Title |
The brain signature of paracetamol in healthy volunteers: a double-blind randomized trial
|
---|---|
Published in |
Drug Design, Development and Therapy, July 2015
|
DOI | 10.2147/dddt.s81004 |
Pubmed ID | |
Authors |
Gisèle Pickering, Adrian Kastler, Nicolas Macian, Bruno Pereira, Romain Valabrègue, Stéphane Lehericy, Louis Boyer, Claude Dubray, Betty Jean |
Abstract |
Paracetamol's (APAP) mechanism of action suggests the implication of supraspinal structures but no neuroimaging study has been performed in humans. This randomized, double-blind, crossover, placebo-controlled trial in 17 healthy volunteers (NCT01562704) aimed to evaluate how APAP modulates pain-evoked functional magnetic resonance imaging signals. We used behavioral measures and functional magnetic resonance imaging to investigate the response to experimental thermal stimuli with APAP or placebo administration. Region-of-interest analysis revealed that activity in response to noxious stimulation diminished with APAP compared to placebo in prefrontal cortices, insula, thalami, anterior cingulate cortex, and periaqueductal gray matter. These findings suggest an inhibitory effect of APAP on spinothalamic tracts leading to a decreased activation of higher structures, and a top-down influence on descending inhibition. Further binding and connectivity studies are needed to evaluate how APAP modulates pain, especially in the context of repeated administration to patients with pain. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 15% |
Spain | 1 | 8% |
New Zealand | 1 | 8% |
United States | 1 | 8% |
Unknown | 8 | 62% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 10 | 77% |
Scientists | 3 | 23% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 4% |
Spain | 1 | 2% |
Unknown | 43 | 93% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 7 | 15% |
Researcher | 7 | 15% |
Student > Bachelor | 7 | 15% |
Other | 3 | 7% |
Professor | 3 | 7% |
Other | 7 | 15% |
Unknown | 12 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Neuroscience | 12 | 26% |
Medicine and Dentistry | 7 | 15% |
Psychology | 3 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 4% |
Nursing and Health Professions | 1 | 2% |
Other | 6 | 13% |
Unknown | 15 | 33% |