Genotypes of pain and analgesia in a randomized trial of irritable bowel syndrome

Background: Irritable bowel syndrome (IBS) is a highly prevalent chronic pain disorder with multiple underlying mechanisms and few treatments that have been demonstrated to be effective in placebo controlled trials. One potential reason may be the use of composite outcomes, such as the IBS Symptom S...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Vollert, Jan (VerfasserIn) , Wang, Ruisheng (VerfasserIn) , Regis, Stephanie (VerfasserIn) , Yetman, Hailey (VerfasserIn) , Lembo, Anthony J. (VerfasserIn) , Kaptchuk, Ted J. (VerfasserIn) , Cheng, Vivian (VerfasserIn) , Nee, Judy (VerfasserIn) , Iturrino, Johanna (VerfasserIn) , Loscalzo, Joseph (VerfasserIn) , Hall, Kathryn T. (VerfasserIn) , Silvester, Jocelyn A. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 23 March 2022
In: Frontiers in psychiatry
Year: 2022, Jahrgang: 13, Pages: 1-9
ISSN:1664-0640
DOI:10.3389/fpsyt.2022.842030
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.3389/fpsyt.2022.842030
Verlag, kostenfrei, Volltext: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.842030/full
Volltext
Verfasserangaben:Jan Vollert, Ruisheng Wang, Stephanie Regis, Hailey Yetman, Anthony J. Lembo, Ted J. Kaptchuk, Vivian Cheng, Judy Nee, Johanna Iturrino, Joseph Loscalzo, Kathryn T. Hall and Jocelyn A. Silvester

MARC

LEADER 00000caa a2200000 c 4500
001 1887907645
003 DE-627
005 20240703173519.0
007 cr uuu---uuuuu
008 240506s2022 xx |||||o 00| ||eng c
024 7 |a 10.3389/fpsyt.2022.842030  |2 doi 
035 |a (DE-627)1887907645 
035 |a (DE-599)KXP1887907645 
035 |a (OCoLC)1443675548 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Vollert, Jan  |d 1985-  |e VerfasserIn  |0 (DE-588)1098349318  |0 (DE-627)857571621  |0 (DE-576)469098406  |4 aut 
245 1 0 |a Genotypes of pain and analgesia in a randomized trial of irritable bowel syndrome  |c Jan Vollert, Ruisheng Wang, Stephanie Regis, Hailey Yetman, Anthony J. Lembo, Ted J. Kaptchuk, Vivian Cheng, Judy Nee, Johanna Iturrino, Joseph Loscalzo, Kathryn T. Hall and Jocelyn A. Silvester 
264 1 |c 23 March 2022 
300 |a 9 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Gesehen am 06.05.2024 
520 |a Background: Irritable bowel syndrome (IBS) is a highly prevalent chronic pain disorder with multiple underlying mechanisms and few treatments that have been demonstrated to be effective in placebo controlled trials. One potential reason may be the use of composite outcomes, such as the IBS Symptom Severity Scale (IBS-SSS) which includes descriptive items related to pain frequency and pain intensity as well as bowel dysfunction and bloating. We investigated if different features of IBS pain have distinct genetic associations and if these may be moderated by sex hormones. Participants and Setting: Adult outpatients with moderately severe IBS (>175 on IBS-SSS) enrolled in a clinical trial reported IBS-SSS at baseline and after 6 weeks of therapy. Methods: Fixed effects modeling was used to test the effect of COMT rs4680 genotype to change in pain severity (rated 0-100) and pain frequency (defined as number of days with pain in the past 10 days) from baseline to week 6 with IBS treatment. Parallel exploratory genome-wide association studies (GWAS) were also performed to identify single nucleotide polymorphisms (SNPs) associated with change in pain severity or pain frequency across all participants. Results: A total of 212 participants (74% female) were included. The COMT rs4680 met allele was associated with decreased pain severity over the course of the trial in gene dosage models [beta(SE) −5.9 (2.6), P = 0.028]. Exploratory GWAS for change in pain frequency identified 5 SNPs in close proximity on chromosome 18 near L3MBTL4 which reached genome-wide significance (all < P 5.0E-8). This effect was not mediated by changing estradiol levels. There was also a region of chromosome 7 with 24 SNPs of genome-wide suggestive significance for change in pain severity (all < P 1.0E-5). Conclusions: Previously reported association between COMT rs4680 genotype and treatment response as measured by IBS-SSS is related to pain severity, but not pain frequency. We also identified new candidate genes associated with changes in IBS pain severity (SNX13) and pain frequency ( L3MBTL4) in response to treatment. Further studies are needed to understand these associations and genetic determinants of different components of IBS-SSS. ClinicalTrials.gov, Identifier: NCT0280224. 
650 4 |a genome-wide association study 
650 4 |a Genotype 
650 4 |a Irritable Bowel Syndrome 
650 4 |a Pain 
650 4 |a randomized controlled trial 
700 1 |a Wang, Ruisheng  |e VerfasserIn  |4 aut 
700 1 |a Regis, Stephanie  |e VerfasserIn  |4 aut 
700 1 |a Yetman, Hailey  |e VerfasserIn  |4 aut 
700 1 |a Lembo, Anthony J.  |e VerfasserIn  |4 aut 
700 1 |a Kaptchuk, Ted J.  |e VerfasserIn  |4 aut 
700 1 |a Cheng, Vivian  |e VerfasserIn  |4 aut 
700 1 |a Nee, Judy  |e VerfasserIn  |4 aut 
700 1 |a Iturrino, Johanna  |e VerfasserIn  |4 aut 
700 1 |a Loscalzo, Joseph  |e VerfasserIn  |4 aut 
700 1 |a Hall, Kathryn T.  |e VerfasserIn  |4 aut 
700 1 |a Silvester, Jocelyn A.  |e VerfasserIn  |4 aut 
773 0 8 |i Enthalten in  |t Frontiers in psychiatry  |d Lausanne : Frontiers Research Foundation, 2007  |g 13(2022), Artikel-ID 842030, Seite 1-9  |h Online-Ressource  |w (DE-627)631498796  |w (DE-600)2564218-2  |w (DE-576)326550968  |x 1664-0640  |7 nnas  |a Genotypes of pain and analgesia in a randomized trial of irritable bowel syndrome 
773 1 8 |g volume:13  |g year:2022  |g elocationid:842030  |g pages:1-9  |g extent:9  |a Genotypes of pain and analgesia in a randomized trial of irritable bowel syndrome 
856 4 0 |u https://doi.org/10.3389/fpsyt.2022.842030  |x Verlag  |x Resolving-System  |z kostenfrei  |3 Volltext 
856 4 0 |u https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.842030/full  |x Verlag  |z kostenfrei  |3 Volltext 
951 |a AR 
992 |a 20240506 
993 |a Article 
994 |a 2022 
998 |g 1098349318  |a Vollert, Jan  |m 1098349318:Vollert, Jan  |d 60000  |d 65100  |e 60000PV1098349318  |e 65100PV1098349318  |k 0/60000/  |k 1/60000/65100/  |p 1  |x j 
999 |a KXP-PPN1887907645  |e 4520805821 
BIB |a Y 
SER |a journal 
JSO |a {"id":{"doi":["10.3389/fpsyt.2022.842030"],"eki":["1887907645"]},"origin":[{"dateIssuedDisp":"23 March 2022","dateIssuedKey":"2022"}],"name":{"displayForm":["Jan Vollert, Ruisheng Wang, Stephanie Regis, Hailey Yetman, Anthony J. Lembo, Ted J. Kaptchuk, Vivian Cheng, Judy Nee, Johanna Iturrino, Joseph Loscalzo, Kathryn T. Hall and Jocelyn A. Silvester"]},"relHost":[{"name":{"displayForm":["Frontiers Research Foundation"]},"id":{"issn":["1664-0640"],"zdb":["2564218-2"],"eki":["631498796"]},"origin":[{"dateIssuedDisp":"2007-","dateIssuedKey":"2007","publisher":"Frontiers Research Foundation","publisherPlace":"Lausanne"}],"physDesc":[{"extent":"Online-Ressource"}],"title":[{"title_sort":"Frontiers in psychiatry","title":"Frontiers in psychiatry"}],"language":["eng"],"recId":"631498796","type":{"media":"Online-Ressource","bibl":"periodical"},"note":["Gesehen am 18.11.2020"],"disp":"Genotypes of pain and analgesia in a randomized trial of irritable bowel syndromeFrontiers in psychiatry","part":{"extent":"9","volume":"13","text":"13(2022), Artikel-ID 842030, Seite 1-9","pages":"1-9","year":"2022"},"pubHistory":["2007 -"]}],"physDesc":[{"extent":"9 S."}],"title":[{"title_sort":"Genotypes of pain and analgesia in a randomized trial of irritable bowel syndrome","title":"Genotypes of pain and analgesia in a randomized trial of irritable bowel syndrome"}],"person":[{"roleDisplay":"VerfasserIn","display":"Vollert, Jan","role":"aut","family":"Vollert","given":"Jan"},{"role":"aut","display":"Wang, Ruisheng","roleDisplay":"VerfasserIn","given":"Ruisheng","family":"Wang"},{"roleDisplay":"VerfasserIn","display":"Regis, Stephanie","role":"aut","family":"Regis","given":"Stephanie"},{"given":"Hailey","family":"Yetman","role":"aut","roleDisplay":"VerfasserIn","display":"Yetman, Hailey"},{"given":"Anthony J.","family":"Lembo","role":"aut","display":"Lembo, Anthony J.","roleDisplay":"VerfasserIn"},{"family":"Kaptchuk","given":"Ted J.","roleDisplay":"VerfasserIn","display":"Kaptchuk, Ted J.","role":"aut"},{"family":"Cheng","given":"Vivian","roleDisplay":"VerfasserIn","display":"Cheng, Vivian","role":"aut"},{"roleDisplay":"VerfasserIn","display":"Nee, Judy","role":"aut","family":"Nee","given":"Judy"},{"given":"Johanna","family":"Iturrino","role":"aut","display":"Iturrino, Johanna","roleDisplay":"VerfasserIn"},{"role":"aut","display":"Loscalzo, Joseph","roleDisplay":"VerfasserIn","given":"Joseph","family":"Loscalzo"},{"family":"Hall","given":"Kathryn T.","display":"Hall, Kathryn T.","roleDisplay":"VerfasserIn","role":"aut"},{"display":"Silvester, Jocelyn A.","roleDisplay":"VerfasserIn","role":"aut","family":"Silvester","given":"Jocelyn A."}],"recId":"1887907645","language":["eng"],"note":["Gesehen am 06.05.2024"],"type":{"bibl":"article-journal","media":"Online-Ressource"}} 
SRT |a VOLLERTJANGENOTYPESO2320