Evidence map›Paper›PMID 42460012›Full record

ReviewFrontiers in pharmacology2026

Lateral hypothalamic orexinergic neurons as central mediators of pain modulation and non-pharmacological analgesia.

Yunhe Zhu, Shan Wang, Jingping Sun, Qidong Zhang, Guobi Chai, Qingzhao Shi, Jian Mao, Wu Fan, Jianping Xie

Abstract readReview
In one paragraph

Review in Frontiers in pharmacology, 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

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

9 authors.

Yunhe ZhuCollege of Chemistry, Zhengzhou University, Zhengzhou, Henan, China.
Shan WangCollege of Chemistry, Zhengzhou University, Zhengzhou, Henan, China.
Jingping SunZhengzhou Tobacco Research Institute of CNTC, Zhengzhou, Henan, China.
Qidong ZhangCollege of Chemistry, Zhengzhou University, Zhengzhou, Henan, China.
Guobi ChaiCollege of Chemistry, Zhengzhou University, Zhengzhou, Henan, China.
Qingzhao ShiCollege of Chemistry, Zhengzhou University, Zhengzhou, Henan, China.
Jian MaoCollege of Chemistry, Zhengzhou University, Zhengzhou, Henan, China.
Wu FanCollege of Chemistry, Zhengzhou University, Zhengzhou, Henan, China.
Jianping XieCollege of Chemistry, Zhengzhou University, Zhengzhou, Henan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pain is a complex sensory and affective experience regulated by distributed neural circuits that integrate internal physiological states with external stimuli. Orexinergic neurons, a widely projecting neuronal population within the lateral hypothalamus (LH), play a central role in this process. This review synthesizes current evidence on the involvement of LH orexinergic neurons in nociceptive regulation and highlights their role as a key integrative substrate for non-pharmacological analgesia. Orexin peptides (orexin A and orexin B) modulate both the sensory-discriminative and affective-motivational components of pain via their receptors (OX1R and OX2R) in a context-dependent manner, producing antinociceptive or pro-nociceptive effects depending on peptide subtype, receptor distribution, circuit architecture, and pain modality. In parallel, emerging evidence indicates that orexinergic neurons are critically engaged in diverse non-pharmacological analgesic paradigms, including stress-induced analgesia, olfactory modulation, electroacupuncture, and exercise-induced hypoalgesia. In addition, other neuronal populations within the LH, such as glutamatergic, GABAergic, and neurotensinergic neurons, also contribute to pain regulation in a circuit-specific manner and partially overlap anatomically and functionally with orexinergic neurons. Collectively, these findings position LH orexinergic neurons as a central node linking neural circuit dynamics with the behavioral and physiological modulation of pain. Targeting orexin-related pathways may therefore provide novel avenues for the development of non-pharmacological and integrative pain management strategies.

Indexed as

lateral hypothalamusneural circuitnon-pharmacological analgesiaorexinergic neuronpain

Identifiers

PMID42460012
PMCPMC13368875

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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.