The Translation Gap: From Rodent Circuits to Human Disease

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The Translation Gap: From Rodent Circuits to Human Disease

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  • 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience’s record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience’s record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...

  • 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience’s record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience’s record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...

  • 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience’s record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...

  • 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience’s record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...

  • 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience’s record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...

  • 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference0 demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference1 This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference2 demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference3 This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference4 demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference5 This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference6 demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference7 This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference8 demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference9 This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference0 demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...

  • 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference1 Several structural factors help explain the systematic attrition ({numref}fig-sec8-translation-pipeline). Rodent SA typically employs fixed-ratio schedules with single-drug access in experimentally naive, singly housed male animals — conditions that poorly approximate the polydrug use, social context, and psychiatric comorbidity characteristic of human substance use disorders 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference2....

  • 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference3 Several structural factors help explain the systematic attrition ({numref}fig-sec8-translation-pipeline). Rodent SA typically employs fixed-ratio schedules with single-drug access in experimentally naive, singly housed male animals — conditions that poorly approximate the polydrug use, social context, and psychiatric comorbidity characteristic of human substance use disorders 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference4....

  • 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference5 Several structural factors help explain the systematic attrition ({numref}fig-sec8-translation-pipeline). Rodent SA typically employs fixed-ratio schedules with single-drug access in experimentally naive, singly housed male animals — conditions that poorly approximate the polydrug use, social context, and psychiatric comorbidity characteristic of human substance use disorders 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference6....

  • 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference7 Several structural factors help explain the systematic attrition ({numref}fig-sec8-translation-pipeline). Rodent SA typically employs fixed-ratio schedules with single-drug access in experimentally naive, singly housed male animals — conditions that poorly approximate the polydrug use, social context, and psychiatric comorbidity characteristic of human substance use disorders 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference8....

  • 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference9 Several structural factors help explain the systematic attrition ({numref}fig-sec8-translation-pipeline). Rodent SA typically employs fixed-ratio schedules with single-drug access in experimentally naive, singly housed male animals — conditions that poorly approximate the polydrug use, social context, and psychiatric comorbidity characteristic of human substance use disorders 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference0....

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference1 Several structural factors help explain the systematic attrition ({numref}fig-sec8-translation-pipeline). Rodent SA typically employs fixed-ratio schedules with single-drug access in experimentally naive, singly housed male animals — conditions that poorly approximate the polydrug use, social context, and psychiatric comorbidity characteristic of human substance use disorders 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference2....

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference3 (A) Candidate gene odds ratios reported in small-sample studies compared to the typical effect size range observed in genome-wide association studies. The shaded region indicates the range of individual variant ORs detected at genome-wide significance. (B) Approximate attrition of pharmacological compounds across the translational pipeline for cocaine use disorder, illustrating near-total loss from preclinical scree...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference4 (A) Candidate gene odds ratios reported in small-sample studies compared to the typical effect size range observed in genome-wide association studies. The shaded region indicates the range of individual variant ORs detected at genome-wide significance. (B) Approximate attrition of pharmacological compounds across the translational pipeline for cocaine use disorder, illustrating near-total loss from preclinical scree...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference5 Nonhuman primate research occupies a critical intermediate position in the translational chain, offering closer neuroanatomical and behavioral homology to humans than rodent models while permitting experimental manipulations impossible in human studies. The most extensively studied NHP model in addiction neuroscience involves social-hierarchy manipulations in cynomolgus macaques, where the relationship between socia...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference6 Nonhuman primate research occupies a critical intermediate position in the translational chain, offering closer neuroanatomical and behavioral homology to humans than rodent models while permitting experimental manipulations impossible in human studies. The most extensively studied NHP model in addiction neuroscience involves social-hierarchy manipulations in cynomolgus macaques, where the relationship between socia...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference7 Nonhuman primate research occupies a critical intermediate position in the translational chain, offering closer neuroanatomical and behavioral homology to humans than rodent models while permitting experimental manipulations impossible in human studies. The most extensively studied NHP model in addiction neuroscience involves social-hierarchy manipulations in cynomolgus macaques, where the relationship between socia...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference8 Nonhuman primate research occupies a critical intermediate position in the translational chain, offering closer neuroanatomical and behavioral homology to humans than rodent models while permitting experimental manipulations impossible in human studies. The most extensively studied NHP model in addiction neuroscience involves social-hierarchy manipulations in cynomolgus macaques, where the relationship between socia...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference9 Nonhuman primate research occupies a critical intermediate position in the translational chain, offering closer neuroanatomical and behavioral homology to humans than rodent models while permitting experimental manipulations impossible in human studies. The most extensively studied NHP model in addiction neuroscience involves social-hierarchy manipulations in cynomolgus macaques, where the relationship between socia...

  • 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference0 The foundational observation, reported by 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference1, was that individually housed cynomolgus monkeys showed no initial differences in D2 receptor availability, but after formation of social hierarchies, dominant monkeys developed higher D2 receptor levels and were less vulnerable to cocaine reinforcement. 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference2 extended this finding, demonstrating that dominant monkeys had higher D2 receptor levels and were...

  • 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference3 The foundational observation, reported by 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference4, was that individually housed cynomolgus monkeys showed no initial differences in D2 receptor availability, but after formation of social hierarchies, dominant monkeys developed higher D2 receptor levels and were less vulnerable to cocaine reinforcement. 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference5 extended this finding, demonstrating that dominant monkeys had higher D2 receptor levels and were...

  • 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference6 The foundational observation, reported by 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference7, was that individually housed cynomolgus monkeys showed no initial differences in D2 receptor availability, but after formation of social hierarchies, dominant monkeys developed higher D2 receptor levels and were less vulnerable to cocaine reinforcement. 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference8 extended this finding, demonstrating that dominant monkeys had higher D2 receptor levels and were...

  • 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference9 The foundational observation, reported by 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference0, was that individually housed cynomolgus monkeys showed no initial differences in D2 receptor availability, but after formation of social hierarchies, dominant monkeys developed higher D2 receptor levels and were less vulnerable to cocaine reinforcement. 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference1 extended this finding, demonstrating that dominant monkeys had higher D2 receptor levels and were...

  • 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference2 Social status and D2 receptors: cause or consequence? The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference3. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference4, and exposure during treatment can counte...

  • 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference5 Social status and D2 receptors: cause or consequence? The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference6. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference7, and exposure during treatment can counte...

  • 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference8 Social status and D2 receptors: cause or consequence? The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies 1Citationpaper:paper-419ce7456ebfThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference9. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference0, and exposure during treatment can counte...

  • 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference1 Social status and D2 receptors: cause or consequence? The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference2. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference3, and exposure during treatment can counte...

  • 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference4 Social status and D2 receptors: cause or consequence? The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference5. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference6, and exposure during treatment can counte...

  • 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference7 Social status and D2 receptors: cause or consequence? The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference8. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability 3Citationpaper:paper-c3b758fa4c59The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference9, and exposure during treatment can counte...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference0 Social status and D2 receptors: cause or consequence? The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference1. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference2, and exposure during treatment can counte...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference3 Social status and D2 receptors: cause or consequence? The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference4. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference5, and exposure during treatment can counte...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference6 The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference7, alpha-2 agonists 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference8, and combined approaches 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference9 — have generally produced modest effects that are difficult to sustain. 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference0 reported that alpha-2 receptor agonists produced only small decrea...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference1 The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference2, alpha-2 agonists 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference3, and combined approaches 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference4 — have generally produced modest effects that are difficult to sustain. 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference5 reported that alpha-2 receptor agonists produced only small decrea...

  • 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference6 The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference7, alpha-2 agonists 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference8, and combined approaches 4Citationpaper:paper-f76f47e3d3c8The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference9 — have generally produced modest effects that are difficult to sustain. 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference0 reported that alpha-2 receptor agonists produced only small decrea...

  • 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference1 The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference2, alpha-2 agonists 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference3, and combined approaches 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference4 — have generally produced modest effects that are difficult to sustain. 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference5 reported that alpha-2 receptor agonists produced only small decrea...

  • 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference6 The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference7, alpha-2 agonists 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference8, and combined approaches 5Citationpaper:paper-163c3e962aa8This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...content/08_species_translation.md:line 11Open reference9 — have generally produced modest effects that are difficult to sustain. 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference00 reported that alpha-2 receptor agonists produced only small decrea...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference01 The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference02, alpha-2 agonists 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference03, and combined approaches 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference04 — have generally produced modest effects that are difficult to sustain. 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference05 reported that alpha-2 receptor agonists produced only small decrea...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference06 The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference07, alpha-2 agonists 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference08, and combined approaches 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference09 — have generally produced modest effects that are difficult to sustain. 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference10 reported that alpha-2 receptor agonists produced only small decrea...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference11 The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference12, alpha-2 agonists 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference13, and combined approaches 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference14 — have generally produced modest effects that are difficult to sustain. 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference15 reported that alpha-2 receptor agonists produced only small decrea...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference16 The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference17, alpha-2 agonists 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference18, and combined approaches 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference19 — have generally produced modest effects that are difficult to sustain. 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference20 reported that alpha-2 receptor agonists produced only small decrea...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference21 The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference22, alpha-2 agonists 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference23, and combined approaches 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference24 — have generally produced modest effects that are difficult to sustain. 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference25 reported that alpha-2 receptor agonists produced only small decrea...

  • 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference26 Functional neuroimaging has produced robust group-level differences between substance users and controls across multiple paradigms and brain regions, yet the translation of these findings into individually predictive biomarkers remains elusive 2Citationpaper:paper-751642f6a86dThe most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...content/08_species_translation.md:line 9Open reference27. PET studies have consistently demonstrated reduced D2 receptor availability in individuals with stimulant, alcohol, and o...

  • ... 57 additional anchors in refs_json

References

  1. [Czoty2016] paper:paper-419ce7456ebf “The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...”
  2. [Nieto2025] paper:paper-751642f6a86d “The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...”
  3. [Roberts2026] paper:paper-c3b758fa4c59 “The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...”
  4. [Costa2026] paper:paper-f76f47e3d3c8 “The most direct test of mechanistic understanding is whether it enables therapeutic intervention. By this criterion, addiction neuroscience's record is sobering. Despite decades of preclinical research identifying molecular targets across dopaminergic, glutamatergic, GABAergic, and endocannabinoid systems, the pipeline from bench to bedside has yielded remarkably few FDA-approved medications — and none for cocaine u...”
  5. [Rodrigues2022] paper:paper-163c3e962aa8 “This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...”
  6. [Zurrer2025] paper:paper-e6dc2de020f7 “This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...”
  7. [Zannas2016] paper:paper-3e4ba155ac18 “This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...”
  8. [Mantsch2022] paper:paper-27bb5f98af7d “This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...”
  9. [Black2025] paper:paper-e7e8ad2f870a “This is not simply a statistical problem of insufficient power or a matter of time. Recent meta-analytic work highlights the pattern across drug classes: [Costa2026] demonstrated that cannabinoid CB-1R inverse agonists (SMD = −1.21) and CBD (SMD = −0.70) reduced alcohol intake in preclinical models, while CB-1R agonists increased consumption (SMD = +0.66) — robust preclinical signals that have not yielded approved t...”
  10. [Webster2014] paper:paper-eabc66d6f001 “Several structural factors help explain the systematic attrition ({numref}`fig-sec8-translation-pipeline`). Rodent SA typically employs fixed-ratio schedules with single-drug access in experimentally naive, singly housed male animals — conditions that poorly approximate the polydrug use, social context, and psychiatric comorbidity characteristic of human substance use disorders [Czoty2016, Mantsch2022, Webster2014]....”
  11. [Gould2014] paper:paper-02fc0e23ff8e “Several structural factors help explain the systematic attrition ({numref}`fig-sec8-translation-pipeline`). Rodent SA typically employs fixed-ratio schedules with single-drug access in experimentally naive, singly housed male animals — conditions that poorly approximate the polydrug use, social context, and psychiatric comorbidity characteristic of human substance use disorders [Czoty2016, Mantsch2022, Webster2014]....”
  12. [Kalueff2016] paper:paper-9bc0eb775064 “Several structural factors help explain the systematic attrition ({numref}`fig-sec8-translation-pipeline`). Rodent SA typically employs fixed-ratio schedules with single-drug access in experimentally naive, singly housed male animals — conditions that poorly approximate the polydrug use, social context, and psychiatric comorbidity characteristic of human substance use disorders [Czoty2016, Mantsch2022, Webster2014]....”
  13. [Annis2025] paper:paper-127ac8ea610d “(A) Candidate gene odds ratios reported in small-sample studies compared to the typical effect size range observed in genome-wide association studies. The shaded region indicates the range of individual variant ORs detected at genome-wide significance. (B) Approximate attrition of pharmacological compounds across the translational pipeline for cocaine use disorder, illustrating near-total loss from preclinical scree...”
  14. [Morgan2000] paper:paper-dcac47917f69 “Nonhuman primate research occupies a critical intermediate position in the translational chain, offering closer neuroanatomical and behavioral homology to humans than rodent models while permitting experimental manipulations impossible in human studies. The most extensively studied NHP model in addiction neuroscience involves social-hierarchy manipulations in cynomolgus macaques, where the relationship between socia...”
  15. [Czoty2004] paper:paper-bf75292b651b “Nonhuman primate research occupies a critical intermediate position in the translational chain, offering closer neuroanatomical and behavioral homology to humans than rodent models while permitting experimental manipulations impossible in human studies. The most extensively studied NHP model in addiction neuroscience involves social-hierarchy manipulations in cynomolgus macaques, where the relationship between socia...”
  16. [Nader2008] paper:paper-73629e3832e1 “Nonhuman primate research occupies a critical intermediate position in the translational chain, offering closer neuroanatomical and behavioral homology to humans than rodent models while permitting experimental manipulations impossible in human studies. The most extensively studied NHP model in addiction neuroscience involves social-hierarchy manipulations in cynomolgus macaques, where the relationship between socia...”
  17. [Czoty2010] paper:paper-98f6a1474183 “Nonhuman primate research occupies a critical intermediate position in the translational chain, offering closer neuroanatomical and behavioral homology to humans than rodent models while permitting experimental manipulations impossible in human studies. The most extensively studied NHP model in addiction neuroscience involves social-hierarchy manipulations in cynomolgus macaques, where the relationship between socia...”
  18. [Nader2012] paper:paper-516d76717857 “Nonhuman primate research occupies a critical intermediate position in the translational chain, offering closer neuroanatomical and behavioral homology to humans than rodent models while permitting experimental manipulations impossible in human studies. The most extensively studied NHP model in addiction neuroscience involves social-hierarchy manipulations in cynomolgus macaques, where the relationship between socia...”
  19. [Czoty2013] paper:paper-b3639fe812ab “**Social status and D2 receptors: cause or consequence?** The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies [Morgan2000, Czoty2004, Czoty2010]. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability [Nader2012, Czoty2013], and exposure during treatment can counte...”
  20. [Johnson2023] paper:paper-36cf13fa60e1 “**Social status and D2 receptors: cause or consequence?** The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies [Morgan2000, Czoty2004, Czoty2010]. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability [Nader2012, Czoty2013], and exposure during treatment can counte...”
  21. [Johnson2025] paper:paper-8cb39cb78b62 “**Social status and D2 receptors: cause or consequence?** The canonical narrative — that social subordination reduces D2 receptors, which increases cocaine vulnerability — rests on strong correlational evidence from NHP studies [Morgan2000, Czoty2004, Czoty2010]. However, the causal direction remains contested. Cocaine SA itself reduces D2 availability [Nader2012, Czoty2013], and exposure during treatment can counte...”
  22. [Czoty2015] paper:paper-36a9fbdf2e1a “The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists [Czoty2015], alpha-2 agonists [Czoty2020], and combined approaches [Czoty2017, Czoty2021] — have generally produced modest effects that are difficult to sustain. [Czoty2020] reported that alpha-2 receptor agonists produced only small decrea...”
  23. [Czoty2020] paper:paper-bf9ce37d446e “The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists [Czoty2015], alpha-2 agonists [Czoty2020], and combined approaches [Czoty2017, Czoty2021] — have generally produced modest effects that are difficult to sustain. [Czoty2020] reported that alpha-2 receptor agonists produced only small decrea...”
  24. [Czoty2017] paper:paper-8c7e62b966cd “The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists [Czoty2015], alpha-2 agonists [Czoty2020], and combined approaches [Czoty2017, Czoty2021] — have generally produced modest effects that are difficult to sustain. [Czoty2020] reported that alpha-2 receptor agonists produced only small decrea...”
  25. [Czoty2021] paper:paper-d9e47b6242e9 “The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists [Czoty2015], alpha-2 agonists [Czoty2020], and combined approaches [Czoty2017, Czoty2021] — have generally produced modest effects that are difficult to sustain. [Czoty2020] reported that alpha-2 receptor agonists produced only small decrea...”
  26. [Czoty2012] paper:paper-941e37bcd15c “The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists [Czoty2015], alpha-2 agonists [Czoty2020], and combined approaches [Czoty2017, Czoty2021] — have generally produced modest effects that are difficult to sustain. [Czoty2020] reported that alpha-2 receptor agonists produced only small decrea...”
  27. [Yamaguchi2017] paper:paper-2179a9cede70 “The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists [Czoty2015], alpha-2 agonists [Czoty2020], and combined approaches [Czoty2017, Czoty2021] — have generally produced modest effects that are difficult to sustain. [Czoty2020] reported that alpha-2 receptor agonists produced only small decrea...”
  28. [GalboThomma2025] paper:paper-16aa6b22f730 “The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists [Czoty2015], alpha-2 agonists [Czoty2020], and combined approaches [Czoty2017, Czoty2021] — have generally produced modest effects that are difficult to sustain. [Czoty2020] reported that alpha-2 receptor agonists produced only small decrea...”
  29. [Bajo2026] paper:paper-f214b8eb08b1 “The NHP pharmacotherapy literature also reveals the translation gap in microcosm. Systematic efforts to reduce cocaine choice using dopaminergic agents — including D3 antagonists [Czoty2015], alpha-2 agonists [Czoty2020], and combined approaches [Czoty2017, Czoty2021] — have generally produced modest effects that are difficult to sustain. [Czoty2020] reported that alpha-2 receptor agonists produced only small decrea...”
  30. [Nader2014] paper:paper-1b727c7d5647 “Functional neuroimaging has produced robust group-level differences between substance users and controls across multiple paradigms and brain regions, yet the translation of these findings into individually predictive biomarkers remains elusive [Nader2014, MahdaviDoost2025, Brand2014, Volkow2006]. PET studies have consistently demonstrated reduced D2 receptor availability in individuals with stimulant, alcohol, and o...”
  31. [MahdaviDoost2025] paper:paper-6b3206d4b704 “Functional neuroimaging has produced robust group-level differences between substance users and controls across multiple paradigms and brain regions, yet the translation of these findings into individually predictive biomarkers remains elusive [Nader2014, MahdaviDoost2025, Brand2014, Volkow2006]. PET studies have consistently demonstrated reduced D2 receptor availability in individuals with stimulant, alcohol, and o...”
  32. [Brand2014] paper:paper-7dd579645da8 “Functional neuroimaging has produced robust group-level differences between substance users and controls across multiple paradigms and brain regions, yet the translation of these findings into individually predictive biomarkers remains elusive [Nader2014, MahdaviDoost2025, Brand2014, Volkow2006]. PET studies have consistently demonstrated reduced D2 receptor availability in individuals with stimulant, alcohol, and o...”
  33. [Volkow2006] paper:paper-244a5ee39ed8 “Functional neuroimaging has produced robust group-level differences between substance users and controls across multiple paradigms and brain regions, yet the translation of these findings into individually predictive biomarkers remains elusive [Nader2014, MahdaviDoost2025, Brand2014, Volkow2006]. PET studies have consistently demonstrated reduced D2 receptor availability in individuals with stimulant, alcohol, and o...”

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