Evidence map›Paper›PMID 37351557›Full record

ArticleAnesthesiology2023

Descending Control of Nociception Poorly Predicts the Development of Persistent Postsurgical Pain-like Behavior in Consomic Dahl S Rat Strains.

Luiz F Ferrari, Ashley Wilkinson, Christian Cahoon, Anna Ramirez, Charles Rey, Gary W Donaldson, Norman E Taylor

Open access · greenAbstract read
In one paragraph

Article in Anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Luiz F FerrariDepartment of Anesthesiology, School of Medicine, University of Utah, Salt Lake City, Utah.
Ashley WilkinsonDepartment of Anesthesiology, School of Medicine, University of Utah, Salt Lake City, Utah.
Christian CahoonDepartment of Anesthesiology, School of Medicine, University of Utah, Salt Lake City, Utah.ORCID 0009-0009-4894-4637
Anna RamirezDepartment of Anesthesiology, School of Medicine, University of Utah, Salt Lake City, Utah.
Charles ReyDepartment of Anesthesiology, School of Medicine, University of Utah, Salt Lake City, Utah.
Gary W DonaldsonDepartment of Anesthesiology, School of Medicine, University of Utah, Salt Lake City, Utah.
Norman E TaylorDepartment of Anesthesiology, School of Medicine, University of Utah, Salt Lake City, Utah.ORCID 0000-0001-5961-6641
University of Utah · US

Funding

Chronic postoperative pain: Genetic and Neural Circuit MechanismsR35GM138168 · NIGMS · UNIVERSITY OF UTAH · PI TAYLOR, NORMAN · 2020 to 2024
$2.1M
NIGMS NIH HHS R35 GM138168
6 · The paper itself

Abstract

backgroundChronic postsurgical pain is a poorly recognized outcome of surgery where patients experience pain long after healing from the surgical insult. Descending control of nociception, a phenomenon whereby application of a strong nociceptive stimulus to one part of the body of animals inhibits pain in remote body regions, offers one strategy to identify a propensity to develop chronic postsurgical pain-like behavior. Here, consomic rat panel was used to test the hypothesis that pain persistence is mechanistically linked to ineffective descending control of nociception.

methodsMale and female Brown Norway, Dahl S, and eight consomic strains (SS-xBN) were used to determine the presence of chronic postsurgical pain-like behaviors by using paw-withdrawal threshold evaluation (von Frey method) in the area adjacent to a hind paw plantar incision. Descending control of nociception was assessed by measuring hind paw-withdrawal thresholds (Randall-Selitto method) after capsaicin (125 µg) injection into a forepaw. Consomic rats were developed by introgressing individual Brown Norway chromosomes on the Dahl S rat genetic background, as Dahl S rats lack preoperative descending control of nociception.

resultsSubstitution of several chromosomes from the "pain-resistant" Brown Norway to the "pain-prone" Dahl S/Medical College of Wisconsin reduced mechanical nociceptive sensitivity and increased endogenous pain modulation capacity by differing degrees. Statistical modeling of these data revealed that descending control of nociception is a poor general predictor of the propensity to develop chronic postsurgical pain-like behavior (poor fit for model 1). However, a significant strain-by-descending control of nociception interaction was revealed (model 3, -2*log likelihood; 550.668, -2ll change; 18.093, P = 0.034) with SS-13BN and SS-15BN strains showing a negative descending control of nociception relationship with chronic postsurgical pain-like behavior.

conclusionsDescending control of nociception poorly predicted which rat strains developed chronic postsurgical pain-like behavior despite controlling for genetic, environmental, and sex differences. Two consomic strains that mimic clinical chronic postsurgical pain criteria and display a strong negative correlation with descending control of nociception were identified, offering novel candidates for future experiments exploring mechanisms that lead to chronic postsurgical pain. EDITOR’S PERSPECTIVE:

Indexed as

ChromosomesNociceptionAnimalsFemaleMalePostoperative PainRatsRats, Inbred BNRats, Inbred Dahl

Identifiers

PMID37351557
PMCPMC10530067
OpenAlexW4381715210

What OpenQuestion holds

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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.