Evidence map›Paper›PMID 37733589›Full record

ArticleCell reports2023

An amygdala-to-cingulate cortex circuit for conflicting choices in chronic pain.

Kristina Valentinova, Mario A Acuña, Niels R Ntamati, Natalie E Nevian, Thomas Nevian

Open access · goldAbstract read
In one paragraph

Article in Cell reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Review
  11. Mimicking opioid analgesia in cortical pain circuits.bioRxiv : the preprint server for biology · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Neural circuits regulating visceral pain.Communications biology · 2024
    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

5 authors at 1 institution in 1 country.

Kristina ValentinovaDepartment of Physiology, University of Bern, Bühlplatz 5, 3012 Bern, Switzerland. Electronic address: kristina.valentinova@unibe.ch.
Mario A AcuñaDepartment of Physiology, University of Bern, Bühlplatz 5, 3012 Bern, Switzerland.
Niels R NtamatiDepartment of Physiology, University of Bern, Bühlplatz 5, 3012 Bern, Switzerland.
Natalie E NevianDepartment of Physiology, University of Bern, Bühlplatz 5, 3012 Bern, Switzerland.
Thomas NevianDepartment of Physiology, University of Bern, Bühlplatz 5, 3012 Bern, Switzerland. Electronic address: thomas.nevian@unibe.ch.
University of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pain is a complex experience with multifaceted behavioral manifestations, often leading to pain avoidance at the expense of reward approach. How pain facilitates avoidance in situations with mixed outcomes is unknown. The anterior cingulate cortex (ACC) plays a key role in pain processing and in value-based decision-making. Distinct ACC inputs inform about the sensory and emotional quality of pain. However, whether specific ACC circuits underlie pathological conflict assessment in pain remains underexplored. Here, we demonstrate that mice with chronic pain favor cold avoidance rather than reward approach in a conflicting task. This occurs along with selective strengthening of basolateral amygdala inputs onto ACC layer 2/3 pyramidal neurons. The amygdala-cingulate projection is necessary and sufficient for the conflicting cold avoidance. Further, low-frequency stimulation of this pathway restores AMPA receptor function and reduces avoidance in pain mice. Our findings provide insights into the circuits and mechanisms underlying cognitive aspects of pain and offer potential targets for treatment.

Indexed as

Basolateral Nuclear ComplexChronic PainAmygdalaAnimalsEmotionsGyrus CinguliMiceAMPA receptor plasticityanterior cingulate cortexapproach avoidance conflictbasolateral amygdalachronic painCP: Neurosciencepain

Identifiers

PMID37733589
PMCPMC10636611
OpenAlexW4386905738

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.