Evidence map›Paper›PMID 22978429›Full record

ReviewPain medicine (Malden, Mass.)2012

Epigenetics and the transition from acute to chronic pain.

Thomas Buchheit, Thomas Van de Ven, Andrew Shaw

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Pain medicine (Malden, Mass.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04031716 (Genetic, Epigenetic, Psychosocial, and Biological Determinants of Post-surgical Pain After Pectus or Spine Surgery), which is not on this map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
14.1field-weighted citation impact, top 1% 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.

NCT04031716 naactive not recruitingnot on this mapstarted 2018, after this paper: background citation

Genetic, Epigenetic, Psychosocial, and Biological Determinants of Post-surgical Pain After Pectus or Spine Surgery

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2018 to 2025Enrolled600ConditionsPain, Postoperative, Excavatum, Pectus, Scoliosis IdiopathicArmsMeditation
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 171 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Mechanism-based nonopioid analgesic targets.The Journal of clinical investigation · 2025
    Review
  4. Article
  5. Critical Windows: Exploring the Association Between Perinatal Trauma, Epigenetics, and Chronic Pain.The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. A Role for Global DNA Methylation Level andFrontiers in pain research (Lausanne, Switzerland) · 2021
    Article
  19. Review
  20. Mechanisms Challenges of the Pain Phenomenon.Frontiers in pain research (Lausanne, Switzerland) · 2020
    Article
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

3 authors at 3 institutions in 1 country.

Thomas BuchheitDepartment of Anesthesiology, Duke University Medical Center, Durham VA Medical Center, Durham, NC 27710, USA. thomas.buchheit@duke.edu
Thomas Van de Ven
Andrew Shaw
Duke Medical Center · USDuke University Hospital · USDurham VA Medical Center · US

Funding

INTEGRATED TRAINING IN ANESTHESIOLOGY RESEARCHT32GM008600 · NIGMS · DUKE UNIVERSITY · PI Miriam Treggiari · 1996 to 2026
$6.6M
NIGMS NIH HHS 2T32GM008600NIGMS NIH HHS T32 GM008600
6 · The paper itself

Abstract

objectiveThe objective of this study was to review the epigenetic modifications involved in the transition from acute to chronic pain and to identify potential targets for the development of novel, individualized pain therapeutics.

backgroundEpigenetics is the study of heritable modifications in gene expression and phenotype that do not require a change in genetic sequence to manifest their effects. Environmental toxins, medications, diet, and psychological stresses can alter epigenetic processes such as DNA methylation, histone acetylation, and RNA interference. As epigenetic modifications potentially play an important role in inflammatory cytokine metabolism, steroid responsiveness, and opioid sensitivity, they are likely key factors in the development of chronic pain. Although our knowledge of the human genetic code and disease-associated polymorphisms has grown significantly in the past decade, we have not yet been able to elucidate the mechanisms that lead to the development of persistent pain after nerve injury or surgery.

designThis is a focused literature review of epigenetic science and its relationship to chronic pain.

resultsSignificant laboratory and clinical data support the notion that epigenetic modifications are affected by the environment and lead to differential gene expression. Similar to mechanisms involved in the development of cancer, neurodegenerative disease, and inflammatory disorders, the literature endorses an important potential role for epigenetics in chronic pain.

conclusionsEpigenetic analysis may identify mechanisms critical to the development of chronic pain after injury, and may provide new pathways and target mechanisms for future drug development and individualized medicine.

Indexed as

Acute PainChronic PainEpigenesis, GeneticHumans

Identifiers

PMID22978429
PMCPMC3501579
OpenAlexW1687596153

What OpenQuestion holds

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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.