Manchester Academic Health Science Centre, University of Manchester, UK.
Ann Rheum Dis. 2010 Nov;69(11):2009-12. doi: 10.1136/ard.2009.126086. Epub 2010 Jun 22.
The aim of this study was to investigate the association between the catechol-O-methyltransferase (COMT) 'pain sensitivity' haplotypes and chronic widespread pain (CWP) in two distinct cohorts.
Cases of CWP and controls free of pain were selected from two population-based studies: the Epidemiology of Functional Disorders study (EPIFUND) (UK) and the European Male Ageing Study (European). The number of cases and controls were 164 and 172, and 204 and 935, respectively. Identical American College of Rheumatology criteria were used in both studies to ascertain CWP status. The EPIFUND study had three time points and cases were classified as subjects with CWP at two or three time points and controls as those free of pain at all three time points. Four single nucleotide polymorphisms (SNP): rs6269, rs4633, rs4818 and rs4680 (V158M) were genotyped using Sequenom technology. Allele and genotype frequencies were compared and haplotype analysis was conducted using PLINK software.
No differences in allele or genotype frequencies for any of the four SNP were observed between cases and controls for either cohort. Haplotype analysis also showed no difference in the frequency of haplotypes between cases and controls.
There was no evidence of association between the COMT 'pain sensitivity' haplotypes and CWP in two population-based cohorts.
本研究旨在探讨儿茶酚-O-甲基转移酶(COMT)“疼痛敏感性”单倍型与两个不同队列中慢性广泛性疼痛(CWP)之间的关联。
从两项基于人群的研究中选择 CWP 病例和无疼痛的对照:功能障碍流行病学研究(EPIFUND)(英国)和欧洲男性衰老研究(欧洲)。病例和对照的数量分别为 164 例和 172 例,204 例和 935 例。两项研究均使用相同的美国风湿病学会标准确定 CWP 状态。EPIFUND 研究有三个时间点,病例被分类为两个或三个时间点有 CWP 的受试者,对照为所有三个时间点均无疼痛的受试者。使用 Sequenom 技术对四个单核苷酸多态性(SNP):rs6269、rs4633、rs4818 和 rs4680(V158M)进行基因分型。比较病例和对照之间的等位基因和基因型频率,并使用 PLINK 软件进行单倍型分析。
在两个队列的病例和对照之间,任何四个 SNP 的等位基因或基因型频率均无差异。单倍型分析也显示病例和对照之间的单倍型频率没有差异。
在两个基于人群的队列中,COMT“疼痛敏感性”单倍型与 CWP 之间没有关联的证据。