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  4. Systemic gene expression profiles according to pain types in individuals with chronic spinal cord injury

Systemic gene expression profiles according to pain types in individuals with chronic spinal cord injury

Molecular Pain, 2021 · DOI: 10.1177/17448069211007289 · Published: March 9, 2021

Spinal Cord InjuryPain ManagementGenetics

Simple Explanation

This study explores the genetic basis of pain in individuals with spinal cord injury (SCI). It looks at how gene expression differs between SCI patients with and without pain, compared to able-bodied individuals. The research identifies specific genes and biological processes related to T cell activation and inflammation that are more active in SCI patients experiencing pain. The study also investigates gene expression differences based on the type of pain (neuropathic vs. nociceptive) reported as the worst, finding potential links between T-cell signaling and nociceptive pain.

Study Duration
Not specified
Participants
28 individuals with chronic SCI and 26 able-bodied individuals
Evidence Level
Not specified

Key Findings

  • 1
    Participants with SCI who reported pain had 468 differentially expressed (DE) genes compared to able-bodied (AB) individuals, while those without pain had 564 DE genes.
  • 2
    Upregulated genes distinct to SCI participants with pain were enriched in categories related to T cell activation or inflammation.
  • 3
    Participants with SCI who ranked nociceptive pain as worst had 61 distinct DE genes compared to AB, with upregulated genes related to “positive regulation of T cell activation”.

Research Summary

The study examined whole blood gene expression in individuals with chronic SCI compared to able-bodied individuals, focusing on differences based on pain status and pain type. Results showed distinct gene expression profiles in SCI patients with pain compared to those without pain and to able-bodied individuals, with T-cell activation and inflammation-related genes upregulated in the pain group. Exploratory analysis by worst pain type (neuropathic vs. nociceptive) suggested that T-cell signaling is more prominent in individuals reporting nociceptive pain.

Practical Implications

Targeted Therapies

Identification of specific genes and pathways could lead to development of targeted therapies for pain management in SCI.

Biomarker Discovery

Gene expression profiles could serve as biomarkers to distinguish between different types of pain and predict treatment response.

Personalized Medicine

Understanding the molecular mechanisms underlying pain in SCI could enable personalized treatment approaches based on individual genetic profiles.

Study Limitations

  • 1
    The assignment of individuals with SCI by worst pain type was based on the participant-reported ranking of their worst pain type, which was not their only pain type.
  • 2
    Participants with SCI were not asked to discontinue their concurrent pain medications, which were directed against different types of pain during this study, thus pharmacological influences on gene expression are expected.
  • 3
    The sample size of this pilot study was not large enough to make generalizations about the broader SCI population.

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