Evidence map›Paper›PMID 29470314›Full record

ArticlePain2018

Genetic variation in P2RX7 and pain tolerance.

Oleg Kambur, Mari A Kaunisto, Bendik S Winsvold, Tom Wilsgaard, Audun Stubhaug, John A Zwart, Eija Kalso, Christopher S Nielsen

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04503083 (A Multidisciplinary Approach to the Identification of BIOmarkers of MIGraine), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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.

NCT04503083 completednot on this mapstarted 2021, after this paper: background citation

A Multidisciplinary Approach to the Identification of BIOmarkers of MIGraine: a Proof of Concept Study Based on the Stratification of Responders to CGRP Monoclonal Antibodies

TypeobservationalSponsorIRCCS National Neurological Institute "C. Mondino" FoundationRan2021 to 2024Enrolled243ConditionsMigraine
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. LOXL2 alleviates post-traumatic knee osteoarthritis and pain.Journal of orthopaedic translation · 2025
    Article
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  6. Review
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  10. Article
  11. Article
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  14. A Role for Global DNA Methylation Level andFrontiers in pain research (Lausanne, Switzerland) · 2021
    Article
  15. Article
  16. Review
  17. Pharmacogenomics and personalized medicine · 2020
    Article
  18. Review
  19. Article
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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

8 authors at 5 institutions in 2 countries.

Oleg KamburDepartment of Pain Management and Research, Oslo University Hospital, Oslo, Norway.
Mari A KaunistoInstitute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science, University of Helsinki, Helsinki, Finland.
Bendik S WinsvoldFORMI, Department of Neurology, Oslo University Hospital, University of Oslo, Oslo, Norway.
Tom WilsgaardDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Audun StubhaugDepartment of Pain Management and Research, Oslo University Hospital, Oslo, Norway.
John A ZwartPain Research Group, Department of Anesthesiology, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Norway.
Eija KalsoDepartment of Perioperative, Intensive Care and Pain Medicine, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Christopher S NielsenDepartment of Pain Management and Research, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NOInstitute for Molecular Medicine Finland · FIUiT The Arctic University of Norway · NOUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

P2X7 is a nonselective cation channel activated by extracellular ATP. P2X7 activation contributes to the proinflammatory response to injury or bacterial invasion and mediates apoptosis. Recently, P2X7 function has been linked to chronic inflammatory and neuropathic pain. P2X7 may contribute to pain modulation both by effects on peripheral tissue injury underlying clinical pain states, and through alterations in central nervous system processing, as suggested by animal models. To further test its role in pain sensitivity, we examined whether variation within the P2RX7 gene, which encodes the P2X7 receptor, was associated with experimentally induced pain in human patients. Experimental pain was assessed in Tromsø 6, a longitudinal and cross-sectional population-based study (N = 3016), and the BrePainGen cohort, consisting of patients who underwent breast cancer surgery (N = 831). For both cohorts, experimental pain intensity and tolerance were assessed with the cold-pressor test. In addition, multisite chronic pain was assessed in Tromsø 6 and pain intensity 1 week after surgery was assessed in BrePainGen. We tested whether the single-nucleotide polymorphism rs7958311, previously implicated in clinical pain, was associated with experimental and clinical pain phenotypes. In addition, we examined effects of single-nucleotide polymorphisms rs208294 and rs208296, for which previous results have been equivocal. Rs7958311 was associated with experimental pain intensity in the meta-analysis of both cohorts. Significant associations were also found for multisite pain and postoperative pain. Our results strengthen the existing evidence and suggest that P2X7 and genetic variation in the P2RX7-gene may be involved in the modulation of human pain sensitivity.

Indexed as

AdolescentAdultAgedCohort StudiesCommunity Health PlanningCross-Sectional StudiesDNA Mutational AnalysisFemaleGenetic VariationGenotypeHumansMaleMiddle AgedPainPain MeasurementPain ThresholdP2RX7 protein, humanReceptors, Purinergic P2X7

Identifiers

PMID29470314
PMCPMC5965926
OpenAlexW2790578942

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.