The OPRM1 A118G polymorphism modulates the descending pain modulatory system for individual pain experience in young women with primary dysmenorrhea

The mu-opioid receptor ( OPRM1 ) A118G polymorphism underpins different pain sensitivity and opioid-analgesic outcome with unclear effect on the descending pain modulatory system (DPMS). Primary dysmenorrhea (PDM), the most prevalent gynecological problem with clear painful and pain free conditions,...

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Veröffentlicht in:Scientific reports 2017-01, Vol.7 (1), p.39906-39906, Article 39906
Hauptverfasser: Wei, Shyh-Yuh, Chen, Li-Fen, Lin, Ming-Wei, Li, Wei-Chi, Low, Intan, Yang, Ching-Ju, Chao, Hsiang-Tai, Hsieh, Jen-Chuen
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container_title Scientific reports
container_volume 7
creator Wei, Shyh-Yuh
Chen, Li-Fen
Lin, Ming-Wei
Li, Wei-Chi
Low, Intan
Yang, Ching-Ju
Chao, Hsiang-Tai
Hsieh, Jen-Chuen
description The mu-opioid receptor ( OPRM1 ) A118G polymorphism underpins different pain sensitivity and opioid-analgesic outcome with unclear effect on the descending pain modulatory system (DPMS). Primary dysmenorrhea (PDM), the most prevalent gynecological problem with clear painful and pain free conditions, serves as a good clinical model of spontaneous pain. The objective of this imaging genetics study was therefore to explore if differences in functional connectivity (FC) of the DPMS between the OPRM1 A118G polymorphisms could provide a possible explanation for the differences in pain experience. Sixty-one subjects with PDM and 65 controls participated in the current study of resting-state functional magnetic resonance imaging (fMRI) during the menstruation and peri-ovulatory phases; blood samples were taken for genotyping. We studied 3 aspects of pain experience, namely, mnemonic pain (recalled overall menstrual pain), present pain (spontaneous menstrual pain), and experimental pain (thermal pain) intensities. We report that G allele carriers, in comparison to AA homozygotes, exhibited functional hypo-connectivity between the anterior cingulate cortex (ACC) and periaqueductal gray (PAG). Furthermore, G allele carriers lost the correlation with spontaneous pain experience and exhibited dysfunctional DPMS by means of PAG-seeded FC dynamics. This OPRM1 A118G-DPMS interaction is one plausible neurological mechanism underlying the individual differences in pain experience.
doi_str_mv 10.1038/srep39906
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Primary dysmenorrhea (PDM), the most prevalent gynecological problem with clear painful and pain free conditions, serves as a good clinical model of spontaneous pain. The objective of this imaging genetics study was therefore to explore if differences in functional connectivity (FC) of the DPMS between the OPRM1 A118G polymorphisms could provide a possible explanation for the differences in pain experience. Sixty-one subjects with PDM and 65 controls participated in the current study of resting-state functional magnetic resonance imaging (fMRI) during the menstruation and peri-ovulatory phases; blood samples were taken for genotyping. We studied 3 aspects of pain experience, namely, mnemonic pain (recalled overall menstrual pain), present pain (spontaneous menstrual pain), and experimental pain (thermal pain) intensities. We report that G allele carriers, in comparison to AA homozygotes, exhibited functional hypo-connectivity between the anterior cingulate cortex (ACC) and periaqueductal gray (PAG). Furthermore, G allele carriers lost the correlation with spontaneous pain experience and exhibited dysfunctional DPMS by means of PAG-seeded FC dynamics. This OPRM1 A118G-DPMS interaction is one plausible neurological mechanism underlying the individual differences in pain experience.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>28057931</pmid><doi>10.1038/srep39906</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects 59/36
59/57
631/378/2583
631/378/3920
692/1807/410/2610
Alleles
Analgesics
Cortex (cingulate)
Functional magnetic resonance imaging
Genetics
Genotyping
Homozygotes
Humanities and Social Sciences
Hypnosis
Memory
Menstruation
multidisciplinary
Narcotics
Neck
Neural networks
Neuroimaging
Opioid receptors (type mu)
Pain
Periaqueductal gray area
Science
Science (multidisciplinary)
title The OPRM1 A118G polymorphism modulates the descending pain modulatory system for individual pain experience in young women with primary dysmenorrhea
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