Evidence map›Paper›PMID 40070108›Full record

ReviewMolecular pain

Exploring novel non-opioid pathways and therapeutics for pain modulation.

Isabella Alessi, Kaysie L Banton, Sliter J, Zaw-Mon C, Palacio Ch, Ryznar Rj, Bar-Or D

Abstract readReview
In one paragraph

Review in Molecular pain. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. The neuroimmune-glutamate hypothesis of addiction.Neuroscience and biobehavioral reviews · 2026
    Review
  2. Article
  3. Review
  4. Investigating the role of the mPGES-PGE₂-EP4 pathway inFrontiers in veterinary science · 2025
    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

7 authors.

Isabella AlessiCollege of Osteopathic Medicine, Rocky Vista University, Centennial, CO, USA.ORCID 0009-0001-4079-5691
Kaysie L BantonTrauma Research, Swedish Medical Center, Englewood, CO, USA.
Sliter JTrauma Services, Wesley Medical Center, Wichita, KS, USA.
Zaw-Mon CTrauma Services, Lutheran Medical Center, Wheat Ridge, CO, USA.
Palacio ChTrauma Research, South Texas Health System, McAllen, TX, USA.
Ryznar RjDepartment of Molecular Biology, Rocky Vista University, Parker, CO, USA.
Bar-Or DTrauma Research, Swedish Medical Center, Englewood, CO, USA.ORCID 0000-0002-3685-314X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The opioid crisis has highlighted the urgent need for alternative pain management strategies. This review explores novel non-opioid targets and pathways involved in pain modulation, highlighting advancements in understanding and therapeutic potential. Pain, a multifaceted phenomenon with nociceptive, neuropathic, and inflammatory components, involves intricate molecular signaling cascades. Key pathways reviewed include voltage-gated sodium channels (Nav1.7, Nav1.8, Nav1.9), inflammasome complexes (NLRP3), the kynurenine pathway, prostaglandins, and bradykinin-mediated signaling. Emerging therapeutics such as selective Nav channel blockers, NLRP3 inhibitors, kynurenine pathway modulators, EP receptor antagonists, and bradykinin receptor antagonists offer promising alternatives to opioids. Despite challenges in clinical translation, these developments signal a paradigm shift in pain management, with precision-focused therapies poised to address unmet needs. This review emphasizes the importance of integrating molecular insights into the development of safer, more effective analgesics, setting the stage for transformative advancements in non-opioid pain relief.

Indexed as

PainPain ManagementSignal TransductionAnimalsHumansbradykinininflammasomekynurenineNavnon-opioidPainPGE2

Identifiers

PMID40070108
PMCPMC11938896

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.