Evidence map›Paper›PMID 41205075›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2026

Impairment of the GABAergic system in the prefrontal cortex of male heroin addicts.

Apollonia von Gilsa, Johann Steiner, Anna Gos, Kurt Trübner, Christian Mawrin, Michał Kaliszan, Thomas Nickl-Jockschat, Tomasz Gos

Abstract read
In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Apollonia von GilsaDepartment of Psychiatry and Psychotherapy, Otto von Guericke University, Magdeburg, Germany.
Johann SteinerDepartment of Psychiatry and Psychotherapy, Otto von Guericke University, Magdeburg, Germany.
Anna GosDepartment of Adult Psychiatry and Psychotherapy, Psychiatric University Hospital Zurich, Zurich, Switzerland.
Kurt TrübnerInstitute of Legal Medicine, University of Duisburg-Essen, Essen, Germany.
Christian MawrinDepartment of Neuropathology, Otto von Guericke University, Magdeburg, Germany.
Michał KaliszanDepartment of Forensic Medicine, Medical University of Gdańsk, ul. Dębowa 23, Gdańsk, 80-204, Poland.
Thomas Nickl-JockschatDepartment of Psychiatry and Psychotherapy, Otto von Guericke University, Magdeburg, Germany.
Tomasz GosDepartment of Psychiatry and Psychotherapy, Otto von Guericke University, Magdeburg, Germany. gost@gumed.edu.pl.ORCID http://orcid.org/0000-0003-0161-9270

Funding

Alfried Krupp von Bohlen und Halbach-Stiftung Alfried Krupp von Bohlen und Halbach-StiftungBundesministerium für Bildung und Forschung BMBF NBL-3/2 and 01ZZ0407Ministerium für Wissenschaft und Wirtschaft, Land Sachsen-Anhalt XN3594O/0405M, N2-OVGUStanley Medical Research Institute 07R-1832
6 · The paper itself

Abstract

Opioid addiction is a global concern and the largest health burden among drug use disorders. Prefrontal cortex (PFC) regions play a key multifaceted role in behavioural regulation, and GABAergic interneurons regulate the output of the PFC, whose dysfunction has been linked to the behavioural abnormalities observed in opioid-addicted individuals. In these neurons, glutamate decarboxylase (GAD), with its isoforms GAD 65 and 67, is a key enzyme in the synthesis of GABA. Our study, which was performed on paraffin-embedded brains from the Magdeburg Brain Bank, aimed to investigate abnormalities in the GABAergic function of the PFC regions, i.e. the anterior cingulate cortex (ACC), the orbitofrontal cortex (OFC) and the dorsolateral prefrontal cortex (DLPFC), in opioid addiction by densitometric evaluation of GAD 65/67-immunostained neuropil bilaterally. The neuropil was assessed in parallel with the density of immunostained somata. The study showed a significantly decreased neuropil density in layer III of the left ventral part of the ACC (ACCv) in 13 heroin-addicted males, compared to 12 healthy controls (U-test P value 0.04). There were no significant differences in somata density in any of the investigated PFC regions. Analysis of the confounding variables that differed significantly between the compared groups (i.e. age, brain volume, and duration of formalin fixation) showed that these variables did not affect the results. Our findings are the first in human postmortem research to suggest a dysregulation of the GABAergic system in the PFC region in opioid-addicted individuals, which supports human neuroimaging research and contributes to the understanding of opioid addiction.

Indexed as

gamma-Aminobutyric AcidHeroin DependencePrefrontal CortexAdultGlutamate DecarboxylaseGyrus CinguliHumansMaleMiddle Agedgamma-Aminobutyric AcidGlutamate DecarboxylaseGAD 65/67 immunostainingOpioid addictionPrefrontal cortex

Identifiers

PMID41205075
PMCPMC12904868

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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.