Evidence map›Paper›PMID 31733364›Full record

ArticleThe journal of pain

Sex Differences in Interleukin-6 Responses Over Time Following Laboratory Pain Testing Among Patients With Knee Osteoarthritis.

Chung Jung Mun, Janelle E Letzen, Sabrina Nance, Michael T Smith, Harpal S Khanuja, Robert S Sterling, Mark C Bicket, Jennifer A Haythornthwaite, Robert N Jamison, Robert R Edwards and 1 more

Open access · greenAbstract read
In one paragraph

Article in The journal of pain. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

25 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Review
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  6. Article
  7. Review
  8. Sex differences in inflammatory markers in bipolar disorder.Journal of affective disorders reports · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Pathology of pain and its implications for therapeutic interventions.Signal transduction and targeted therapy · 2024
    Review
  16. Article
  17. A Brief Overview: Sex Differences in Prevalent Chronic Musculoskeletal Conditions.International journal of environmental research and public health · 2023
    Article
  18. Article
  19. Article
  20. Review
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

11 authors at 3 institutions in 1 country.

Chung Jung MunDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland. Electronic address: cmun2@jhmi.edu.
Janelle E LetzenDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland.
Sabrina NanceEshelman School of Pharmacy, University of North Carolina, Chapel Hill, North Carolina.
Michael T SmithDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland.
Harpal S KhanujaDepartment of Orthopedic Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.
Robert S SterlingDepartment of Orthopedic Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.
Mark C BicketDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland.
Jennifer A HaythornthwaiteDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland.
Robert N JamisonDepartment of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Robert R EdwardsDepartment of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Claudia M CampbellDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, Maryland.
Johns Hopkins University · USBrigham and Women's Hospital · USUniversity of North Carolina at Chapel Hill · US

Funding

Interdisciplinary Training in Biobehavioral Pain ResearchT32NS070201 · NINDS · JOHNS HOPKINS UNIVERSITY · PI DONG, XINZHONG, SMITH, MICHAEL T · 2010 to 2024
$3.6M
Experimental model of chronic pain risk: Insomnia, inflammation, central sensitization, and affective disturbanceR01AG057750 · NIA · JOHNS HOPKINS UNIVERSITY · PI SMITH, MICHAEL T · 2018 to 2022
$3.4M
Biobehavioral Risk Factors for Persistent Pain following Total Knee ArthroplastyR01AG034982 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI EDWARDS, ROBERT R · 2010 to 2014
$3.2M
Neural mechanisms of treatment motivation and adherence in sickle cell diseaseF32HL143941 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI LETZEN, JANELLE E · 2018 to 2019
$129k
NHLBI NIH HHS F32 HL143941NIA NIH HHS R01 AG034982NIA NIH HHS R01 AG057750NINDS NIH HHS T32 NS070201
6 · The paper itself

Abstract

Epidemiological studies suggest that women are not only at a higher risk for developing knee osteoarthritis (KOA), but also report greater symptom severity compared to men. One potential underlying mechanism of these sex differences may be exaggerated inflammatory responses to pain among women compared to men. The present study examined sex differences in interleukin-6 (IL-6) response over time following experimental pain testing. We hypothesized that women, when compared to men, would show greater IL-6 reactivity when exposed to acute pain in a human laboratory setting. Eighty-four participants (36 men and 48 women) with KOA scheduled for total knee arthroplasty underwent a quantitative sensory testing (QST) battery. A total of seven IL-6 measurements were taken, twice at baseline, once immediately after QST, and every 30 minutes up to 2 hours after QST. Consistent with our hypothesis, women, when compared to men, showed accelerated increases in IL-6 levels following laboratory-evoked pain, even after controlling for body mass index, marital status, clinical pain, evoked pain sensitivity, and situational pain catastrophizing. Given that KOA is a chronic condition, and individuals with KOA frequently experience pain, these sex differences in IL-6 reactivity may contribute to the maintenance and/or exacerbation of KOA symptoms. PERSPECTIVES: The present study demonstrates that women, when compared to men, exhibit greater IL-6 reactivity after exposure to laboratory-evoked pain. Such sex differences may explain the mechanisms underlying women's higher chronic pain risk and pain perception, as well as provide further insight in developing personalized pain interventions.

Indexed as

Pain MeasurementSex CharacteristicsAcute PainAgedArthralgiaChronic PainFemaleHumansInterleukin-6MaleMiddle AgedNociceptive PainOsteoarthritis, KneeIL6 protein, humanInterleukin-6Chronic painInterleukin-6Knee osteoarthritisQuantitative sensory testingSex differences

Identifiers

PMID31733364
PMCPMC7217718
OpenAlexW2988257526

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.