Evidence map›Paper›PMID 38029388›Full record

ReviewAnnual review of physiology2024

A Balancing Act: Learning from the Past to Build a Future-Focused Opioid Strategy.

Sarah Warren Gooding, Jennifer L Whistler

Open access · hybridAbstract readReview
In one paragraph

Review in Annual review of physiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Toxins in disguise: Neuropeptide mimicry across animal venoms.General and comparative endocrinology · 2026
    Review
  5. GCell research · 2026
    Article
  6. Article
  7. Article
  8. 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.

Sarah Warren GoodingCenter for Neuroscience, University of California, Davis, California, USA; email: jlwhistler@ucdavis.edu.
Jennifer L WhistlerCenter for Neuroscience, University of California, Davis, California, USA; email: jlwhistler@ucdavis.edu.
University of California, Davis · US

Funding

Signaling balance and opioid dependenceR01DA056543 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI JENNIFER L WHISTLER · 2022 to 2026
$3.2M
Learning, Memory, and Plasticity (LaMP) Training ProgramT32MH112507 · NIMH · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Karen Zito · 2017 to 2026
$2.4M
The Microbiome in opioid use and abuseR21DA049565 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI WHISTLER, CHERYL ALLYNE, WHISTLER, JENNIFER L · 2020 to 2021
$522k
Drug-induced plasticity in mesolimbic dopamine circuits in opioid dependenceF31DA051116 · NIDA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI GOODING, SARAH WARREN · 2020 to 2022
$115k
NIDA NIH HHS F31 DA051116NIDA NIH HHS R01 DA056543NIDA NIH HHS R21 DA049565NIMH NIH HHS T32 MH112507
6 · The paper itself

Abstract

The harmful side effects of opioid drugs such as respiratory depression, tolerance, dependence, and abuse potential have limited the therapeutic utility of opioids for their entire clinical history. However, no previous attempt to develop effective pain drugs that substantially ameliorate these effects has succeeded, and the current opioid epidemic affirms that they are a greater hindrance to the field of pain management than ever. Recent attempts at new opioid development have sought to reduce these side effects by minimizing engagement of the regulatory protein arrestin-3 at the mu-opioid receptor, but there is significant controversy around this approach. Here, we discuss the ongoing effort to develop safer opioids and its relevant historical context. We propose a new model that reconciles results previously assumed to be in direct conflict to explain how different signaling profiles at the mu-opioid receptor contribute to opioid tolerance and dependence. Our goal is for this framework to inform the search for a new generation of lower liability opioid analgesics.

Indexed as

Analgesics, OpioidSignal TransductionDrug ToleranceHumansAnalgesics, OpioidarrestinG proteinopioidreceptor traffickingsignaling bias

Identifiers

PMID38029388
PMCPMC10987332
OpenAlexW4389121247

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.