Evidence map›Paper›PMID 22000099›Full record

ArticlePain2011

Cytokine biomarkers and chronic pain: association of genes, transcription, and circulating proteins with temporomandibular disorders and widespread palpation tenderness.

Gary D Slade, Mathew S Conrad, Luda Diatchenko, Naim U Rashid, Sheng Zhong, Shad Smith, Jesse Rhodes, Alex Medvedev, Sergei Makarov, William Maixner and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Pain, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02324712 (Cytokine and Growth Factor Changes and Correlation With Clinical Outcomes Following Acupuncture for TMD), which is not on this map. Cited by 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02324712 nawithdrawnnot on this map

Cytokine and Growth Factor Changes and Correlation With Clinical Outcomes Following Acupuncture for TMD

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillEnrolled0ConditionsTemporomandibular Joint DisordersArmsAcupuncture, Sham Acupuncture
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 2 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. The Role of Biomarkers in Temporomandibular Disorders: A Systematic Review.International journal of molecular sciences · 2025
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Gary D SladeCenter for Neurosensory Disorders, School of Dentistry, University of North Carolina, Chapel Hill, NC 27599, USA Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA Attagene, Inc, Morrisville, NC 27560, USA.
Mathew S Conrad
Luda Diatchenko
Naim U Rashid
Sheng Zhong
Shad Smith
Jesse Rhodes
Alex Medvedev
Sergei Makarov
William Maixner
Andrea G Nackley
University of North Carolina at Chapel Hill · USAttagene · US

Funding

Vulvar Vestibulitis syndrome (VVS)P01NS045685 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ESSICK, GREGORY KENT · 2004 to 2014
$12.5M
COMT &betaAR Polymorphism &Development of Painful TMDR01DE016558 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DIATCHENKO, LUDA · 2005 to 2009
$1.7M
Persistent COMT-dependent Pain: Role of beta-adrenergic ReceptorsR01NS072205 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NACKLEY, ANDREA G · 2011 to 2014
$1.4M
NICHD NIH HHS K12 HD052191NIDCR NIH HHS R01 DE016558NINDS NIH HHS P01 NS045685NINDS NIH HHS R01 NS072205
6 · The paper itself

Abstract

For reasons unknown, temporomandibular disorder (TMD) can manifest as localized pain or in conjunction with widespread pain. We evaluated relationships between cytokines and TMD without or with widespread palpation tenderness (TMD-WPT or TMD+WPT, respectively) at protein, transcription factory activity, and gene levels. Additionally, we evaluated the relationship between cytokines and intermediate phenotypes characteristic of TMD and WPT. In a case-control study of 344 females, blood samples were analyzed for levels of 22 cytokines and activity of 48 transcription factors. Intermediate phenotypes were measured by quantitative sensory testing and questionnaires asking about pain, health, and psychological status. Single nucleotide polymorphisms (SNPs) coding cytokines and transcription factors were genotyped. TMD-WPT cases had elevated protein levels of proinflammatory cytokine monocyte chemotactic protein (MCP-1) and antiinflammatory cytokine interleukin (IL)-1ra, whereas TMD+WPT cases had elevated levels of proinflammatory cytokine IL-8. MCP-1, IL-1ra, and IL-8 were differentially associated with experimental pain, self-rated pain, self-rated health, and psychological phenotypes. TMD-WPT and TMD+WPT cases had inhibited transcription activity of the antiinflammatory cytokine transforming growth factor β1 (TGFβ1). Interactions were observed between TGFβ1 and IL-8 SNPs: an additional copy of the TGFβ1 rs2241719 minor T allele was associated with twice the odds of TMD+WPT among individuals homozygous for the IL-8 rs4073 major A allele, and half the odds of TMD+WPT among individuals heterozygous for rs4073. These results demonstrate how pro- and antiinflammatory cytokines contribute to the pathophysiology of TMD and WPT in genetically susceptible people. Furthermore, they identify MCP-1, IL-1ra, IL-8, and TGFβ1 as potential diagnostic markers and therapeutic targets for pain in patients with TMD.

Indexed as

Genome-Wide Association StudyPalpationAdolescentAdultBiomarkersCase-Control StudiesChronic PainCytokinesFemaleHumansMiddle AgedPain MeasurementSurveys and QuestionnairesTemporomandibular Joint DisordersYoung AdultBiomarkersCytokines

Identifiers

PMID22000099
PMCPMC3221458
OpenAlexW2030486359

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.