Evidence map›Paper›PMID 34155354›Full record

ArticleNature biomedical engineering2023

A prototype closed-loop brain-machine interface for the study and treatment of pain.

Qiaosheng Zhang, Sile Hu, Robert Talay, Zhengdong Xiao, David Rosenberg, Yaling Liu, Guanghao Sun, Anna Li, Bassir Caravan, Amrita Singh and 3 more

Open access · greenAbstract read
In one paragraph

Article in Nature biomedical engineering, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

40 citing papers in PubMed, 78 citations in OpenAlex.

  1. Review
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  4. Article
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  9. Article
  10. Article
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  12. Non-Invasive Brain-Computer Interfaces: State of the Art and Trends.IEEE reviews in biomedical engineering · 2025
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Optogenetic Brain-Computer Interfaces.Bioengineering (Basel, Switzerland) · 2024
    Review
  18. Article
  19. Pathology of pain and its implications for therapeutic interventions.Signal transduction and targeted therapy · 2024
    Review
  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

13 authors at 2 institutions in 1 country.

Qiaosheng ZhangDepartment of Anesthesiology, Perioperative Care and Pain, New York University School of Medicine, New York, NY, USA.ORCID 0000-0003-0485-3126
Sile HuDepartment of Psychiatry, New York University School of Medicine, New York, NY, USA.
Robert TalayDepartment of Anesthesiology, Perioperative Care and Pain, New York University School of Medicine, New York, NY, USA.
Zhengdong XiaoDepartment of Psychiatry, New York University School of Medicine, New York, NY, USA.
David RosenbergDepartment of Psychiatry, New York University School of Medicine, New York, NY, USA.
Yaling LiuDepartment of Anesthesiology, Perioperative Care and Pain, New York University School of Medicine, New York, NY, USA.
Guanghao SunDepartment of Psychiatry, New York University School of Medicine, New York, NY, USA.
Anna LiDepartment of Anesthesiology, Perioperative Care and Pain, New York University School of Medicine, New York, NY, USA.
Bassir CaravanDepartment of Psychiatry, New York University School of Medicine, New York, NY, USA.
Amrita SinghDepartment of Anesthesiology, Perioperative Care and Pain, New York University School of Medicine, New York, NY, USA.
Jonathan D GouldCollege of Arts and Sciences, New York University, New York, NY, USA.ORCID 0000-0003-3075-4965
Zhe S ChenDepartment of Psychiatry, New York University School of Medicine, New York, NY, USA. zhe.chen@nyulangone.org.ORCID 0000-0002-6483-6056
Jing WangDepartment of Anesthesiology, Perioperative Care and Pain, New York University School of Medicine, New York, NY, USA. jing.wang2@nyulangone.org.ORCID 0000-0003-1580-1356
New York University · USFlorida State University · US

Funding

Central glutamate signaling in postoperative pain regulation - Revision - 1R01GM115384 · NIGMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Jing Wang · 2015 to 2026
$5.4M
CRNS: An Integrative Study of Hippocampal-Neocortical Memory Coding during Sleep R01MH118928 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CHEN, ZHE SAGE, WILSON, MATTHEW A · 2018 to 2022
$1.8M
CRCN: Dissecting Neural Circuits for Acute PainR01NS100065 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CHEN, ZHE SAGE, WANG, JING · 2016 to 2019
$1.5M
Cortical Information Integration as a Model for Pain Perception and BehaviorR01NS121776 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CHEN, ZHE SAGE, WANG, JING · 2024 to 2025
$1.2M
NIGMS NIH HHS R01 GM115384NIMH NIH HHS R01 MH118928NINDS NIH HHS R01 NS100065NINDS NIH HHS R01 NS121776
6 · The paper itself

Abstract

Chronic pain is characterized by discrete pain episodes of unpredictable frequency and duration. This hinders the study of pain mechanisms and contributes to the use of pharmacological treatments associated with side effects, addiction and drug tolerance. Here, we show that a closed-loop brain-machine interface (BMI) can modulate sensory-affective experiences in real time in freely behaving rats by coupling neural codes for nociception directly with therapeutic cortical stimulation. The BMI decodes the onset of nociception via a state-space model on the basis of the analysis of online-sorted spikes recorded from the anterior cingulate cortex (which is critical for pain processing) and couples real-time pain detection with optogenetic activation of the prelimbic prefrontal cortex (which exerts top-down nociceptive regulation). In rats, the BMI effectively inhibited sensory and affective behaviours caused by acute mechanical or thermal pain, and by chronic inflammatory or neuropathic pain. The approach provides a blueprint for demand-based neuromodulation to treat sensory-affective disorders, and could be further leveraged for nociceptive control and to study pain mechanisms.

Indexed as

Brain-Computer InterfacesAnimalsGyrus CinguliPainRatsRats, Sprague-Dawley

Identifiers

PMID34155354
PMCPMC9516430
OpenAlexW3175692466

What OpenQuestion holds

Textmetadata
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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.