Evidence map›Paper›PMID 40215161›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2025

Nalfurafine reverses fentanyl-induced muscle rigidity and respiratory depression without affecting sedation in rats: decoupling respiration from sedation.

Tristan Lewis, Philippe Haouzi

Abstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Dose- and time-dependent physiological effects of fentanyl in adult goats.Journal of applied physiology (Bethesda, Md. : 1985) · 2026
    Article
  2. 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

2 authors.

Tristan LewisDepartment of Neuroscience, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, United States.ORCID 0000-0001-9697-5045
Philippe HaouziDepartment of Pulmonary Medicine, Cleveland Clinic, Cleveland, Ohio, United States.ORCID 0000-0002-8181-4254

Funding

Restoring The Mechanical Properties of the Respiratory System as a Treatment of Fentanyl Overdose-Induced Hypoventilation using Kappa AgonistsR21DA053551 · NIDA · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI HAOUZI, PHILIPPE A · 2022 to 2023
$444k
HHS | NIH | National Institute on Drug Abuse (NIDA) R21DA053551NIDA NIH HHS R21 DA053551
6 · The paper itself

Abstract

This study examines whether nalfurafine, a κ-opioid receptor (κOR) agonist, reverses fentanyl-induced muscle rigidity and respiratory depression without impacting sedation. Adult, nonsedated Sprague-Dawley rats received intravenous fentanyl bolus injection (150 μg/kg), which induced immediate coma and muscle rigidity along with a transient central apnea, followed by sustained respiratory depression. Five minutes postfentanyl, rats were treated with saline, nalfurafine (0.1 or 1 mg/kg), or the κOR agonist U50488 (1 or 10 mg/kg). Muscle rigidity, sedation, and response to painful stimuli were assessed using blinded clinical scoring. Ventilation and pulmonary gas exchange were measured using open-flow body plethysmography. Nalfurafine at 1 mg/kg quickly and effectively reduced fentanyl-induced muscle rigidity, with a sustained effect throughout the 30-min observation period. Sedation scores remained consistent across all groups. In contrast to saline, nalfurafine (1 mg/kg) sharply increased minute ventilation V̇e, frequency (

Indexed as

FentanylMorphinansMuscle RigidityRespiratory InsufficiencySpiro Compounds3,4-Dichloro-N-methyl-N-(2-(1-pyrrolidinyl)-cyclohexyl)-benzeneacetamide, (trans)-IsomerAnalgesics, OpioidAnimalsHypnotics and SedativesMaleRatsRats, Sprague-DawleyReceptors, Opioid, kappaRespiration3,4-Dichloro-N-methyl-N-(2-(1-pyrrolidinyl)-cyclohexyl)-benzeneacetamide, (trans)-IsomerAnalgesics, OpioidFentanylHypnotics and SedativesMorphinansReceptors, Opioid, kappaSpiro CompoundsTRK 820fentanylmuscle rigiditynalfurafinerespiratory depressionsedation

Identifiers

PMID40215161
PMCPMC12118345

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.