Evidence map›Paper›PMID 41639572›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2026

Hypocretin receptor 1 blockade early in abstinence prevents incubation of cocaine seeking and normalizes dopamine transmission.

Philip J Clark, Volodar M Migovich, Sanjay Das, Wei Xu, Yanan Zhang, Sandhya Kortagere, Rodrigo A España

Abstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Philip J ClarkDepartment of Neurobiology and Anatomy, Drexel University College of Medicine, Philadelphia, PA, 19129, USA.
Volodar M MigovichDepartment of Neurobiology and Anatomy, Drexel University College of Medicine, Philadelphia, PA, 19129, USA.
Sanjay DasDepartment of Microbiology and Immunology, Drexel University College of Medicine, Philadelphia, PA, 19129, USA.
Wei XuDepartment of Microbiology and Immunology, Drexel University College of Medicine, Philadelphia, PA, 19129, USA.
Yanan ZhangResearch Triangle Institute, Research Triangle Park, P.O. Box 12255, Durham, NC, 27709, USA.
Sandhya KortagereDepartment of Microbiology and Immunology, Drexel University College of Medicine, Philadelphia, PA, 19129, USA.ORCID http://orcid.org/0000-0002-3532-8669
Rodrigo A EspañaDepartment of Neurobiology and Anatomy, Drexel University College of Medicine, Philadelphia, PA, 19129, USA. rae39@drexel.edu.ORCID http://orcid.org/0000-0003-2403-6342

Funding

Allosteric Modulation of the CB1 ReceptorR01AA030509 · NIAAA · RESEARCH TRIANGLE INSTITUTE · PI Joyce Besheer, Yanan Zhang · 2023 to 2026
$2.5M
NIAAA NIH HHS R01 AA030509U.S. Department of Health & Human Services | NIH | National Institute on Alcohol Abuse and Alcoholism (NIAAA) AA030509U.S. Department of Health & Human Services | NIH | National Institute on Drug Abuse (NIDA) R01DA039100
6 · The paper itself

Abstract

Abstinence from cocaine use has been shown to elicit a progressive intensification or incubation of cocaine craving/seeking that is posited to increase the likelihood of relapse. While the mechanisms underlying incubation of cocaine seeking remain elusive, considerable evidence suggests that abstinence from cocaine promotes mesolimbic dopamine adaptations that contribute to exaggerated cocaine seeking. Consequently, preventing these dopamine adaptations may reduce incubation of cocaine seeking and thereby decrease the likelihood of relapse. In the present studies, we first examined the relationship between incubation of cocaine seeking and dopamine transmission in the nucleus accumbens following abstinence from intermittent access to cocaine. Given the extensive evidence that hypocretins/orexins regulate motivation for cocaine, we then examined to what extent an intraperitoneal injection of a hypocretin receptor 1 antagonist on the first day of abstinence would prevent incubation of cocaine seeking and dopamine adaptations later in abstinence. Results indicated that abstinence from intermittent access to cocaine engendered robust incubation of cocaine seeking in both female and male rats. We also observed aberrant dopamine transmission, but only in rats that displayed incubation of cocaine seeking. Further, we showed that a single injection of the hypocretin receptor 1 antagonist, RTIOX-276, on the first day of abstinence prevented incubation of cocaine seeking and aberrant dopamine transmission. These findings suggest that hypocretin receptor 1 antagonism may serve as a viable therapeutic for reducing cocaine craving/seeking early in abstinence, thus reducing the likelihood of relapse.

Indexed as

CocaineCocaine-Related DisordersDopamineDrug-Seeking BehaviorOrexin Receptor AntagonistsSynaptic TransmissionAnimalsDopamine Uptake InhibitorsMaleNucleus AccumbensOrexin ReceptorsRatsRats, Sprague-DawleySelf AdministrationCocaineDopamineDopamine Uptake InhibitorsOrexin Receptor AntagonistsOrexin Receptors

Identifiers

PMID41639572
PMCPMC13125265

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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.