced respiratory depressionOpioidsß-arrestin 2

Identifiers

PMID34002697
PMCPMC8213404
OpenAlexW3160957009

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.