Evidence map›Paper›PMID 36591324›Full record

ReviewFrontiers in systems neuroscience2022

The role of endogenous opioid neuropeptides in neurostimulation-driven analgesia.

Susan T Lubejko, Robert D Graham, Giulia Livrizzi, Robert Schaefer, Matthew R Banghart, Meaghan C Creed

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in systems neuroscience, 2022. 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
3.3field-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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
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  7. Review
  8. Persistent Opioid Use Following Major Orthopedic Surgery.Current pain and headache reports · 2025
    Review
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  11. Article
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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

6 authors at 2 institutions in 1 country.

Susan T LubejkoDepartment of Neurobiology, School of Biological Sciences, University of California, San Diego, La Jolla, CA, United States.
Robert D GrahamDepartment of Anesthesiology, Pain Center, School of Medicine, Washington University in St. Louis, St. Louis, MO, United States.
Giulia LivrizziDepartment of Neurobiology, School of Biological Sciences, University of California, San Diego, La Jolla, CA, United States.
Robert SchaeferDepartment of Anesthesiology, Pain Center, School of Medicine, Washington University in St. Louis, St. Louis, MO, United States.
Matthew R BanghartDepartment of Neurobiology, School of Biological Sciences, University of California, San Diego, La Jolla, CA, United States.
Meaghan C CreedDepartment of Anesthesiology, Pain Center, School of Medicine, Washington University in St. Louis, St. Louis, MO, United States.
University of California, San Diego · USWashington University in St. Louis · US

Funding

BIOMEDICAL RESEARCH TRAINING IN DRUG ABUSET32DA007261 · NIDA · WASHINGTON UNIVERSITY · PI ARPANA AGRAWAL, Jose A Moron-Concepcion · 1991 to 2026
$8.8M
Neurosciences Graduate Training ProgramT32NS061847 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Brenda L Bloodgood · 2008 to 2026
$7.7M
Dissecting the role of ventral pallidal projections to nucleus accumbens in reward processingR01DA049924 · NIDA · WASHINGTON UNIVERSITY · PI CREED, MEAGHAN C · 2020 to 2024
$2.0M
NIDA NIH HHS R01 DA049924NIDA NIH HHS T32 DA007261NINDS NIH HHS T32 NS061847
6 · The paper itself

Abstract

Due to the prevalence of chronic pain worldwide, there is an urgent need to improve pain management strategies. While opioid drugs have long been used to treat chronic pain, their use is severely limited by adverse effects and abuse liability. Neurostimulation techniques have emerged as a promising option for chronic pain that is refractory to other treatments. While different neurostimulation strategies have been applied to many neural structures implicated in pain processing, there is variability in efficacy between patients, underscoring the need to optimize neurostimulation techniques for use in pain management. This optimization requires a deeper understanding of the mechanisms underlying neurostimulation-induced pain relief. Here, we discuss the most commonly used neurostimulation techniques for treating chronic pain. We present evidence that neurostimulation-induced analgesia is in part driven by the release of endogenous opioids and that this endogenous opioid release is a common endpoint between different methods of neurostimulation. Finally, we introduce technological and clinical innovations that are being explored to optimize neurostimulation techniques for the treatment of pain, including multidisciplinary efforts between neuroscience research and clinical treatment that may refine the efficacy of neurostimulation based on its underlying mechanisms.

Indexed as

analgesiadeep brain stimulation (DBS)neuromodulationneurostimulationopioidpainspinal cord stimulation (SCS)μ-opioid receptor

Identifiers

PMID36591324
PMCPMC9794630
OpenAlexW4311330243

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.