Evidence map›Paper›PMID 37543137›Full record

ArticleNeuropharmacology2023

Buprenorphine and methadone differentially alter early brain development in human cortical organoids.

Hang Yao, Daisy Hu, Juan Wang, Wei Wu, Helen H Zhao, Lu Wang, Joe Gleeson, Gabriel G Haddad

Open access · greenAbstract read
In one paragraph

Article in Neuropharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 2% 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, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Disrupted Brain Connectivity in Newborns Following Antenatal Opioid Exposure.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
    Observational
  6. Review
  7. Review
  8. Observational
  9. Article
  10. Article
  11. A Comprehensive Review on Utilizing Human Brain Organoids to Study Neuroinflammation in Neurological Disorders.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2025
    Review
  12. Article
  13. Article
  14. Brain organoid protocols and limitations.Frontiers in cellular neuroscience · 2024
    Review
  15. 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

8 authors at 1 institution in 1 country.

Hang YaoDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA.
Daisy HuDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA.
Juan WangDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA.
Wei WuDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA.
Helen H ZhaoDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA.
Lu WangDepartment of Neurosciences, University of California, San Diego, La Jolla, CA, 92093, USA; Rady Children's Hospital, San Diego, CA, 92123, USA.
Joe GleesonDepartment of Neurosciences, University of California, San Diego, La Jolla, CA, 92093, USA; Rady Children's Hospital, San Diego, CA, 92123, USA.
Gabriel G HaddadDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA; Department of Neurosciences, University of California, San Diego, La Jolla, CA, 92093, USA; Rady Children's Hospital, San Diego, CA, 92123, USA.
University of California San Diego · US

Funding

U of Calif, San Diego Neuroscience Microscopy ImagingP30NS047101 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GLEESON, JOSEPH G, ZHENG, BINHAI · 2003 to 2022
$9.0M
Effect of methadone on the developmental properties of human brain organoidsR01DA053372 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Gabriel G Haddad · 2022 to 2026
$3.2M
NIDA NIH HHS R01 DA053372NINDS NIH HHS P30 NS047101
6 · The paper itself

Abstract

Buprenorphine (BUP) and methadone (MTD) are used for medication-assisted treatment (MAT) in opioid use disorder. Although both medications show improved maternal and neonatal outcomes compared with illicit opioid use during pregnancy, BUP has exhibited more favorable outcomes to newborns than MTD. The underlying cellular and molecular mechanisms for the difference between BUP and MTD are largely unknown. Here, we examined the growth and neuronal activity in human cortical organoids (hCOs) exposed to BUP or MTD. We found that the growth of hCOs was significantly restricted in the MTD-treated but not in the BUP-treated hCOs and BUP attenuated the growth-restriction effect of MTD in hCOs. Furthermore, a κ-receptor agonist restricted while an antagonist alleviated the growth-restriction effect of MTD in hCOs. Since BUP is not only a μ-agonist but a κ-antagonist, the prevention of this growth-restriction by BUP is likely due to its κ-receptor-antagonism. In addition, using multielectrode array (MEA) technique, we discovered that both BUP and MTD inhibited neuronal activity in hCOs but BUP showed suppressive effects only at higher concentrations. Furthermore, κ-receptor antagonist nBNI did not prevent the MTD-induced suppression of neuronal activity in hCOs but the NMDA-antagonism of MTD (that BUP lacks) plays a role in the inhibition of neuronal activity. We conclude that, although both MTD and BUP are μ-opioid agonists, a) the additional κ-receptor antagonism of BUP mitigates the MTD-induced growth restriction during neurodevelopment and b) the lack of NMDA antagonism of BUP (in contrast to MTD) induces much less suppressive effect on neural network communications.

Indexed as

BuprenorphineOpioid-Related DisordersAnalgesics, OpioidBrainHumansInfant, NewbornMethadoneNarcotic AntagonistsN-MethylaspartateOrganoidsReceptors, Opioid, kappaAnalgesics, OpioidBuprenorphineMethadoneNarcotic AntagonistsN-MethylaspartateReceptors, Opioid, kappaBuprenorphineDevelopmentMEAMethadoneOrganoid

Identifiers

PMID37543137
PMCPMC11771310
OpenAlexW4385547362

What OpenQuestion holds

Textmetadata
LicenceTDM
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.