Evidence map›Paper›PMID 32058259›Full record

ArticleJournal of clinical anesthesia2020

Systems biology-based approaches to summarize and identify novel genes and pathways associated with acute and chronic postsurgical pain.

Vidya Chidambaran, Maria Ashton, Lisa J Martin, Anil G Jegga

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical anesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

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  7. Preventing pediatric chronic postsurgical pain: Time for increased rigor.Canadian journal of pain = Revue canadienne de la douleur · 2022
    Review
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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

4 authors at 1 institution in 1 country.

Vidya ChidambaranDepartment of Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: vidya.chidambaran@cchmc.org.
Maria AshtonDepartment of Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Lisa J MartinDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Anil G JeggaDivision of Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Cincinnati Children's Hospital Medical Center · US

Funding

Epigenetic Determinants Influencing Development and Evolution of Chronic Post-surgical Pain in Children Undergoing Musculoskeletal Surgery.R01AR075857 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI CHIDAMBARAN, VIDYA · 2019 to 2023
$3.0M
Morphine Pharmacogenomics to Predict Risk of Respiratory Depression in ChildrenK23HD082782 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI CHIDAMBARAN, VIDYA · 2014 to 2018
$655k
MECHANISMS OF TISSUE AND STAGE SPECIFIC TRANSCRIPTIONF32HD008278 · NICHD · STANFORD UNIVERSITY · PI HILLER, MARK A · 1999 to 2000
$38k
NIAMS NIH HHS R01 AR075857NICHD NIH HHS F32 HD008278NICHD NIH HHS K23 HD082782
6 · The paper itself

Abstract

STUDY

objectiveTo employ systems biology-based machine learning to identify biologic processes over-represented with genetic variants (gene enrichment) implicated in post-surgical pain.

designInformed systems biology based integrative computational analyses.

settingPediatric research and teaching institution.

interventionsPubmed search (01/01/2001-10/31/2017) was performed to identify "training" genes associated with postoperative pain in humans. Candidate genes were identified and prioritized using Toppgene suite, based on functional enrichment using several gene ontology annotations, and curated gene sets associated with mouse phenotype-knockout studies. MEASUREMENTS: Computationally top-ranked candidate genes and literature-curated genes were included in pathway enrichment analyses. Hierarchical clustering was used to visualize select functional enrichment results between the two phenotypes. MAIN

resultsLiterature review identified 38 training genes associated with postoperative pain and 31 with CPSP. We identified 2610 prioritized novel candidate genes likely associated with acute and chronic postsurgical pain, the top 10th percentile jointly enriched (p 0.05; Benjamini-Hochberg correction) several pathways, topmost being cAMP response element-binding protein and ion channel pathways. Heat maps demonstrated enrichment of inflammatory/drug metabolism processes in acute postoperative pain and immune mechanisms in CPSP.

conclusionHigh interindividual variability in pain responses immediately after surgery and risk for CPSP suggests genetic susceptibility. Lack of large homogenous sample sizes have led to underpowered genetic association studies. Systems biology can be leveraged to integrate genetic-level data with biologic processes to generate prioritized candidate gene lists and understand novel biological pathways involved in acute postoperative pain and CPSP. Such data would be key to informing future polygenic studies with targeted genome wide profiling. This study demonstrates the utility of functional annotation - based prioritization and enrichment approaches and identifies novel genes and unique/shared biological processes involved in acute and chronic postoperative pain. Results provide framework for future targeted genetic profiling of CPSP risk, to enable preventive and therapeutic approaches.

Indexed as

Chronic PainPostoperative PainSystems BiologyAnimalsGenetic Predisposition to DiseaseHumansMiceCPSPEnrichmentGeneticsPathwaysPostoperative painSystems biology

Identifiers

PMID32058259
PMCPMC7276001
OpenAlexW3005716180

What OpenQuestion holds

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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.