Soluble intercellular adhesion molecule-1: a potential biomarker for pain intensity in chronic pain patients

Pain therapy is strongly guided by patients' self-reporting. However, when self-reporting is not an option, pain assessment becomes a challenge and may lead to undertreatment of painful conditions. Pain is a complex and multifactorial phenomenon. Recent work has connected pain pathophysiology a...

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Veröffentlicht in:Biomarkers in medicine 2017-03, Vol.11 (3), p.265-276
Hauptverfasser: Luchting, Benjamin, Hinske, Ludwig Christian Giuseppe, Rachinger-Adam, Banafscheh, Celi, Leo Anthony, Kreth, Simone, Azad, Shahnaz Christina
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container_end_page 276
container_issue 3
container_start_page 265
container_title Biomarkers in medicine
container_volume 11
creator Luchting, Benjamin
Hinske, Ludwig Christian Giuseppe
Rachinger-Adam, Banafscheh
Celi, Leo Anthony
Kreth, Simone
Azad, Shahnaz Christina
description Pain therapy is strongly guided by patients' self-reporting. However, when self-reporting is not an option, pain assessment becomes a challenge and may lead to undertreatment of painful conditions. Pain is a complex and multifactorial phenomenon. Recent work has connected pain pathophysiology also with the inflammatory system. We therefore hypothesized that pain intensity could be predicted by cytokine-levels. In this observational, single-center study, we investigated 30 serum cytokines to predict pain intensity in a screening/follow-up set of 95 chronic pain patients and controls. We then prospectively validated soluble intercellular adhesion molecule-1 (sICAM-1)'s discriminatory capability (n = 21). sICAM-1 was significantly associated with patient-reported pain intensity and yielded differential serum levels in patients of varying degrees of pain intensity. Changes in pain ratings over time correlated with changes in sICAM-1 levels. Our findings suggest the possibility of a clinical use of sICAM-1 as a potential biomarker for pain intensity.
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source MEDLINE; PubMed Central
subjects Adult
Aged
Aged, 80 and over
Area Under Curve
Back pain
Bayes Theorem
biomarker
Biomarkers
Biomarkers - blood
Case-Control Studies
Cell adhesion
Chronic pain
Chronic Pain - diagnosis
Chronic Pain - pathology
Cytokines
Cytokines - blood
Enzyme-Linked Immunosorbent Assay
Female
Humans
Inflammation
Intercellular adhesion molecule 1
Intercellular Adhesion Molecule-1 - blood
Male
Middle Aged
Nonsteroidal anti-inflammatory drugs
pain assessment
pain intensity
pain management
Pain Measurement
Patients
predictive modeling
ROC Curve
Serum levels
sICAM-1
Standard deviation
Stress
Substance abuse treatment
Young Adult
title Soluble intercellular adhesion molecule-1: a potential biomarker for pain intensity in chronic pain patients
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