Leknes · Nature reviews. Neuroscience 2008 · narrative review · n=?

A common neurobiology for pain and pleasure.

Cited 790 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of neurobiological mechanisms and imaging/animal studies

PubMed 18354400 · doi:10.1038/nrn2333 · record verified 2026-08-31

What was done

Narrative review synthesizing findings from pain and reward literature, focusing on animal studies and molecular-imaging research examining shared neuroanatomical substrates and the neuromodulatory roles of opioid and dopamine systems.

What was found

The abstract reports no quantitative data or numerical estimates. It states qualitatively that painful and pleasant sensations share extensive anatomical substrates, that dopamine and opioid systems modulate both states, and that pain and reward processing exert mutually inhibitory effects on one another.

Why it matters

Highlights that pain and pleasure rely on overlapping neurobiological systems rather than strictly separate pathways. Understanding these shared pathways offers insight into managing chronic pain and affective dysregulation via reward mechanisms.

Limits

The abstract provides no sample size, search strategy, or primary statistical data. As a narrative review, it synthesizes pre-clinical animal models and neuroimaging studies that may not directly translate to clinical populations, and it lacks systematic evaluation of study quality or publication bias.

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