Evidence map›Paper›PMID 40238896›Full record

ArticleBlood advances2025

Molecular inflammatory expression profiles associated with the frequency of pain in individuals with sickle cell disease.

Lana Mucalo Katunaric, Shuang Jia, Ashima Singh, Mark F Roethle, Julie A Panepinto, David C Brousseau, Martin J Hessner, Amanda M Brandow

Abstract read
In one paragraph

Article in Blood advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Dyslipidemia is a metabolic hallmark of acute pain in sickle cell disease.medRxiv : the preprint server for health sciences · 2026
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Lana Mucalo KatunaricDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0003-4174-4711
Shuang JiaSection of Endocrinology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Ashima SinghSection of Hematology/Oncology/Bone Marrow Transplantation, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0002-1270-8132
Mark F RoethleSection of Endocrinology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Julie A PanepintoNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
David C BrousseauDepartment of Pediatrics, Nemours Children's Health and Sidney Kimmel Medical College at Thomas Jefferson University, Wilmington, DE.ORCID 0000-0001-7995-6504
Martin J HessnerSection of Endocrinology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Amanda M BrandowSection of Hematology/Oncology/Bone Marrow Transplantation, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0001-9396-0470

Funding

Investigating the role of the microbiome and inflammation in acute and chronic pain in patients with sickle cell diseaseR01HL142657 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI BRANDOW, AMANDA M · 2018 to 2022
$3.7M
The Inflammatory Index as a Biomarker for Pain in Patients with Sickle Cell DiseaseR61NS114954 · NINDS · MEDICAL COLLEGE OF WISCONSIN · PI BRANDOW, AMANDA M · 2019 to 2019
$2.7M
Intravenous Magnesium for Sickle Cell Vasoocclusive CrisisR01HD062347 · NICHD · MEDICAL COLLEGE OF WISCONSIN · PI BROUSSEAU, DAVID C · 2010 to 2013
$1.8M
The Inflammatory Index as a Biomarker for Pain in Patients with Sickle Cell DiseaseR33NS114954 · NINDS · MEDICAL COLLEGE OF WISCONSIN · PI BRANDOW, AMANDA M · 2023 to 2024
$1.3M
Patient-Oriented Research Mentoring for the Investigation of Acute and Chronic Sickle Cell Disease PainK24HL180995 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Amanda M Brandow · 2025 to 2026
$243k
NHLBI NIH HHS K24 HL180995NHLBI NIH HHS R01 HL142657NICHD NIH HHS R01 HD062347NINDS NIH HHS R33 NS114954NINDS NIH HHS R61 NS114954
6 · The paper itself

Abstract

abstractPain is the most common complication of sickle cell disease (SCD). The underlying biology of SCD pain is not well understood, which is a barrier to novel, effective analgesic and preventive therapies. A wide variability in the phenotypic expression of pain exists among individuals with SCD, despite the inheritance of a similar defective hemoglobin gene. This interindividual pain variability further complicates the ability to understand the biology and effectively treat pain. We sought to discover a biological signature comprising differentially expressed genes unique to SCD that could differentiate between individuals with varied pain frequency. We conducted plasma-induced transcription analysis from 149 individuals with SCD and 60 Black individuals without SCD from multiple sites. We discovered 3028 differentially expressed genes that underwent weighted gene coexpression network analysis to distinguish gene modules significantly associated with pain frequency. We identified 524 genes, significantly associated with pain frequency (≥|0.3| and P < .05), that were further analyzed using the "database for annotation, visualization, and integrated discovery" (DAVID) tool to delineate the biological pathways associated with these genes. The highest ranked Gene Ontology process from DAVID was inflammatory response (P = 1.67E-12) and many related pathways were enriched (eg, response to lipopolysaccharide, and chemokine and cytokine signaling). The top 10 hub genes identified within our biological signature were TNF, CCL2, ITGAM, ITGAX, ICAM1, CCR5, CXCL2, IFNG, CCR1, and CXCL3. Future work should focus on further validating this signature and investigating the potential targets uncovered for their mechanistic and potentially therapeutic role in SCD pain.

Indexed as

Anemia, Sickle CellInflammationPainTranscriptomeAdultFemaleGene Expression ProfilingGene Expression RegulationGene Regulatory NetworksHumansMale

Identifiers

PMID40238896
PMCPMC12309595

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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.