Evidence map›Paper›PMID 39086495›Full record

ArticleAddiction neuroscience2024

Xylazine is an agonist at kappa opioid receptors and exhibits sex-specific responses to opioid antagonism.

Madigan L Bedard, Xi-Ping Huang, Jackson G Murray, Alexandra C Nowlan, Sara Y Conley, Sarah E Mott, Samuel J Loyack, Calista A Cline, Caroline G Clodfelter, Nabarun Dasgupta and 3 more

Abstract read
In one paragraph

Article in Addiction neuroscience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing 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

41 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Validation of an oral self-administration model of xylazine use in mice.bioRxiv : the preprint server for biology · 2026
    Article
  9. Article
  10. Adverse maternal and neonatal effects associated with perinatal xylazine exposure: a systematic review.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

13 authors.

Madigan L BedardDepartment of Pharmacology, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Xi-Ping HuangDepartment of Pharmacology, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Jackson G MurrayBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Alexandra C NowlanBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Sara Y ConleyBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Sarah E MottDepartment of Pharmacology, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Samuel J LoyackBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Calista A ClineBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Caroline G ClodfelterBowles Center for Alcohol Studies, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Nabarun DasguptaInjury Prevention Research Center, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Brian KrummDepartment of Pharmacology, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Bryan L RothDepartment of Pharmacology, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.
Zoe A McElligottDepartment of Pharmacology, The University of North Carolina at Chapel Hill; Chapel Hill, 27599, USA.

Funding

Research Triangle Center of Excellence in Regulatory Science and InnovationU01FD007857 · FDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HALABI, SUSAN, MENTZ, ROBERT JOHN · 2023 to 2025
$11.9M
Supplement to Molecular and Cellular Studies on Alcohol's ActionsT32AA007573 · NIAAA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FULTON T CREWS, Thomas L. Kash · 1997 to 2026
$9.3M
Noradrenergic Plasticity in Opioid WithdrawalR01DA049261 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MCELLIGOTT, ZOE ANASTASIA · 2020 to 2024
$2.0M
GABAergic alterations in the BNST to VTA circuit following morphine withdrawalF31DA056211 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BEDARD, MADIGAN · 2023 to 2024
$72k
PRENATAL COCAINE AND SOCIAL BEHAVIORS OVER ONTOGENYF31DA005621 · NIDA · STATE UNIVERSITY NEW YORK BINGHAMTON · PI WOOD, ROBIN D · 1994 to 1995
–
FDA HHS U01 FD007857NIAAA NIH HHS T32 AA007573NIDA NIH HHS F31 DA005621NIDA NIH HHS F31 DA056211NIDA NIH HHS R01 DA049261
6 · The paper itself

Abstract

Xylazine is in the unregulated drug supply at increasing rates, usually combined with fentanyl, necessitating understanding of its pharmacology. Despite commentary from politicians, and public health officials, it is unknown how xylazine impacts naloxone efficacy, and. few studies have examined it alone. Here, we examine the impact of xylazine alone and in combination with fentanyl on several behaviors in mice. Surprisingly, naloxone precipitates withdrawal from xylazine and fentanyl/xylazine coadministration, with enhanced sensitivity in females. Further, xylazine is a full agonist at kappa opioid receptors, a potential mechanism for its naloxone sensitivity. Finally, we demonstrate surprising effects of xylazine to kappa opioid antagonism, which are relevant for public health considerations. These data address an ongoing health crisis and will help inform critical policy and healthcare decisions.

Indexed as

FentanylMouseOpioidPharmacologyXylazine

Identifiers

PMID39086495
PMCPMC11290297

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.