Evidence map›Paper›PMID 33510158›Full record

ArticleNature communications2021

Innocuous pressure sensation requires A-type afferents but not functional ΡΙΕΖΟ2 channels in humans.

Laura K Case, Jaquette Liljencrantz, Nicholas Madian, Aaron Necaise, Justin Tubbs, Micaela McCall, Megan L Bradson, Marcin Szczot, Mark H Pitcher, Nima Ghitani and 11 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06052631 (Microneurographic Assessment of Peripheral Nerves in Healthy Volunteers and Individuals With Sensory Dysfunction Caused by Inherited Mutations in the PIEZO2 Gene), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.4field-weighted citation impact, top 7% 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.

NCT06052631 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Microneurographic Assessment of Peripheral Nerves in Healthy Volunteers and Individuals With Sensory Dysfunction Caused by Inherited Mutations in the PIEZO2 Gene

TypeobservationalSponsorNational Center for Complementary and Integrative Health (NCCIH)Ran2026 to 2026Enrolled16ConditionsPIEZO2-Deficiency Syndrome
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
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  20. Nobel somatosensations and pain.Pflugers Archiv : European journal of physiology · 2022
    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

21 authors at 5 institutions in 3 countries.

Laura K Case *National Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.
Jaquette Liljencrantz *National Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.
Nicholas MadianNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.
Aaron NecaiseNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.
Justin TubbsNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.ORCID 0000-0002-6671-6816
Micaela McCallNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.
Megan L BradsonNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.
Marcin SzczotNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.
Mark H PitcherNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.
Nima GhitaniNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.
Eleni FrangosNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA.ORCID 0000-0003-0069-4754
Jonathan ColeCentre of Postgraduate Medical Research and Education, Bournemouth University, Bournemouth, UK.
Diana Bharucha-GoebelNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA.
Dimah SaadeNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA.ORCID 0000-0003-1938-9952
Tracy OgataNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA.
Sandra DonkervoortNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA.
A Reghan FoleyNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA.
Carsten G BönnemannNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA.
Håkan OlaussonCenter for Social and Affective Neuroscience, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
M Catherine BushnellNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA. mary.bushnell@nih.gov.ORCID 0000-0001-5207-9767
Alexander T CheslerNational Center for Complementary and Integrative Health, NIH, Bethesda, MD, USA. alexander.chesler@nih.gov.ORCID 0000-0002-3131-0728
National Center for Complementary and Integrative Health · USNational Institutes of Health · USBournemouth University · GBLinköping University · SEUniversity of California San Diego · US

Funding

Molecular and Clinical Manifestations of Matrix and Aggregate MyopathiesZIANS003129 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI BÖNNEMANN, CARSTEN · 2011 to 2025
$52.8M
Studies on the molecular, cells, and circuit that underlie somatosensation and painZIAAT000028 · NCCIH · NATIONAL CENTER FOR COMPLEMENTARY & INTEGRATIVE HEALTH · PI CHESLER, ALEXANDER · 2014 to 2025
$12.0M
General Studies of Chronic PainZIAAT000037 · NCCIH · NATIONAL CENTER FOR COMPLEMENTARY & INTEGRATIVE HEALTH · PI SHURTLEFF, DAVID · 2019 to 2025
$6.5M
Patients with Altered Somatosensory or Pain PerceptionZIAAT000033 · NCCIH · NATIONAL CENTER FOR COMPLEMENTARY & INTEGRATIVE HEALTH · PI SHURTLEFF, DAVID · 2017 to 2025
$5.7M
Affective Sensory Pathways of Light Stroking and Deep Pressure TouchR00AT009466 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CASE, LAURA K · 2020 to 2022
$1.1M
NCCIH NIH HHS K99 AT009466NCCIH NIH HHS R00 AT009466
6 · The paper itself

Abstract

The sensation of pressure allows us to feel sustained compression and body strain. While our understanding of cutaneous touch has grown significantly in recent years, how deep tissue sensations are detected remains less clear. Here, we use quantitative sensory evaluations of patients with rare sensory disorders, as well as nerve blocks in typical individuals, to probe the neural and genetic mechanisms for detecting non-painful pressure. We show that the ability to perceive innocuous pressures is lost when myelinated fiber function is experimentally blocked in healthy volunteers and that two patients lacking Aβ fibers are strikingly unable to feel innocuous pressures at all. We find that seven individuals with inherited mutations in the mechanoreceptor PIEZO2 gene, who have major deficits in touch and proprioception, are nearly as good at sensing pressure as healthy control subjects. Together, these data support a role for Aβ afferents in pressure sensation and suggest the existence of an unknown molecular pathway for its detection.

Indexed as

AdultAgedFemaleHumansIon ChannelsMaleMechanoreceptorsMiddle AgedMutationNerve BlockPressureProprioceptionSensationSensation DisordersSkinTouchIon ChannelsPIEZO2 protein, human

Identifiers

PMID33510158
PMCPMC7844252
OpenAlexW3122474387

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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.