Evidence map›Paper›PMID 40967217›Full record

ReviewNeuron2025

The role of mesolimbic circuitry in aversive signaling and opioid dependence.

Paulo Branco, Julia Cox, Yichen Wu, Sage L Morison, Jones G Parker, Talia N Lerner, Marco Martina, Rajeshwar Awatramani, D James Surmeier, A Vania Apkarian

Abstract readReview
In one paragraph

Review in Neuron, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Paulo BrancoCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Julia CoxCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Yichen WuCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Sage L MorisonCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Jones G ParkerCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Psychiatry and Behavior Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Pharmacology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Talia N LernerCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Psychiatry and Behavior Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Marco MartinaCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Psychiatry and Behavior Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Rajeshwar AwatramaniCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
D James SurmeierCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
A Vania ApkarianCenter for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Anesthesiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Neuroscience, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Psychiatry and Behavior Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. Electronic address: a-apkarian@northwestern.edu.

Funding

Rodent Behavior CoreP50DA044121 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI APKARIAN, APKAR VANIA · 2018 to 2022
$9.0M
DOPAMINERGIC AND MUSCARINIC SIGNALING IN THE STRIATUMR37NS034696 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DALTON JAMES SURMEIER · 2001 to 2026
$7.3M
NIDA NIH HHS P50 DA044121NINDS NIH HHS R37 NS034696
6 · The paper itself

Abstract

Positive reinforcement via mu-opioid receptor-mediated disinhibition of ventral tegmental area (VTA) dopamine neurons is crucial in opioid use disorder (OUD). However, VTA dopamine neurons are more heterogeneous than initially thought, both at the molecular and computational levels. Besides encoding reward prediction error, subpopulations of dopamine neurons have also been proposed to encode salience and aversion. How opioid use alters these distinct encoding properties remains unclear. Negative reinforcement-learning to avoid adverse outcomes like withdrawal-also drives chronic drug use, implicating the mesolimbic dopamine system in both positive and negative reinforcement in OUD. This review explores how chronic opioid use modifies heterogeneous VTA neuron populations, enhancing sensitivity to aversive stimuli, promoting negative affect, and motivating withdrawal-avoidance behaviors. We also examine how chronic pain may amplify these effects and discuss the importance of charting circuit-level interactions between chronic pain and OUD for clinical translation.

Indexed as

Avoidance LearningDopaminergic NeuronsLimbic SystemOpioid-Related DisordersVentral Tegmental AreaAnimalsChronic PainHumansReinforcement, PsychologyRewardchronic paindopaminemesolimbic systemnegative reinforcementopioid use disorder

Identifiers

PMID40967217
PMCPMC13294800

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.