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疼痛的遗传因素:对人类研究结果的综述

Genetic contributions to pain: a review of findings in humans.

作者信息

Fillingim R B, Wallace M R, Herbstman D M, Ribeiro-Dasilva M, Staud R

机构信息

College of Dentistry, University of Florida, Gainesville, FL 32608, USA.

出版信息

Oral Dis. 2008 Nov;14(8):673-82. doi: 10.1111/j.1601-0825.2008.01458.x.

Abstract

Pain represents the major motivating factor for which individuals seek healthcare, and pain responses are characterized by substantial inter-individual differences. Increasing evidence suggests that genetic factors contribute significantly to individual differences in responses to both clinical and experimental pain. The purpose of this review article was to summarize the current literature regarding genetic contributions to pain, highlighting findings relevant to oral pain where available. A brief discussion of methodologic considerations is followed by a review of findings regarding genetic influences on clinical pain. Next, the literature examining genetic contributions to experimental pain responses is presented, emphasizing genetic associations that have been replicated in multiple cohorts. It is hoped that an enhanced understanding of genetic contributions to pain responses will ultimately improve diagnosis and treatment of clinical pain conditions.

摘要

疼痛是个体寻求医疗保健的主要驱动因素,且疼痛反应具有显著的个体差异。越来越多的证据表明,遗传因素在很大程度上导致了个体对临床疼痛和实验性疼痛反应的差异。这篇综述文章的目的是总结当前关于遗传因素对疼痛影响的文献,如有可用信息则着重强调与口腔疼痛相关的研究结果。在简要讨论方法学考量之后,将回顾关于遗传因素对临床疼痛影响的研究结果。接下来,将呈现考察遗传因素对实验性疼痛反应影响的文献,重点强调在多个队列中得到重复验证的遗传关联。希望对遗传因素在疼痛反应中作用的深入理解最终能改善临床疼痛状况的诊断和治疗。

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