Evidence map›Paper›PMID 40484988›Full record

ReviewCNS neuroscience & therapeutics2025

Targeting Excitatory Glutamate Receptors for Morphine Tolerance: A Narrative Review.

Min Huang, Limin Luo, Wenying Wang, Hao Xu, Moxi Chen, Xiaqing Ma, Tao Xu

Abstract readReview
In one paragraph

Review in CNS neuroscience & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

7 authors.

Min HuangDepartment of Anesthesiology, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Limin LuoDepartment of Anesthesiology, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Wenying WangDepartment of Anesthesiology, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Hao XuDepartment of Anesthesiology, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Moxi ChenDepartment of Anesthesiology, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xiaqing MaDepartment of Anesthesiology, Affiliated Hospital of Nantong University, Medical School of Nantong University, Nantong, China.ORCID 0000-0002-2948-1253
Tao XuDepartment of Anesthesiology, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0001-5868-4079

Funding

China Postdoctoral Science Foundation 2022T150428Shanghai Sailing Program 21YF1434200the General Program of the National Natural Science Foundation of China 82171262the General Program of the National Natural Science Foundation of China 82171486the General Program of the National Natural Science Foundation of China 82201366
6 · The paper itself

Abstract

backgroundOpioids remain a primary treatment for moderate-to-severe chronic pain, but prolonged use frequently induces analgesic tolerance. Excitatory glutamate receptors, ubiquitous in the central and peripheral nervous systems, are pivotal in physiological and pathological processes and are now recognized as significant contributors to opioid tolerance development.

methodsWe comprehensively analyzed experimental data from our team's intensive investigations over the past 10 years, alongside relevant peer-reviewed studies on glutamate receptor mechanisms in opioid tolerance.

resultsExcitatory glutamate receptors (including NMDA, AMPA, and metabotropic subtypes) fundamentally regulate neuroadaptations underlying morphine tolerance. Our work and others' demonstrate their involvement in synaptic plasticity, neuroinflammation, and downstream signaling pathways that drive tolerance.

conclusionsTargeting excitatory glutamate receptors presents a promising therapeutic strategy for mitigating opioid tolerance. Future research should prioritize elucidating receptor-specific mechanisms, peripheral-central nervous system crosstalk, and translating preclinical findings into clinically viable.

Indexed as

Analgesics, OpioidDrug ToleranceMorphineReceptors, GlutamateAnimalsHumansAnalgesics, OpioidMorphineReceptors, Glutamatedrug toleranceexcitatory amino acidsglutamate receptorsopioid analgesic

Identifiers

PMID40484988
PMCPMC12146133

What OpenQuestion holds

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Registered trials

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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.