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OPRM1、OPRK1 和 COMT 基因的遗传变异及其与阿根廷人群口腔疼痛的可能关联。

Genetic Variations of OPRM1, OPRK1, and COMT Genes and Their Possible Associations with Oral Pain in a Population from Argentina.

出版信息

J Oral Facial Pain Headache. 2018;32(4):367-374. doi: 10.11607/ofph.1902.

Abstract

AIMS

To analyze in a population from Argentina the variation of three genes involved in the control of pain pathways-two genes that code for opioid receptors (OPRM1 and OPRK1) and COMT, which codes for an important enzyme in the control of neurotransmission-and to evaluate the associations of these genes with oral pain and the need for analgesics in the population under study.

METHODS

A total of 134 volunteer donors from the city of Resistencia and 27 donors from the Wichí community for comparison were analyzed for 13 single nucelotide polymorphisms (SNPs) and 1 insertion/deletion (Indel) localized in the three genes using polymerase chain reaction-restriction fragment length polymorphism or standard PCR and electrophoresis. All 134 individuals from Resistencia provided biologic samples for DNA analysis, and a subset (n = 81) agreed to answer a questionnaire for an association analysis. Statistical tests for a possible association between genetic variation and self-reported ethnic origin, oral pain, and need for analgesic drugs were performed.

RESULTS

Significant differences were found when the study population was compared to populations from other continents, as well as between the two studied populations (P < .05). A positive association was suggested for the COMT gene from Resistencia with both oral pain intensity and analgesic requirements.

CONCLUSION

The admixture process that occurred in the past of Resistencia probably contributed to a genetic differentiation in this population, and this genetic variation might influence phenotypic expressions of pain perception and analgesic requirements.

摘要

目的

在阿根廷人群中分析三个参与控制疼痛通路的基因的变异情况——两个编码阿片受体(OPRM1 和 OPRK1)的基因和 COMT,COMT 编码控制神经递质传递的重要酶——并评估这些基因与该人群的口腔疼痛和对镇痛药的需求之间的关联。

方法

共分析了来自雷西斯滕西亚市的 134 名志愿者供体和 27 名 Wichí 社区供体的 134 名志愿者,用于分析三个基因中的 13 个单核苷酸多态性(SNP)和 1 个插入/缺失(Indel),使用聚合酶链反应-限制片段长度多态性或标准 PCR 和电泳。雷西斯滕西亚的所有 134 名个体都提供了用于 DNA 分析的生物样本,其中一个子集(n=81)同意回答一个与遗传变异与自我报告的种族起源、口腔疼痛和对镇痛药的需求相关的关联分析问卷。对遗传变异与自我报告的种族起源、口腔疼痛和对镇痛药的需求之间可能存在的关联进行了统计检验。

结果

与来自其他大洲的人群以及两个研究人群相比,研究人群存在显著差异(P<0.05)。雷西斯滕西亚的 COMT 基因与口腔疼痛强度和镇痛需求呈正相关。

结论

过去雷西斯滕西亚发生的混合过程可能导致该人群发生遗传分化,这种遗传变异可能影响疼痛感知和镇痛需求的表型表达。

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