Evidence map›Paper›PMID 34485973›Full record

ReviewIBRO neuroscience reports2021

Cannabidiol and the corticoraphe circuit in post-traumatic stress disorder.

Claire Alexander, Maryam Vasefi

Open access · goldAbstract readReview
In one paragraph

Review in IBRO neuroscience reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. 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

2 authors at 1 institution in 1 country.

Claire AlexanderDepartment of Biology, Lamar University, Beaumont, TX 77710, USA.
Maryam VasefiDepartment of Biology, Lamar University, Beaumont, TX 77710, USA.
Lamar University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-Traumatic Stress Disorder (PTSD), characterized by re-experiencing, avoidance, negative affect, and impaired memory processing, may develop after traumatic events. PTSD is complicated by impaired plasticity and medial prefrontal cortex (mPFC) activity, hyperactivity of the amygdala, and impaired fear extinction. Cannabidiol (CBD) is a promising candidate for treatment due to its multimodal action that enhances plasticity and calms hyperexcitability. CBD's mechanism in the mPFC of PTSD patients has been explored extensively, but literature on the mechanism in the dorsal raphe nucleus (DRN) is lacking. Following the PRISMA guidelines, we examined current literature regarding CBD in PTSD and overlapping symptomologies to propose a mechanism by which CBD treats PTSD via corticoraphe circuit. Acute CBD inhibits excess 5-HT release from DRN to amygdala and releases anandamide (AEA) onto amygdala inputs. By first reducing amygdala and DRN hyperactivity, CBD begins to ameliorate activity disparity between mPFC and amygdala. Chronic CBD recruits the mPFC, creating harmonious corticoraphe signaling. DRN releases enough 5-HT to ameliorate mPFC hypoactivity, while the mPFC continuously excites DRN 5-HT neurons via glutamate. Meanwhile, AEA regulates corticoraphe activity to stabilize signaling. AEA prevents DRN GABAergic interneurons from inhibiting 5-HT release so the DRN can assist the mPFC in overcoming its hypoactivity. DRN-mediated restoration of mPFC activity underlies CBD's mechanism on fear extinction and learning of stress coping.

Indexed as

2-AG, 2-arachidonoylglycerol5-HT1AR, 5-HT Receptor Type 1A5-HT2AR, 5-HT Receptor Type 2 A5-HT, SerotoninAEA, AnandamideCannabidiolCB1R, Cannabinoid Receptor Type 1CB2R, Cannabinoid Receptor Type 2CBD, CannabidiolCOVID-19, SARS-CoV-2DRN, Dorsal Raphe NucleusERK1/2, Extracellular Signal-Related Kinases Type 1 or Type 2FAAH, Fatty Acid Amide HydrolasefMRI, Functional Magnetic Resonance ImagingGABA, Gamma-Aminobutyric AcidGPCRs, G-Protein Coupled ReceptorsmPFC, Medial Prefrontal CortexNMDAR, N-Methyl-D-aspartate ReceptorsPET, Positron Emission TomographyPFC, DRN and RaphePFC, Prefrontal CortexPTSDPTSD, Post-Traumatic Stress DisorderSerotoninSSNRI, Selective Norepinephrine Reuptake InhibitorSSRI, Selective Serotonin Reuptake InhibitorTraumatic StressTRPV1, Transient Receptor Potential Vanilloid 1 Channels

Identifiers

PMID34485973
PMCPMC8408530
OpenAlexW3195057898

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.