Evidence map›Paper›PMID 41166420›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

Analgesia through FKBP51 inhibition at disease onset confers lasting relief from sensory and emotional chronic pain symptoms.

Sara Hestehave, Roxana Florea, Samuel Singleton, Alex J H Fedorec, Sara Caxaria, Oakley B Morgan, Katharina Tatjana Kopp, Laurence A Brown, Tim Heymann, Shafaq Sikandar and 3 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Analgesia through FKBP51 inhibition at disease onset confers lasting relief from sensory and emotional chronic pain symptoms.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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

13 authors.

Sara HestehaveDepartment of Cell and Developmental Biology, University College London, London WC1E 6BT, United Kingdom.ORCID 0000-0002-1837-521X
Roxana FloreaDepartment of Cell and Developmental Biology, University College London, London WC1E 6BT, United Kingdom.ORCID 0009-0004-5095-2920
Samuel SingletonDivision of Neuroscience, School of Medicine, University of Dundee, Dundee DD15EH, United Kingdom.
Alex J H FedorecDepartment of Cell and Developmental Biology, University College London, London WC1E 6BT, United Kingdom.ORCID 0000-0003-0165-1705
Sara CaxariaExperimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University, London EC1M 6BQ, United Kingdom.
Oakley B MorganDepartment of Cell and Developmental Biology, University College London, London WC1E 6BT, United Kingdom.
Katharina Tatjana KoppDepartment of Pharmacy, Pharmaceutical Technology and Biopharmaceutics, Ludwig-Maximilians-Universität München, Munich 81377, Germany.ORCID 0000-0002-3203-8375
Laurence A BrownResearch Support Team, Information Technology Services, University of Oxford, Oxford OX2 6NN, United Kingdom.ORCID 0000-0001-8116-4100
Tim HeymannDepartment of Chemistry, Institute of Organic Chemistry and Biochemistry, Technical University Darmstadt, Darmstadt 64287, Germany.
Shafaq SikandarExperimental Medicine and Rheumatology, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University, London EC1M 6BQ, United Kingdom.ORCID 0000-0002-6010-5205
Felix HauschDepartment of Chemistry, Institute of Organic Chemistry and Biochemistry, Technical University Darmstadt, Darmstadt 64287, Germany.ORCID 0000-0002-3710-8838
Stuart N PeirsonNuffield Department of Clinical Neuroscience, University of Oxford, Oxford OX3 9DU, United Kingdom.ORCID 0000-0003-3653-834X
Sandrine M GérantonDepartment of Cell and Developmental Biology, University College London, London WC1E 6BT, United Kingdom.ORCID 0000-0002-1659-1285

Funding

Advanced pain discovery platform MR/W002566/1UKRI | Biotechnology and Biological Sciences Research Council (BBSRC) BB/X002357/1Versus Arthritis 21972
6 · The paper itself

Abstract

Chronic pain affects 20 to 30% of the population and imposes a significant socioeconomic burden as it is often accompanied by substantial emotional comorbidities such as anxiety and depression. Yet, the mechanisms underlying the interactions between the sensory and emotional aspects of chronic pain remain poorly understood. Here, we investigated the role of FKBP51, a regulator of the stress response, in mediating both sensory and emotional symptoms of chronic pain. Inhibition of FKBP51, via genetic deletion or pharmacological blockade, in persistent joint pain reduced fast-onset sensory, functional and activity-related symptoms, as well as late anxio-depressive comorbidities. FKBP51 inhibition after the establishment of the hypersensitive state provided only temporary symptoms relief, while acute inhibition at disease onset protected from the full development of sensory and anxio-depressive symptoms for up to 6 mo. Our results also indicated that early pain symptoms could predict the late sensory and emotional outcomes of chronic pain. RNA sequencing of spinal cord tissue revealed that late FKBP51 inhibition transiently altered nociceptive genes associated with mechanical hypersensitivity. In contrast, early inhibition persistently downregulated the

Indexed as

AnalgesiaChronic PainTacrolimus Binding ProteinsAnimalsAnxietyDepressionEmotionsHumansMaleMiceMice, Inbred C57BLSpinal CordTacrolimus Binding Protein 5Tacrolimus Binding Protein 5Tacrolimus Binding Proteinschronic painemotional comorbiditiesFKBP51stress

Identifiers

PMID41166420
PMCPMC12595449

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.