Evidence map›Paper›PMID 40896766›Full record

ArticleActa scientific neurology2025

Dopaminergic Homeostatic Therapy (DHT

Kai-Uwe Lewandrowski, Abdalla Bowirrat, Albert Pinhasov, Alireza Sharafshah, Mark S Gold, Brian Fuehrlein, Igor Elman, Catherine Dennen, Panayotis K Thanos, Colin Hanna and 17 more

Abstract read
In one paragraph

Article in Acta scientific neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

27 authors.

Kai-Uwe LewandrowskiDepartment of Orthopaedics, Fundación Universitaria Sanitas Bogotá D.C. Colombia.
Abdalla BowirratDepartment of Molecular Biology, Adelson School of Medicine, Ariel University, Ariel, Israel.
Albert PinhasovDepartment of Molecular Biology, Adelson School of Medicine, Ariel University, Ariel, Israel.
Alireza SharafshahCellular and Molecular Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Mark S GoldDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Brian FuehrleinYale University School of Medicine, Yale-New Haven Hospital, United States; Psychiatric Emergency Room, VA Connecticut, Yale University, New Haven, CT., USA.
Igor ElmanDepartment of Molecular Biology, Adelson School of Medicine, Ariel University, Ariel, Israel.
Catherine DennenDepartment of Family Medicine, Jefferson Health Northeast, Philadelphia, PA, USA.
Panayotis K ThanosBehavioral Neuropharmacology and Neuroimaging Laboratory on Addictions, Clinical Research Institute on Addictions, Department of Pharmacology and Toxicology, Jacobs School of Medicine and Biosciences, State University of New York at Buffalo, Buffalo, NY, USA.
Colin HannaBehavioral Neuropharmacology and Neuroimaging Laboratory on Addictions, Clinical Research Institute on Addictions, Department of Pharmacology and Toxicology, Jacobs School of Medicine and Biosciences, State University of New York at Buffalo, Buffalo, NY, USA.
Daniel SippleMidwest Brain and Spine Institute, Roseville, MS, USA.
David BaronDivision of Addiction Research and Education, Center for Exercise Sports, Mental Health, Western University Health Sciences, Pomona, CA, USA.
Gianni MartireBiophysics Research in Advanced Interdisciplinary Neuroscience BRAIN at Applied Physics, NYC, NY, USA.
Edward J ModestinoDepartment of Psychology, Curry Collage, Milton, MA.,USA.
Nicole JafariDepartment of Human Development, California State University at Long Beach, Long Beach, CA., USA.
Foojan ZeineAwareness Integration Institute, San Clemente, CA, USA.
Keerthy SunderDepartment of Psychiatry, University California, UC Riverside School of Medicine, Riverside, CA., USA.
Alexander Pl LewandrowskiDepartment of Biological Sciences, Dornsife College of Letters, Arts and Sciences, University of Southern California, Los Angeles, CA, USA.
Rajendra D BadgaiyanDivision of Nutrigenomics and Personalized Medicne, The Blum Institute of Neurogenetics and Behavior, Austin, Tx., USA.
Jag KhalsaUS National Institute on Drug Abuse, NIH; Medical Consequences of Drug Abuse and Infections Branch, National Institute on Drug Abuse, NIH, Bethesda, Maryland (Volunteer).
Aryeh PollackDivision of Nutrigenomics and Personalized Medicne, The Blum Institute of Neurogenetics and Behavior, Austin, Tx., USA.
Rossano Kepler Alvim FiorelliFaculdade de Ciências Médicas de Três Rios (SUPREMA), Rio de Janeiro 25804-250, Brazil.
Sergio SchmidtDepartment of Neurology, Federal University of Rio de Janeiro (UNIRIO), University Hospital, Rua Mariz e Barros 750, Tijuca, Rio de Janeiro, RJ, Brazil.
Chynna FliegelmanDivision of Nutrigenomics and Personalized Medicne, The Blum Institute of Neurogenetics and Behavior, Austin, Tx., USA.
Morgan P LorioAdvanced Orthopedics, Altamonte Springs, FL, on behalf of the International Society for the Advancement of Spine Surgery.
Milan T MakaleDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA., USA.
Kenneth BlumDivision of Personalized Pain Therapy Research, Center for Advanced Spine Care of Southern Arizona, Tucson, AZ.,USA.

Funding

Maternal Morbidity and Mortality: Risk Factors, Early Detection and Personalized InterventionUL1TR001409 · NCATS · GEORGETOWN UNIVERSITY · PI GONDRE-LEWIS, MARJORIE C, MELLMAN, THOMAS A · 2015 to 2024
$37.8M
A Systematic Medical Approach to Reward Transformation (SMART) for Brain Health in Opioid Use DisorderR41MD012318 · NIMHD · VERSA INTEGRATED SOLUTIONS, INC. · PI BLUM, KENNETH, GONDRE-LEWIS, MARJORIE C · 2017 to 2017
$221k
CSRD VA I01 CX000479NCATS NIH HHS UL1 TR001409NIMHD NIH HHS R41 MD012318
6 · The paper itself

Abstract

In spite of the ongoing exquisite work of a multitude of researchers worldwide including governmental institutions like the National Institute on Drug Abuse (NIDA) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and for example in the United States the FDA Medication Assisted Therapy (MAT) embracing Opioid Replacement Therapy (ORT) in 2022, 111,000 people prematurely died from opioid induced overdose. It is estimated that if treatment stays as usual by 2025 the death rate will increase to 165,00.Therefore, we are encouraging the scientific and clinical community to at least consider our "out of the box" thinking whereby we are proposing a new paradigm shift involving the " dopaminergic homeostatic modeling approach and Genetic screening to early identify preaddiction. In this novel approach following detoxification from for example powerful opioids, the patient is administered the validated RDSQ29 to access potential psychological profiling of Reward Deficiency Syndrome (RDS); obtain a cheek cell sample of the patient and perform genetic screening utilizing the Genetic Addiction Risk Severity (GARS); analyze mRNA to identify specific protein deficits/surfeits based on the measured reward genes involved in the Brain Reward Cascade (BRC); produce a customized pro-dopamine regulator (KB220) guided by GARS resulting polymorphisms; objectively employ the mRNA profiling assessment every week during the treatment phase to determine improvement; each treatment program could add on at their choice, for example, cognitive behavioral therapy, brain spotting, trauma therapy, electrotherapy (h-wave device to reduce pain, subluxation repair etc.) mindfulness, exercise, neuromodulation (PrTMS) amongst other modalities. The utilization of this model could prove beneficial to both substance and non-substance behavioral addictions (e. g. gaming). WC261 .

Indexed as

Behavioural AddictionsDopamineGARSHarm AvoidanceMATNeurotransmittersPreaddiction

Identifiers

PMID40896766
PMCPMC12396177

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.