Evidence map›Paper›PMID 34188183›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2021

Preclinical evidence to support repurposing everolimus for craving reduction during protracted drug withdrawal.

Alvin S Chiu, Matthew C Kang, Laura L Huerta Sanchez, Anne M Fabella, Kalysta N Holder, Brooke D Barger, Kristina N Elias, Christina B Shin, C Leonardo Jimenez Chavez, Tod E Kippin and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Inactivation of NMDAR and CaMKII signaling within the prelimbic cortex blocks incubated cocaine- and sucrose-craving.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. KAddiction biology · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. 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

11 authors at 1 institution in 1 country.

Alvin S ChiuDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA.
Matthew C KangDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA.
Laura L Huerta SanchezDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA.
Anne M FabellaDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA.
Kalysta N HolderDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA.
Brooke D BargerDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA.
Kristina N EliasDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA.
Christina B ShinDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA.
C Leonardo Jimenez ChavezDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA.
Tod E KippinDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA.
Karen K SzumlinskiDepartment of Psychological and Brain Sciences, University of California Santa Barbara, Santa Barbara, CA, USA. szumlinski@ucsb.edu.ORCID http://orcid.org/0000-0003-1078-1077
University of California, Santa Barbara · US

Funding

Adolescent Alcohol and AnxietyR01AA024044 · NIAAA · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI SZUMLINSKI, KAREN KATHLEEN · 2016 to 2020
$1.7M
NIAAA NIH HHS R01 AA024044
6 · The paper itself

Abstract

Cue-elicited drug-craving is a cardinal feature of addiction that intensifies (incubates) during protracted withdrawal. In a rat model, these addiction-related behavioral pathologies are mediated, respectively, by time-dependent increases in PI3K/Akt1 signaling and reduced Group 1 metabotropic glutamate receptor (mGlu) expression, within the ventromedial prefrontal cortex (vmPFC). Herein, we examined the capacity of single oral dosing with everolimus, an FDA-approved inhibitor of the PI3K/Akt effector mTOR, to reduce incubated cocaine-craving and reverse incubation-associated changes in vmPFC kinase activity and mGlu expression. Rats were trained to lever-press for intravenous infusions of cocaine or delivery of sucrose pellets and then subjected to tests for cue-reinforced responding during early (3 days) or late (30-46 days) withdrawal. Rats were gavage-infused with everolimus (0-1.0 mg/kg), either prior to testing to examine for effects upon reinforcer-seeking behavior, or immediately following testing to probe effects upon the consolidation of extinction learning. Single oral dosing with everolimus dose-dependently blocked cocaine-seeking during late withdrawal and the effect lasted at least 24 h. No everolimus effects were observed for cue-elicited sucrose-seeking or cocaine-seeking in early withdrawal. In addition, everolimus treatment, following initial cue-testing, reduced subsequent cue hyper-responsivity exhibited observed during late withdrawal, arguing a facilitation of extinction memory consolidation. everolimus' "anti-incubation" effect was associated with a reversal of withdrawal-induced changes in indices of PI3K/Akt1/mTOR activity, as well as Homer protein and mGlu1/5 expression, within the prelimbic (PL) subregion of the prefrontal cortex. Our results indicate mTOR inhibition as a viable strategy for interrupting heightened cocaine-craving and facilitating addiction recovery during protracted withdrawal.

Indexed as

CocaineCocaine-Related DisordersPharmaceutical PreparationsSubstance Withdrawal SyndromeAnimalsCravingCuesDrug RepositioningDrug-Seeking BehaviorEverolimusExtinction, PsychologicalPhosphatidylinositol 3-KinasesRatsSelf AdministrationCocaineEverolimusPharmaceutical PreparationsPhosphatidylinositol 3-Kinases

Identifiers

PMID34188183
PMCPMC8505628
OpenAlexW3122479200

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.