Evidence map›Paper›PMID 40444020›Full record

ArticlePain reports2025

Mu-opioid receptor expression on B cells as a potential biomarker for chronic pain: a follow-up study with patients with fibromyalgia.

Valentina Malafoglia, William Raffaeli, Sara Ilari, Chiara Gioia, Cristina Iannuccelli, Michael Tenti, Laura Vitiello, Stefania Proietti, Leonardo Lupacchini, Lucia Carmela Passacatini and 5 more

Abstract read
In one paragraph

Article in Pain reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

15 authors.

Valentina MalafogliaLaboratory of Physiology and Pharmacology of Pain, IRCCS San Raffaele Roma, Rome, Italy.ORCID https://orcid.org/0000-0002-1533-704X
William RaffaeliFondazione ISAL, Institute for Research on Pain, Rimini, Italy.ORCID https://orcid.org/0000-0003-0240-8993
Sara IlariLaboratory of Physiology and Pharmacology of Pain, IRCCS San Raffaele Roma, Rome, Italy.ORCID https://orcid.org/0000-0002-6756-6530
Chiara GioiaRheumatology Unit, Department of Clinical Internal, Anaesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, AOU Policlinico Umberto I, Rome, Italy.ORCID https://orcid.org/0000-0003-3559-2571
Cristina IannuccelliRheumatology Unit, Department of Clinical Internal, Anaesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, AOU Policlinico Umberto I, Rome, Italy.ORCID https://orcid.org/0000-0003-1428-9725
Michael TentiFondazione ISAL, Institute for Research on Pain, Rimini, Italy.ORCID https://orcid.org/0000-0002-4654-018X
Laura VitielloDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele University, Rome, Italy.ORCID https://orcid.org/0000-0003-0776-3601
Stefania ProiettiLaboratory of Physiology and Pharmacology of Pain, IRCCS San Raffaele Roma, Rome, Italy.ORCID https://orcid.org/0000-0002-9844-1482
Leonardo LupacchiniLaboratory of Physiology and Pharmacology of Pain, IRCCS San Raffaele Roma, Rome, Italy.ORCID https://orcid.org/0000-0002-9172-7461
Lucia Carmela PassacatiniLaboratory of Physiology and Pharmacology of Pain, IRCCS San Raffaele Roma, Rome, Italy.ORCID https://orcid.org/0000-0001-5350-1448
Carlo TominoScientific Direction, IRCCS San Raffaele Roma, Rome, Italy.ORCID https://orcid.org/0000-0003-1823-2195
Mollace VincenzoDepartment of Health Sciences, University 'Magna Graecia' of Catanzaro, Institute of Research for Food Safety & Health (IRC_FSH), Catanzaro, Italy.ORCID https://orcid.org/0000-0002-0392-7173
Massimo FiniScientific Direction, IRCCS San Raffaele Roma, Rome, Italy.ORCID https://orcid.org/0000-0001-7305-9925
Manuela Di FrancoRheumatology Unit, Department of Clinical Internal, Anaesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, AOU Policlinico Umberto I, Rome, Italy.ORCID https://orcid.org/0000-0002-5468-2065
Carolina MuscoliDepartment of Health Sciences, University 'Magna Graecia' of Catanzaro, Institute of Research for Food Safety & Health (IRC_FSH), Catanzaro, Italy.ORCID https://orcid.org/0000-0002-1047-4467

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Before COVID-19 pandemic, we identified the percentage of B cells expressing the Mu-opioid receptor (Mu+ B cells) as a potential marker, named Mu-Lympho-Marker (MLM), for chronic pain (CP) in patients with fibromyalgia (FM) and osteoarthritis. Objectives: Here, we demonstrate the stability of MLM over time through a comparative analysis of biological, clinical, and psychological data collected from a subgroup of patients with FM across 2 distinct research periods. Methods: This is an observational, longitudinal study. Fibromyalgia participants enrolled in the first study were called back for follow-up sampling. Clinical data were recorded. Pain score was reported using the Numerical Rating Scale. Mu+ B cells percentage of expression was analyzed by flow cytometry. Immunofluorescence analyses were performed to explore the cellular localization of Mu-opioid receptor. Pain-free subjects served as control group. All the participants filled out self-reported psychological tests. Data were statistically analyzed. Results: Mu+ B cells percentage of expression was constant in patients with FM, who consistently showed lower values than control group after 2 years (difference in the mean: 32.0 ± 4.4, t = 7.330, IC 95% [23.2-40.9], Conclusion: Mu-Lympho-Marker could be a promising marker for CP, as seen in FM cohort, and could be helpful for accurate diagnosis and tailored rehabilitation strategies. Further studies are needed to study MLM in CP of different aetiologies.

Indexed as

B lymphocytesChronic pain biomarkersChronic pain diagnosisFibromyalgiaMu-opioid receptorPain markers

Identifiers

PMID40444020
PMCPMC12119050

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.