Evidence map›Paper›PMID 38074313›Full record

ArticleAnnals of depression and anxiety2023

Noninvasive Vagal Nerve Stimulation for Opioid Use Disorder.

J Douglas Bremner, Asim H Gazi, Tamara P Lambert, Afra Nawar, Anna B Harrison, Justine W Welsh, Viola Vaccarino, Kevin M Walton, Nora Jaquemet, Kellen Mermin-Bunnell and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of depression and anxiety, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. 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

21 authors at 1 institution in 1 country.

J Douglas BremnerDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta GA.
Asim H GaziSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA.
Tamara P LambertCoulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA.
Afra NawarSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA.
Anna B HarrisonSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA.
Justine W WelshDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta GA.
Viola VaccarinoDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
Kevin M WaltonClinical Research Grants Branch, Division of Therapeutics and Medical Consequences, National Institute on Drug Abuse, Bethesda, MD.
Nora JaquemetDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta GA.
Kellen Mermin-BunnellDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta GA.
Hewitt MesfinDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta GA.
Trinity A GrayDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta GA.
Keyatta RossDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta GA.
Georgia SaksCoulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA.
Nikolina TomicSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA.
Danner AffadziDepartment of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Atlanta GA.
Marom BiksonDepartment of Biomedical Engineering, The City College of New York, New York, NY.
Amit J ShahAtlanta Veterans Affairs Healthcare System, Decatur GA.
Kelly E DunnDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore MD.
Nicholas A GiordanoNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.
Omer T InanSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA.
Emory University · US

Funding

Mental Stress and Myocardial Ischemia after MI: Sex Differences, Mechanisms and PrognosisR01HL109413 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2012 to 2023
$6.9M
Multidisciplinary Research Training to Reduce Inequities in Cardiovascular HealthT32HL130025 · NHLBI · EMORY UNIVERSITY · PI Tené T Lewis, Viola Vaccarino · 2016 to 2026
$6.4M
Non-Invasive Vagal Nerve Stimulation in Patients with Opioid Use DisordersUH3DA048502 · NIDA · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS, INAN, OMER TOLGA · 2023 to 2025
$5.8M
Association of Posttraumatic Stress Disorder with Cardiac Electrical Instability: A Twin StudyR01HL155711 · NHLBI · EMORY UNIVERSITY · PI SHAH, AMIT JASVANT · 2021 to 2025
$3.5M
Sleep Disturbance as a Mechanism for Ischemic Heart Disease in PTSDR01HL136205 · NHLBI · EMORY UNIVERSITY · PI VACCARINO, VIOLA · 2017 to 2020
$3.1M
Dopamine function, inflammation and connectivity in PTSDR01MH120262 · NIMH · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2020 to 2023
$2.9M
Non-Invasive Vagal Nerve Stimulation in Patients with Opioid Use Disorders UG3DA048502 · NIDA · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS, INAN, OMER TOLGA · 2020 to 2021
$844k
Differential Susceptibility for Developing Chronic Post-Surgical Pain Across Sleep Trajectories and Inflammatory PresentationsK23DA057415 · NIDA · EMORY UNIVERSITY · PI Nicholas A Giordano · 2023 to 2026
$771k
Shared Instrumentation for Research PET Brain DeviceS10RR016917 · NCRR · EMORY UNIVERSITY · PI BREMNER, JAMES DOUGLAS · 2002 to 2002
$500k
Transcutaneous Vagal Nerve Stimulation in Veterans with Posttraumatic Stress DisorderI01CX002331 · VA · VETERANS HEALTH ADMINISTRATION · PI James Douglas Bremner · 2023 to 2027
–
Non-Invasive Vagal Nerve Stimulation in Veterans with Mild Traumatic Brain Injury (mTBI)I01RX003418 · VA · VETERANS HEALTH ADMINISTRATION · PI James Douglas Bremner · 2021 to 2026
–
CSRD VA I01 CX002331NCRR NIH HHS S10 RR016917NHLBI NIH HHS R01 HL109413NHLBI NIH HHS R01 HL136205NHLBI NIH HHS R01 HL155711NHLBI NIH HHS T32 HL130025NIDA NIH HHS K23 DA057415NIDA NIH HHS UG3 DA048502NIDA NIH HHS UH3 DA048502NIMH NIH HHS R01 MH120262RRD VA I01 RX003418
6 · The paper itself

Abstract

Background: Opioid Use Disorder (OUD) is an escalating public health problem with over 100,000 drug overdose-related deaths last year most of them related to opioid overdose, yet treatment options remain limited. Non-invasive Vagal Nerve Stimulation (nVNS) can be delivered via the ear or the neck and is a non-medication alternative to treatment of opioid withdrawal and OUD with potentially widespread applications. Methods: This paper reviews the neurobiology of opioid withdrawal and OUD and the emerging literature of nVNS for the application of OUD. Literature databases for Pubmed, Psychinfo, and Medline were queried for these topics for 1982-present. Results: Opioid withdrawal in the context of OUD is associated with activation of peripheral sympathetic and inflammatory systems as well as alterations in central brain regions including anterior cingulate, basal ganglia, and amygdala. NVNS has the potential to reduce sympathetic and inflammatory activation and counter the effects of opioid withdrawal in initial pilot studies. Preliminary studies show that it is potentially effective at acting through sympathetic pathways to reduce the effects of opioid withdrawal, in addition to reducing pain and distress. Conclusions: NVNS shows promise as a non-medication approach to OUD, both in terms of its known effect on neurobiology as well as pilot data showing a reduction in withdrawal symptoms as well as physiological manifestations of opioid withdrawal.

Identifiers

PMID38074313
PMCPMC10699253
OpenAlexW4389802735

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.