Evidence map›Paper›PMID 34461066›Full record

ReviewNeuropharmacology2021

Better living through understanding the insula: Why subregions can make all the difference.

Samuel W Centanni, Amy C Janes, David L Haggerty, Brady Atwood, Frederic W Hopf

Abstract readReview
In one paragraph

Review in Neuropharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 2 pooled it
9.9field-weighted citation impact, top 1% of its field
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

70 citing papers in PubMed, 2 syntheses or guidelines pooled it, 117 citations in OpenAlex.

  1. Evidence for domain-general arousal from semantic and neuroimaging meta-analyses reconciles opposing views on arousal.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Pooled it
  2. Pooled it
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  13. Observational
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  18. Insular routing to orbitofrontal cortex enables breathing awareness.medRxiv : the preprint server for health sciences · 2025
    Article
  19. Merkel cell stimulation in fear and sensory signaling.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  20. Review

10 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

5 authors at 4 institutions in 1 country.

Samuel W CentanniDepartment of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, TN, USA. Electronic address: samuel.centanni@vanderbilt.edu.
Amy C JanesDepartment of Psychiatry, Harvard Medical School, McLean Hospital, Belmont, MA, USA.
David L HaggertyDepartment of Pharmacology and Toxicology, Indiana University School of Medicine, Indianapolis, IN, USA.
Brady AtwoodDepartment of Pharmacology and Toxicology, Indiana University School of Medicine, Indianapolis, IN, USA.
Frederic W HopfDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA.
Indiana University School of MedicineHarvard University · USIndiana University – Purdue University Indianapolis · USVanderbilt University · US

Funding

Insular cortex-BNST neural circuit regulation of chronic alcohol abstinence-induced negative affectR00AA027774 · NIAAA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CENTANNI, SAMUEL · 2022 to 2024
$832k
Insular Cortex-BNST neural circuit regulation of chronic alcohol abstinence-induced negative affectK99AA027774 · NIAAA · VANDERBILT UNIVERSITY · PI CENTANNI, SAMUEL · 2020 to 2021
$300k
NIAAA NIH HHS K99 AA027774NIAAA NIH HHS R00 AA027774
6 · The paper itself

Abstract

Insula function is considered critical for many motivated behaviors, with proposed functions ranging from attention, behavioral control, emotional regulation, goal-directed and aversion-resistant responding. Further, the insula is implicated in many neuropsychiatric conditions including substance abuse. More recently, multiple insula subregions have been distinguished based on anatomy, connectivity, and functional contributions. Generally, posterior insula is thought to encode more somatosensory inputs, which integrate with limbic/emotional information in middle insula, that in turn integrate with cognitive processes in anterior insula. Together, these regions provide rapid interoceptive information about the current or predicted situation, facilitating autonomic recruitment and quick, flexible action. Here, we seek to create a robust foundation from which to understand potential subregion differences, and provide direction for future studies. We address subregion differences across humans and rodents, so that the latter's mechanistic interventions can best mesh with clinical relevance of human conditions. We first consider the insula's suggested roles in humans, then compare subregional studies, and finally describe rodent work. One primary goal is to encourage precision in describing insula subregions, since imprecision (e.g. including both posterior and anterior studies when describing insula work) does a disservice to a larger understanding of insula contributions. Additionally, we note that specific task details can greatly impact recruitment of various subregions, requiring care and nuance in design and interpretation of studies. Nonetheless, the central ethological importance of the insula makes continued research to uncover mechanistic, mood, and behavioral contributions of paramount importance and interest. This article is part of the special Issue on 'Neurocircuitry Modulating Drug and Alcohol Abuse'.

Indexed as

AnimalsBehaviorCerebral CortexHumansMotivationNerve NetNeural PathwaysinsulaMotivationSubregion

Identifiers

PMID34461066
PMCPMC13284909
OpenAlexW3197180249

What Socratic holds

Textmetadata
LicenceTDM
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.