Evidence map›Paper›PMID 22132136›Full record

Trial reportPloS one2011

The catechol-O-methyltransferase (COMT) val158met polymorphism affects brain responses to repeated painful stimuli.

Marco L Loggia, Karin Jensen, Randy L Gollub, Ajay D Wasan, Robert R Edwards, Jian Kong

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Do Diabetes and Genetic Polymorphisms in theJournal of clinical medicine · 2025
    Article
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  13. Genetic epidemiology of irritable bowel syndrome.World journal of gastroenterology · 2015
    Review
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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

6 authors at 4 institutions in 1 country.

Marco L LoggiaDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America. marco@nmr.mgh.harvard.edu
Karin Jensen
Randy L Gollub
Ajay D Wasan
Robert R Edwards
Jian Kong
Athinoula A. Martinos Center for Biomedical Imaging · USHarvard University · USBrigham and Women's Hospital · USMassachusetts General Hospital · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
ZD6416 Analgesic--Painful Distal Symmetrical PolyneuropaM01RR001066 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI HALL, JANET E · 1985 to 2008
$37.4M
ULTRAHIGH FIELD TECHNOLOGY FOR FUNCTIONAL IMAGINGP41RR014075 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BOAS, DAVID A · 1999 to 2011
$16.4M
Project 3P01AT002048 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI ROSEN, BRUCE R · 2003 to 2010
$8.5M
An fMRI study of expectancy on acupuncture treatment outcomes in knee OAR01AT005280 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI HIRSCHTICK, RANDY L, KAPTCHUK, TED · 2010 to 2014
$3.9M
Biobehavioral Risk Factors for Persistent Pain following Total Knee ArthroplastyR01AG034982 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI EDWARDS, ROBERT R · 2010 to 2014
$3.2M
An acupuncture fMRI study on chronic pain: response reliability and dose effectR21AT004497 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2009 to 2010
$741k
Study of individual variability in acupuncture and placebo analgesiaK01AT003883 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2006 to 2010
$678k
fMRI and Opioid Neuroimaging of Acupuncture AnalgesiaR21AT000949 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI GOLLUB, RANDY LYANNE · 2002 to 2003
$445k
NCCIH NIH HHS K01 AT003883NCCIH NIH HHS KO1AT003883NCCIH NIH HHS P01 AT002048NCCIH NIH HHS P01-AT002048NCCIH NIH HHS R01 AT005280NCCIH NIH HHS R01AT005280NCCIH NIH HHS R21 AT000949NCCIH NIH HHS R21 AT004497NCCIH NIH HHS R21AT004497NCCIH NIH HHS R21AT00949NCRR NIH HHS M01 RR001066NCRR NIH HHS M01-RR-01066NCRR NIH HHS P41 RR014075NCRR NIH HHS P41RR14075NCRR NIH HHS UL1 RR025758NCRR NIH HHS UL1 RR025758-01NIA NIH HHS R01 AG034982
6 · The paper itself

Abstract

Despite the explosion of interest in the genetic underpinnings of individual differences in pain sensitivity, conflicting findings have emerged for most of the identified "pain genes". Perhaps the prime example of this inconsistency is represented by catechol-O-methyltransferase (COMT), as its substantial association to pain sensitivity has been reported in various studies, but rejected in several others. In line with findings from behavioral studies, we hypothesized that the effect of COMT on pain processing would become apparent only when the pain system was adequately challenged (i.e., after repeated pain stimulation). In the present study, we used functional Magnetic Resonance Imaging (fMRI) to investigate the brain response to heat pain stimuli in 54 subjects genotyped for the common COMT val158met polymorphism (val/val = n 22, val/met = n 20, met/met = n 12). Met/met subjects exhibited stronger pain-related fMRI signals than val/val in several brain structures, including the periaqueductal gray matter, lingual gyrus, cerebellum, hippocampal formation and precuneus. These effects were observed only for high intensity pain stimuli after repeated administration. In spite of our relatively small sample size, our results suggest that COMT appears to affect pain processing. Our data demonstrate that the effect of COMT on pain processing can be detected in presence of 1) a sufficiently robust challenge to the pain system to detect a genotype effect, and/or 2) the recruitment of pain-dampening compensatory mechanisms by the putatively more pain sensitive met homozygotes. These findings may help explain the inconsistencies in reported findings of the impact of COMT in pain regulation.

Indexed as

AdultAmino Acid SubstitutionBrainBrain MappingCatechol O-MethyltransferaseFemaleGenetic Predisposition to DiseaseHumansMalePainPhysical StimulationPolymorphism, Single NucleotideCatechol O-Methyltransferase

Identifiers

PMID22132136
PMCPMC3221673
OpenAlexW2143168534

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.