Evidence map›Paper›PMID 36847484›Full record

ArticleAlcohol and alcoholism (Oxford, Oxfordshire)2023

Alterations in BNST Intrinsic Functional Connectivity in Early Abstinence from Alcohol Use Disorder.

Elizabeth A Flook, Brandee Feola, Margaret M Benningfield, Marisa M Silveri, Danny G Winder, Jennifer Urbano Blackford

Abstract read
In one paragraph

Article in Alcohol and alcoholism (Oxford, Oxfordshire), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
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  3. Review
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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.

Elizabeth A FlookDepartment of Psychiatry, University of Pennsylvania, 3535 Market Street, Philadelphia, PA 19104, USA.
Brandee FeolaDepartment of Psychiatry and Behavioral Science, Vanderbilt University Medical Center, 1601 23rd Avenue South, Nashville, TN 37212, USA.
Margaret M BenningfieldVanderbilt University School of Medicine, 1161 21st Ave S # D3300, Nashville, TN 37232, USA.
Marisa M SilveriNeurodevelopmental Laboratory on Addictions and Mental Health, Brain Imaging Center, McLean Hospital, 115 Mill St, Belmont, MA 02478, USA.
Danny G WinderVanderbilt Center for Addiction Research, Vanderbilt University, 2215 Garland Ave, Nashville, TN 37232, USA.
Jennifer Urbano BlackfordVanderbilt Center for Addiction Research, Vanderbilt University, 2215 Garland Ave, Nashville, TN 37232, USA.ORCID 0000-0002-0261-4845

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
LIFE-SPAN DEVELOPMENT OF NORMAL AND ABNORMAL BEHAVIORT32MH018921 · NIMH · VANDERBILT UNIVERSITY · PI HUMPHREYS, KATHRYN LEIGH · 1989 to 2024
$6.7M
Sex differences in BNST networks during early abstinence in AUDR01AA029127 · NIAAA · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI BLACKFORD, JENNIFER URBANO · 2021 to 2025
$3.0M
Investigating the Role of the Human BNST Circuit in Alcohol WithdrawalR21AA025385 · NIAAA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BLACKFORD, JENNIFER URBANO, WINDER, DANNY G. · 2017 to 2018
$415k
Connectivity between the BNST and insula during prolonged alcohol withdrawal inhumansF30AA027418 · NIAAA · VANDERBILT UNIVERSITY · PI FLOOK, ELIZABETH · 2019 to 2021
$110k
NCATS NIH HHS UL1 TR002243NIAAA NIH HHS F30 AA027418NIAAA NIH HHS R01 AA029127NIAAA NIH HHS R21 AA025385NIGMS NIH HHS T32 GM007347NIGMS NIH HHS T32GM007347NIMH NIH HHS T32 MH018921NIMH NIH HHS T32MH018921
6 · The paper itself

Abstract

aimsMaintaining abstinence from alcohol use disorder (AUD) is extremely challenging, partially due to increased symptoms of anxiety and stress that trigger relapse. Rodent models of AUD have identified that the bed nucleus of the stria terminalis (BNST) contributes to symptoms of anxiety-like behavior and drug-seeking during abstinence. In humans, however, the BNST's role in abstinence remains poorly understood. The aims of this study were to assess BNST network intrinsic functional connectivity in individuals during abstinence from AUD compared to healthy controls and examine associations between BNST intrinsic functional connectivity, anxiety and alcohol use severity during abstinence.

methodsThe study included resting state fMRI scans from participants aged 21-40 years: 20 participants with AUD in abstinence and 20 healthy controls. Analyses were restricted to five pre-selected brain regions with known BNST structural connections. Linear mixed models were used to test for group differences, with sex as a fixed factor given previously shown sex differences.

resultsBNST-hypothalamus intrinsic connectivity was lower in the abstinent group relative to the control group. There were also pronounced sex differences in both the group and individual analyses; many of the findings were specific to men. Within the abstinent group, anxiety was positively associated with BNST-amygdala and BNST-hypothalamus connectivity, and men, not women, showed a negative relationship between alcohol use severity and BNST-hypothalamus connectivity.

conclusionsUnderstanding differences in connectivity during abstinence may help explain the clinically observed anxiety and depression symptoms during abstinence and may inform the development of individualized treatments.

Indexed as

AlcoholismSeptal NucleiAmygdalaAnxietyFemaleHumansMagnetic Resonance ImagingMale

Identifiers

PMID36847484
PMCPMC10168710

What OpenQuestion holds

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Registered trials

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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.