Evidence map›Paper›PMID 42839386›Full record

ReviewJournal of cellular and molecular medicine2026

The Role of Kappa-Opioid Receptor/Dynorphin System in Modulating Neural-Circuits of Depression and Anxiety-A Review.

Cristian Ciotei, Horia Păunescu, Cristina Lungu, Adriana-Alexandra Marica, Mihai Florin Tănase, Ruxandra-Cristina Marin, Mihnea Costescu, Ion Fulga, Oana Andreia Coman

Abstract readReview
In one paragraph

Review in Journal of cellular and molecular medicine, 2026. 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

9 authors.

Cristian CioteiFaculty of Medicine, Pharmacology, Clinical Pharmacology and Pharmacotherapy Discipline, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.ORCID https://orcid.org/0009-0002-3825-7621
Horia PăunescuFaculty of Medicine, Pharmacology, Clinical Pharmacology and Pharmacotherapy Discipline, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.ORCID https://orcid.org/0000-0002-6084-1974
Cristina LunguFaculty of Medicine, Pharmacology, Clinical Pharmacology and Pharmacotherapy Discipline, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.ORCID https://orcid.org/0009-0005-6427-358X
Adriana-Alexandra MaricaFaculty of Medicine, Pharmacology, Clinical Pharmacology and Pharmacotherapy Discipline, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.ORCID https://orcid.org/0009-0006-9456-9530
Mihai Florin TănaseFaculty of Medicine, Pharmacology, Clinical Pharmacology and Pharmacotherapy Discipline, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.ORCID https://orcid.org/0009-0004-8264-6696
Ruxandra-Cristina MarinFaculty of Medicine, Pharmacology, Clinical Pharmacology and Pharmacotherapy Discipline, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Mihnea CostescuFaculty of Medicine, Pharmacology, Clinical Pharmacology and Pharmacotherapy Discipline, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.ORCID https://orcid.org/0000-0002-3678-7584
Ion FulgaFaculty of Medicine, Pharmacology, Clinical Pharmacology and Pharmacotherapy Discipline, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Oana Andreia ComanFaculty of Medicine, Pharmacology, Clinical Pharmacology and Pharmacotherapy Discipline, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major depression and anxiety disorders are psychiatric disorders that involve a great number of people. There is a growing need for new and better pharmacological treatments for these diseases. Kappa-opioid receptor (KOR) antagonists seem to be a promising new pathway for the development of new antidepressants and anxiolytics, but a great challenge is understanding how the various neural circuits work and to what degree they are influenced by KOR modulators. This narrative review is focussed on two main circuits: the Hippocampus-Amygdala-Prefrontal Cortex and the Ventral Tegmental Area-Nucleus Accumbens. The relevant neuroanatomy, their role in modulating behaviour and how KOR modulators can alleviate these diseases are discussed. Concluding, a more holistic understanding of the circuits influenced by the KOR/Dyn system is relevant for developing new therapies. In non-clinical pharmacology addressed to the KOR/Dyn system, variables such as age, sex and social hierarchy rank can influence experimental outcomes.

Indexed as

AnxietyDepressionDynorphinsReceptors, Opioid, kappaAmygdalaAnimalsHumansDynorphinsReceptors, Opioid, kappaanxiety disorderskappa‐opioid receptorsmajor depression disorderneural circuits

Identifiers

PMID42839386
PMCPMC13643048

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.