Evidence map›Paper›PMID 33826874›Full record

ReviewJournal of neurophysiology2021

Neuronal mechanisms underlying opioid-induced respiratory depression: our current understanding.

Jan-Marino Ramirez, Nicholas J Burgraff, Aguan D Wei, Nathan A Baertsch, Adrienn G Varga, Helen A Baghdoyan, Ralph Lydic, Kendall F Morris, Donald C Bolser, Erica S Levitt

Abstract readReview
In one paragraph

Review in Journal of neurophysiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing 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

66 citing papers in PubMed.

  1. Review
  2. Effects of TPA023B, an α2/3/5GABAPsychopharmacology · 2026
    Article
  3. Dose- and time-dependent physiological effects of fentanyl in adult goats.Journal of applied physiology (Bethesda, Md. : 1985) · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Targeting the Carotid Body Function With Big-KPharmacology research & perspectives · 2026
    Article
  9. Article
  10. Review
  11. Carfentanil Depresses Inspiratory Motor Drive.Journal of substance abuse and alcoholism · 2026
    Article
  12. Article
  13. Article
  14. Outcompeting opioid-induced respiratory depression.Journal of thoracic disease · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

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.

Jan-Marino RamirezDepartment of Neurological Surgery, University of Washington, Seattle, Washington.
Nicholas J BurgraffCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0001-7986-4247
Aguan D WeiCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, Washington.
Nathan A BaertschCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, Washington.
Adrienn G VargaDepartment of Pharmacology and Therapeutics, University of Florida, Gainesville, Florida.
Helen A BaghdoyanDepartment of Psychology, University of Tennessee, Knoxville, Tennessee.ORCID 0000-0003-0627-2448
Ralph LydicDepartment of Psychology, University of Tennessee, Knoxville, Tennessee.ORCID 0000-0002-2686-251X
Kendall F MorrisDepartment of Molecular Pharmacology and Physiology, Morsani College of Medicine, University of South Florida, Tampa, Florida.
Donald C BolserDepartment of Physiological Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida.
Erica S LevittDepartment of Pharmacology and Therapeutics, University of Florida, Gainesville, Florida.

Funding

Integrative Consequences of HypoxiaP01HL090554 · NHLBI · UNIVERSITY OF CHICAGO · PI PRABHAKAR, NANDURI R · 2008 to 2017
$21.4M
Functional mapping of peripheral and central circuits for airway protection and breathingOT2OD023854 · OD · UNIVERSITY OF FLORIDA · PI BOLSER, DONALD C · 2016 to 2020
$10.8M
Unraveling respiratory rhythm generation in the medullary networkR01HL126523 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI Jan M. Ramirez · 2015 to 2026
$8.3M
Unraveling the dynamic mechanisms underlying opioid respiratory depressionR01HL144801 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI Jan M. Ramirez · 2019 to 2026
$5.2M
Breathing Research and Therapeutics (BREATHE)T32HL134621 · NHLBI · UNIVERSITY OF FLORIDA · PI Gordon S. Mitchell · 2017 to 2026
$3.4M
Neuroglial interactions underlying the generation of the sighR01HL151389 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI RAMIREZ, JAN M. · 2020 to 2023
$3.2M
Influence of Opioids on the Brainstem Respiratory NetworkR01HL155721 · NHLBI · UNIVERSITY OF FLORIDA · PI BOLSER, DONALD C, MORRIS, KENDALL FRANCIS · 2021 to 2024
$2.7M
Neural basis of opioid-induced respiratory depressionR01DA047978 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEVITT, ERICA SAWYER · 2019 to 2023
$1.8M
Opioid effects on respiratory-controlling pontine neuronsR00DA038069 · NIDA · UNIVERSITY OF FLORIDA · PI LEVITT, ERICA SAWYER · 2017 to 2019
$747k
Homeostatic Plasticity of the Respiratory Rhythm Generating NetworkR00HL145004 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI BAERTSCH, NATHAN ANDREW · 2021 to 2023
$747k
Homeostatic Plasticity of the Respiratory Rhythm Generating NetworkK99HL145004 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI BAERTSCH, NATHAN ANDREW · 2019 to 2020
$209k
Rhythmogenic states of the respiratory network reveal differential opioid sensitivityF32HL154558 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI BURGRAFF, NICHOLAS J · 2020 to 2023
$204k
HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) F32HL154558HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL09054HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL126523HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL144801HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL151389HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) K99HL145004HHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) T32HL134621HHS | NIH | National Institute on Drug Abuse (NIDA) DA038069HHS | NIH | National Institute on Drug Abuse (NIDA) DA047978NHLBI NIH HHS F32 HL154558NHLBI NIH HHS F33 HL009054NHLBI NIH HHS K99 HL145004NHLBI NIH HHS P01 HL090554NHLBI NIH HHS R00 HL145004NHLBI NIH HHS R01 HL126523NHLBI NIH HHS R01 HL144801NHLBI NIH HHS R01 HL151389NHLBI NIH HHS R01 HL155721NHLBI NIH HHS T32 HL134621NIDA NIH HHS K99 DA038069NIDA NIH HHS R00 DA038069NIDA NIH HHS R01 DA047978NIH HHS OT2 OD023854
6 · The paper itself

Abstract

Opioid-induced respiratory depression (OIRD) represents the primary cause of death associated with therapeutic and recreational opioid use. Within the United States, the rate of death from opioid abuse since the early 1990s has grown disproportionally, prompting the classification as a nationwide "epidemic." Since this time, we have begun to unravel many fundamental cellular and systems-level mechanisms associated with opioid-related death. However, factors such as individual vulnerability, neuromodulatory compensation, and redundancy of opioid effects across central and peripheral nervous systems have created a barrier to a concise, integrative view of OIRD. Within this review, we bring together multiple perspectives in the field of OIRD to create an overarching viewpoint of what we know, and where we view this essential topic of research going forward into the future.

Indexed as

Analgesics, OpioidAnimalsCentral Pattern GeneratorsHumansMedulla OblongataOpioid-Related DisordersRespiratory InsufficiencyAnalgesics, OpioidbreathingneuromodulationOIRDopioidrespiration

Identifiers

PMID33826874
PMCPMC8424565

What Socratic holds

Textmetadata
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 Socratic graph.