Evidence map›Paper›PMID 28256933›Full record

ArticleMolecular pain

Association between UGT2B7 gene polymorphisms and fentanyl sensitivity in patients undergoing painful orthognathic surgery.

Wataru Muraoka, Daisuke Nishizawa, Kenichi Fukuda, Shinya Kasai, Junko Hasegawa, Koichi Wajima, Taneaki Nakagawa, Kazutaka Ikeda

Open access · goldAbstract read
In one paragraph

Article in Molecular pain. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
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  6. Article
  7. Cannabis Pharmacogenomics: A Path to Personalized Medicine.Current issues in molecular biology · 2023
    Review
  8. Article
  9. Article
  10. Review
  11. Influences of UGT2B7 rs7439366 and rs12233719 Polymorphisms on Fentanyl Sensitivity in Chinese Gynecologic Patients.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  12. Article
  13. A pharmacogenetics approach to pain management.Neuropsychopharmacology reports · 2018
    Review
  14. Review
  15. 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

8 authors at 3 institutions in 1 country.

Wataru Muraoka1 Addictive Substance Project, Tokyo Metropolitan Institute of Medical Science, Setagaya-ku, Japan.
Daisuke Nishizawa1 Addictive Substance Project, Tokyo Metropolitan Institute of Medical Science, Setagaya-ku, Japan.
Kenichi Fukuda3 Department of Oral Health and Clinical Science, Tokyo Dental College, Chiyoda-ku, Japan.
Shinya Kasai1 Addictive Substance Project, Tokyo Metropolitan Institute of Medical Science, Setagaya-ku, Japan.
Junko Hasegawa1 Addictive Substance Project, Tokyo Metropolitan Institute of Medical Science, Setagaya-ku, Japan.
Koichi Wajima2 Department of Dentistry and Oral Surgery, School of Medicine, Keio University, Shinjyuku-ku, Japan.
Taneaki Nakagawa2 Department of Dentistry and Oral Surgery, School of Medicine, Keio University, Shinjyuku-ku, Japan.
Kazutaka Ikeda1 Addictive Substance Project, Tokyo Metropolitan Institute of Medical Science, Setagaya-ku, Japan.
Tokyo Metropolitan Institute of Medical Science · JPKeio University · JPTokyo Dental College · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Fentanyl is often used instead of morphine for the treatment of pain because it has fewer side effects. The metabolism of morphine by glucuronidation is known to be influenced by polymorphisms of the UGT2B7 gene. Some metabolic products of fentanyl are reportedly metabolized by glucuronate conjugation. The genes that are involved in the metabolic pathway of fentanyl may also influence fentanyl sensitivity. We analyzed associations between fentanyl sensitivity and polymorphisms of the UGT2B7 gene to clarify the hereditary determinants of individual differences in fentanyl sensitivity. Results This study examined whether single-nucleotide polymorphisms (SNPs) of the UGT2B7 gene affect cold pain sensitivity and the analgesic effects of fentanyl, evaluated by a standardized pain test and fentanyl requirements in healthy Japanese subjects who underwent uniform surgical procedures. The rs7439366 SNP of UGT2B7 is reportedly associated with the metabolism and analgesic effects of morphine. We found that this SNP is also associated with the analgesic effects of fentanyl in the cold pressor-induced pain test. It suggested that the C allele of the rs7439366 SNP may enhance analgesic efficacy. Two SNPs of UGT2B7, rs4587017 and rs1002849, were also found to be novel SNPs that may influence the analgesic effects of fentanyl in the cold pressor-induced pain test. Conclusions Fentanyl sensitivity for cold pressor-induced pain was associated with the rs7439366, rs4587017, and rs1002849 SNPs of the UGT2B7 gene. Our findings may provide valuable information for achieving satisfactory pain control and open to new avenues for personalized pain treatment.

Indexed as

Orthognathic SurgeryAdolescentAdultAnalgesics, OpioidFemaleFentanylGenotypeGlucuronosyltransferaseHumansMaleMiddle AgedMorphinePain MeasurementPain ThresholdPolymorphism, Single NucleotidePostoperative PainAnalgesics, OpioidFentanylGlucuronosyltransferaseMorphineUGT2B7 protein, humancold pressor-induced pain testFentanyllinkage disequilibrium analysisperioperative analgesiasingle-nucleotide polymorphismUGT2B7

Identifiers

PMID28256933
PMCPMC5521342
OpenAlexW2609271207

What OpenQuestion holds

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LicenceCC BY-NC
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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.