Evidence map›Paper›PMID 28481838›Full record

ArticleThe Clinical journal of pain2018

Contribution of Endocannabinoid Gene Expression and Genotype on Low Back Pain Susceptibility and Chronicity.

Divya Ramesh, Amy D'Agata, Angela R Starkweather, Erin E Young

Open access · greenAbstract read
In one paragraph

Article in The Clinical journal of pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.5field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Challenges and opportunities for omics-based precision medicine in chronic low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Review
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  12. A Role for Global DNA Methylation Level andFrontiers in pain research (Lausanne, Switzerland) · 2021
    Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Cannabis Use and Low-Back Pain: A Systematic Review.Cannabis and cannabinoid research · 2020
    Review
  19. Psychological and Genetic Predictors of Pain Tolerance.Clinical and translational science · 2019
    Article
  20. 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

4 authors at 1 institution in 1 country.

Divya RameshUCONN School of Nursing, Storrs, CT.
Amy D'AgataUCONN School of Nursing, Storrs, CT.
Angela R StarkweatherUCONN School of Nursing, Storrs, CT.
Erin E YoungUCONN School of Nursing, Storrs, CT.
University of Connecticut · US

Funding

Promoting Self-Management of Spinal Pain in AdolescentsP20NR016605 · NINR · UNIVERSITY OF CONNECTICUT STORRS · PI STARKWEATHER, ANGELA RENEE · 2016 to 2020
$1.7M
Pain Sensitivity in Low Back PainR01NR013932 · NINR · VIRGINIA COMMONWEALTH UNIVERSITY · PI STARKWEATHER, ANGELA RENEE · 2013 to 2015
$1.3M
NINR NIH HHS P20 NR016605NINR NIH HHS R01 NR013932
6 · The paper itself

Abstract

backgroundA major research emphasis has been focused on defining the molecular changes that occur from acute to chronic pain to identify potential therapeutic targets for chronic pain. As the endocannabinoid system is dynamically involved in pain signaling, a plausible mechanism that may contribute to chronic pain vulnerability involves alterations in the amount of circulating endocannabinoids. Therefore, this study sought to examine cannabinoid type 1 (CNR1), type 2 (CNR2) receptors, fatty acid amide hydrolase (FAAH), and the vanilloid receptor (transient receptor potential cation channel subfamily V member 1 [TRPV1]) gene expression profiles among individuals with acute and chronic low back pain (cLBP) at their baseline visit. We also assessed associations among selected single nucleotide polymorphisms (SNPs) of FAAH and CNR2 and measures of somatosensory function and self-report pain measures.Using a previously established quantitative sensory testing protocol, we comprehensively assessed somatosensory parameters among 42 acute LBP, 42 cLBP, and 20 pain-free participants. Samples of whole blood were drawn to examine mRNA expression and isolate genomic DNA for genotyping.CNR2 mRNA was significantly upregulated in all LBP patients compared with controls. However, FAAH mRNA and TRPV1 mRNA were significantly upregulated in cLBP compared with controls. A significant association was observed between FAAH SNP genotype and self-report pain measures, mechanical and cold pain sensitivity among LBP participants. cLBP participants showed increased FAAH and TRPV1 mRNA expression compared with acute LBP patients and controls.Further research to characterize pain-associated somatosensory changes in the context of altered mRNA expression levels and SNP associations may provide insight on the molecular underpinnings of maladaptive chronic pain.

Indexed as

Acute PainAdolescentAdultAmidohydrolasesChronic PainEndocannabinoidsFatty Acid Amide HydrolasesFemaleGene ExpressionGenetic Association StudiesGenetic Predisposition to DiseaseGenotypeHumansLinear ModelsLow Back PainMaleAmidohydrolasesCNR1 protein, humanCNR2 protein, humanEndocannabinoidsFatty Acid Amide HydrolasesReceptor, Cannabinoid, CB1Receptor, Cannabinoid, CB2RNA, MessengerTRPV Cation Channels

Identifiers

PMID28481838
PMCPMC5671913
OpenAlexW2611680614

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.