Serotonin-1A receptor polymorphism (rs6295) associated with thermal pain perception.

<h4>Background</h4>Serotonin (5-HT) is highly involved in pain regulation and serotonin-1A (5-HT1A) receptors are important in determining central 5-HT tone. Accordingly, variation in the 5-HT1A receptor gene (HTR1A) may contribute to inter-individual differences in human pain sensitivit...

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Autores principales: Fredrik Lindstedt, Bianka Karshikoff, Martin Schalling, Caroline Olgart Höglund, Martin Ingvar, Mats Lekander, Eva Kosek
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:2c93a44f41df42ae84ff1cc03a2c30bc2021-11-18T07:06:56ZSerotonin-1A receptor polymorphism (rs6295) associated with thermal pain perception.1932-620310.1371/journal.pone.0043221https://doaj.org/article/2c93a44f41df42ae84ff1cc03a2c30bc2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22952650/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Serotonin (5-HT) is highly involved in pain regulation and serotonin-1A (5-HT1A) receptors are important in determining central 5-HT tone. Accordingly, variation in the 5-HT1A receptor gene (HTR1A) may contribute to inter-individual differences in human pain sensitivity. The minor G-allele of the HTR1A single nucleotide polymorphism (SNP) rs6295 attenuates firing of serotonergic neurons and reduces postsynaptic expression of the receptor. Experiments in rodents suggest that 5-HT1A-agonism modulates pain in opposite directions at mild compared to high noxious intensities. Based upon this and several other similar observations, we hypothesized that G-carriers would exhibit a relative hypoalgesia at mild thermal stimuli but tend towards hyperalgesia at higher noxious intensities.<h4>Methods</h4>Fourty-nine healthy individuals were selectively genotyped for rs6295. Heat- and cold-pain thresholds were assessed along with VAS-ratings of a range of suprathreshold noxious heat intensities (45°C-49°C). Nociceptive-flexion reflex (NFR) thresholds were also assessed.<h4>Results</h4>Volunteers did not deviate significantly from Hardy-Weinberg equilibrium. G-carriers were less sensitive to threshold-level thermal pain. This relative hypoalgesia was abolished at suprathreshold noxious intensities where G-carriers instead increased their ratings of heat-pain significantly more than C-homozygotes. No differences with regard to NFR-thresholds emerged.<h4>Conclusion/significance</h4>To the best of our knowledge this is the first study of human pain perception on the basis of variation in HTR1A. The results illustrate the importance of including a range of stimulus intensities in assessments of pain sensitivity. In speculation, we propose that an attenuated serotonergic tone may be related to a 'hypo- to hyperalgesic' response-pattern. The involved mechanisms could be of clinical interest as variation in pain regulation is known to influence the risk of developing pain pathologies. Further investigations are therefore warranted.Fredrik LindstedtBianka KarshikoffMartin SchallingCaroline Olgart HöglundMartin IngvarMats LekanderEva KosekPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 8, p e43221 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Fredrik Lindstedt
Bianka Karshikoff
Martin Schalling
Caroline Olgart Höglund
Martin Ingvar
Mats Lekander
Eva Kosek
Serotonin-1A receptor polymorphism (rs6295) associated with thermal pain perception.
description <h4>Background</h4>Serotonin (5-HT) is highly involved in pain regulation and serotonin-1A (5-HT1A) receptors are important in determining central 5-HT tone. Accordingly, variation in the 5-HT1A receptor gene (HTR1A) may contribute to inter-individual differences in human pain sensitivity. The minor G-allele of the HTR1A single nucleotide polymorphism (SNP) rs6295 attenuates firing of serotonergic neurons and reduces postsynaptic expression of the receptor. Experiments in rodents suggest that 5-HT1A-agonism modulates pain in opposite directions at mild compared to high noxious intensities. Based upon this and several other similar observations, we hypothesized that G-carriers would exhibit a relative hypoalgesia at mild thermal stimuli but tend towards hyperalgesia at higher noxious intensities.<h4>Methods</h4>Fourty-nine healthy individuals were selectively genotyped for rs6295. Heat- and cold-pain thresholds were assessed along with VAS-ratings of a range of suprathreshold noxious heat intensities (45°C-49°C). Nociceptive-flexion reflex (NFR) thresholds were also assessed.<h4>Results</h4>Volunteers did not deviate significantly from Hardy-Weinberg equilibrium. G-carriers were less sensitive to threshold-level thermal pain. This relative hypoalgesia was abolished at suprathreshold noxious intensities where G-carriers instead increased their ratings of heat-pain significantly more than C-homozygotes. No differences with regard to NFR-thresholds emerged.<h4>Conclusion/significance</h4>To the best of our knowledge this is the first study of human pain perception on the basis of variation in HTR1A. The results illustrate the importance of including a range of stimulus intensities in assessments of pain sensitivity. In speculation, we propose that an attenuated serotonergic tone may be related to a 'hypo- to hyperalgesic' response-pattern. The involved mechanisms could be of clinical interest as variation in pain regulation is known to influence the risk of developing pain pathologies. Further investigations are therefore warranted.
format article
author Fredrik Lindstedt
Bianka Karshikoff
Martin Schalling
Caroline Olgart Höglund
Martin Ingvar
Mats Lekander
Eva Kosek
author_facet Fredrik Lindstedt
Bianka Karshikoff
Martin Schalling
Caroline Olgart Höglund
Martin Ingvar
Mats Lekander
Eva Kosek
author_sort Fredrik Lindstedt
title Serotonin-1A receptor polymorphism (rs6295) associated with thermal pain perception.
title_short Serotonin-1A receptor polymorphism (rs6295) associated with thermal pain perception.
title_full Serotonin-1A receptor polymorphism (rs6295) associated with thermal pain perception.
title_fullStr Serotonin-1A receptor polymorphism (rs6295) associated with thermal pain perception.
title_full_unstemmed Serotonin-1A receptor polymorphism (rs6295) associated with thermal pain perception.
title_sort serotonin-1a receptor polymorphism (rs6295) associated with thermal pain perception.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/2c93a44f41df42ae84ff1cc03a2c30bc
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