Evidence map›Paper›PMID 31194737›Full record

ArticlePLoS genetics2019

Genome-wide association study of multisite chronic pain in UK Biobank.

Keira J A Johnston, Mark J Adams, Barbara I Nicholl, Joey Ward, Rona J Strawbridge, Amy Ferguson, Andrew M McIntosh, Mark E S Bailey, Daniel J Smith

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 163 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
163citing papers in PubMed, 9 pooled it
10.4field-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.

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

163 citing papers in PubMed, 9 syntheses or guidelines pooled it, 270 citations in OpenAlex.

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  13. A neurogenetic blueprint for fibromyalgia.Nature reviews. Rheumatology · 2026
    Article
  14. Article
  15. Article
  16. Dopamine transporter gene (Pain reports · 2026
    Article
  17. Review
  18. Article
  19. Article
  20. Article

103 more citing papers are in PubMed but not listed here.

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

9 authors at 3 institutions in 2 countries.

Keira J A JohnstonInstitute of Health and Wellbeing, University of Glasgow, Scotland, United Kingdom.ORCID 0000-0002-1370-3149
Mark J AdamsCentre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Scotland, United Kingdom.ORCID 0000-0002-3599-6018
Barbara I NichollInstitute of Health and Wellbeing, University of Glasgow, Scotland, United Kingdom.
Joey WardInstitute of Health and Wellbeing, University of Glasgow, Scotland, United Kingdom.ORCID 0000-0003-0951-8511
Rona J StrawbridgeInstitute of Health and Wellbeing, University of Glasgow, Scotland, United Kingdom.ORCID 0000-0001-8506-3585
Amy FergusonInstitute of Health and Wellbeing, University of Glasgow, Scotland, United Kingdom.
Andrew M McIntoshCentre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Scotland, United Kingdom.ORCID 0000-0002-0198-4588
Mark E S BaileySchool of Life Sciences, College of Medical, Veterinary & Life Sciences, University of Glasgow, Scotland, United Kingdom.ORCID 0000-0002-9788-2278
Daniel J SmithInstitute of Health and Wellbeing, University of Glasgow, Scotland, United Kingdom.
University of Glasgow · GBUniversity of Edinburgh · GBKarolinska Institutet · SE

Funding

Medical Research Council MC_PC_17217Medical Research Council MR/K501335/1Medical Research Council MR/S003061/1Wellcome Trust
6 · The paper itself

Abstract

Chronic pain is highly prevalent worldwide and represents a significant socioeconomic and public health burden. Several aspects of chronic pain, for example back pain and a severity-related phenotype 'chronic pain grade', have been shown previously to be complex heritable traits with a polygenic component. Additional pain-related phenotypes capturing aspects of an individual's overall sensitivity to experiencing and reporting chronic pain have also been suggested as a focus for investigation. We made use of a measure of the number of sites of chronic pain in individuals within the UK general population. This measure, termed Multisite Chronic Pain (MCP), is a complex trait and its genetic architecture has not previously been investigated. To address this, we carried out a large-scale genome-wide association study (GWAS) of MCP in ~380,000 UK Biobank participants. Our findings were consistent with MCP having a significant polygenic component, with a Single Nucleotide Polymorphism (SNP) heritability of 10.2%. In total 76 independent lead SNPs at 39 risk loci were associated with MCP. Additional gene-level association analyses identified neurogenesis, synaptic plasticity, nervous system development, cell-cycle progression and apoptosis genes as enriched for genetic association with MCP. Genetic correlations were observed between MCP and a range of psychiatric, autoimmune and anthropometric traits, including major depressive disorder (MDD), asthma and Body Mass Index (BMI). Furthermore, in Mendelian randomisation (MR) analyses a causal effect of MCP on MDD was observed. Additionally, a polygenic risk score (PRS) for MCP was found to significantly predict chronic widespread pain (pain all over the body), indicating the existence of genetic variants contributing to both of these pain phenotypes. Overall, our findings support the proposition that chronic pain involves a strong nervous system component with implications for our understanding of the physiology of chronic pain. These discoveries may also inform the future development of novel treatment approaches.

Indexed as

Genetic Predisposition to DiseaseGenome-Wide Association StudyAdultAgedAsthmaBiological Specimen BanksBody Mass IndexChronic PainFemaleHumansMajor Depressive DisorderMaleMiddle AgedMultifactorial InheritanceNeurogenesisNeuronal Plasticity

Identifiers

PMID31194737
PMCPMC6592570
OpenAlexW2950439954

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.