Evidence map›Paper›PMID 34433766›Full record

ArticlePain2022

Hepatocyte growth factor, colony-stimulating factor 1, CD40, and 11 other inflammation-related proteins are associated with pain in diabetic neuropathy: exploration and replication serum data from the Pain in Neuropathy Study.

Emmanuel Bäckryd, Andreas Themistocleous, Anders Larsson, Torsten Gordh, Andrew S C Rice, Solomon Tesfaye, David L Bennett, Björn Gerdle

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Pain, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

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  14. The conundrum of diabetic neuropathies-Past, present, and future.Journal of diabetes and its complications · 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

8 authors at 5 institutions in 2 countries.

Emmanuel BäckrydPain and Rehabilitation Center, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0003-4420-418
Andreas ThemistocleousNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingom.ORCID 0000-0002-1089-1543
Anders LarssonDepartment of Medical Sciences, Clinical Chemistry, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-3161-0402
Torsten GordhDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Andrew S C RicePain Research, Departmennt Surgery and Cancer, Faculty of Medicine, Imperial College London, United Kingdom.ORCID 0000-0001-9533-5636
Solomon TesfayeDiabetes Research Unit, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.ORCID 0000-0003-1190-1472
David L BennettNuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingom.ORCID 0000-0002-7996-2696
Björn GerdlePain and Rehabilitation Center, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-4316-1264
Linköping University · SEUniversity of Oxford · GBUppsala University · SEImperial College London · GBSheffield Teaching Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractOne in 5 patients with diabetes suffers from chronic pain with neuropathic characteristics, but the pathophysiological mechanisms underlying the development of neuropathic pain in patients with diabetic distal symmetrical polyneuropathy (DSP) are poorly understood. Systemic low-grade inflammation has been implicated, but there is still a considerable knowledge gap concerning its scope and meaning in this context. The aim of the study was to establish the broad inflammatory signature of painful diabetic DSP in serum samples from the Pain in Neuropathy Study, an observational cross-sectional multicentre study in which participants underwent deep phenotyping. In the present two cohorts exploration-replication study (180 participants in each cohort), serum samples from Pain in Neuropathy Study participants were analyzed with the Olink INFLAMMATION panel (Olink Bioscience, Uppsala, Sweden) that enables the simultaneous measurement of 92 inflammation-related proteins (mainly cytokines, chemokines, and growth factors). In both the exploration and the replication cohort, we identified a high-inflammation subgroup where 14 inflammation-related proteins in particular were associated with more neuropathy and higher pain intensity. The top 3 proteins were hepatocyte growth factor, colony-stimulating factor 1, and CD40 in both cohorts. In the exploratory cohort, additional clinical data were available, showing an association of inflammation with insomnia and self-reported psychological distress. Hence, this cross-sectional exploration-replication study seems to confirm that low-grade systemic inflammation is related to the severity of neuropathy and neuropathic pain in a subgroup of patients with diabetic DSP. The pathophysiological relevance of these proteins for the development of neuropathic pain in patients with diabetic DSP must be explored in more depth in future studies.

Indexed as

Diabetes MellitusDiabetic NeuropathiesNeuralgiaPolyneuropathiesCD40 AntigensCross-Sectional StudiesHepatocyte Growth FactorHumansInflammationMacrophage Colony-Stimulating FactorCD40 AntigensHepatocyte Growth FactorMacrophage Colony-Stimulating Factor

Identifiers

PMID34433766
PMCPMC9009322
OpenAlexW3193607775

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Registered trials

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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.