Analysis of Meaningful Conditioned Pain Modulation Effect in a Pain-Free Adult Population
Conditioned pain modulation (CPM) encompasses the effects of inhibitory and facilitatory pain modulatory systems and is inefficient in some chronic pain states. A proportion of healthy subjects also exhibit little or no CPM, perhaps suggesting that inherent factors such as gender or geneticsmay be i...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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Churchill Livingstone
2014
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| Online Access: | http://hdl.handle.net/20.500.11937/4031 |
| _version_ | 1848744399688695808 |
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| author | Locke, David Gibson, William Moss, Penny Munyard, Kylie Mamotte, Cyril Wright, Tony |
| author_facet | Locke, David Gibson, William Moss, Penny Munyard, Kylie Mamotte, Cyril Wright, Tony |
| author_sort | Locke, David |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Conditioned pain modulation (CPM) encompasses the effects of inhibitory and facilitatory pain modulatory systems and is inefficient in some chronic pain states. A proportion of healthy subjects also exhibit little or no CPM, perhaps suggesting that inherent factors such as gender or geneticsmay be influential. However, there is no consensus on how best to determine a meaningful CPMeffect. This study aimed to determine the proportion of pain-free subjects exhibiting a meaningfulCPM effect. Analyses of associations between 5HTTLPR (serotonin transporter-linked polymorphic region) polymorphisms on the serotonin transporter gene (SLC6A4), gender, and CPM effect were also carried out. A total of 125 healthy subjects (47 male; 78 female) underwent pressure pain threshold testing before, during, and after a cold pressor conditioning stimulus. A buccal cell sample was collected for analysis of 5HTTLPR genotype. Meaningful CPM effect was determined as an increase in pressure pain threshold values from baseline greater than the inherent error of measurement, calculated as 5.3%. During the conditioning stimulus, 116 subjects (92.8%) exhibited a CPM effect whereas 9 did not. CPM effect did not differ significantly between genders or between 5HTTLPR genotypes. This provides a clear basis on which to determine the proportion of patients with a chronic pain disorder that exhibit a meaningful CPM effect.Perspective: This study proposes a method for calculating meaningful CPM effect and reports theproportion and magnitude of effect elicited in a large sample. Associations between CPM, gender,and genotype were also analyzed. Clarification of normal CPM response may help to elucidate themechanisms driving CPM inefficiency in chronic pain. |
| first_indexed | 2025-11-14T06:00:51Z |
| format | Journal Article |
| id | curtin-20.500.11937-4031 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:00:51Z |
| publishDate | 2014 |
| publisher | Churchill Livingstone |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-40312017-09-13T15:54:28Z Analysis of Meaningful Conditioned Pain Modulation Effect in a Pain-Free Adult Population Locke, David Gibson, William Moss, Penny Munyard, Kylie Mamotte, Cyril Wright, Tony serotonin transporter gene Conditioned pain modulation gender diffuse noxious inhibitory controls healthy adults Conditioned pain modulation (CPM) encompasses the effects of inhibitory and facilitatory pain modulatory systems and is inefficient in some chronic pain states. A proportion of healthy subjects also exhibit little or no CPM, perhaps suggesting that inherent factors such as gender or geneticsmay be influential. However, there is no consensus on how best to determine a meaningful CPMeffect. This study aimed to determine the proportion of pain-free subjects exhibiting a meaningfulCPM effect. Analyses of associations between 5HTTLPR (serotonin transporter-linked polymorphic region) polymorphisms on the serotonin transporter gene (SLC6A4), gender, and CPM effect were also carried out. A total of 125 healthy subjects (47 male; 78 female) underwent pressure pain threshold testing before, during, and after a cold pressor conditioning stimulus. A buccal cell sample was collected for analysis of 5HTTLPR genotype. Meaningful CPM effect was determined as an increase in pressure pain threshold values from baseline greater than the inherent error of measurement, calculated as 5.3%. During the conditioning stimulus, 116 subjects (92.8%) exhibited a CPM effect whereas 9 did not. CPM effect did not differ significantly between genders or between 5HTTLPR genotypes. This provides a clear basis on which to determine the proportion of patients with a chronic pain disorder that exhibit a meaningful CPM effect.Perspective: This study proposes a method for calculating meaningful CPM effect and reports theproportion and magnitude of effect elicited in a large sample. Associations between CPM, gender,and genotype were also analyzed. Clarification of normal CPM response may help to elucidate themechanisms driving CPM inefficiency in chronic pain. 2014 Journal Article http://hdl.handle.net/20.500.11937/4031 10.1016/j.jpain.2014.09.001 Churchill Livingstone restricted |
| spellingShingle | serotonin transporter gene Conditioned pain modulation gender diffuse noxious inhibitory controls healthy adults Locke, David Gibson, William Moss, Penny Munyard, Kylie Mamotte, Cyril Wright, Tony Analysis of Meaningful Conditioned Pain Modulation Effect in a Pain-Free Adult Population |
| title | Analysis of Meaningful Conditioned Pain Modulation Effect in a Pain-Free Adult Population |
| title_full | Analysis of Meaningful Conditioned Pain Modulation Effect in a Pain-Free Adult Population |
| title_fullStr | Analysis of Meaningful Conditioned Pain Modulation Effect in a Pain-Free Adult Population |
| title_full_unstemmed | Analysis of Meaningful Conditioned Pain Modulation Effect in a Pain-Free Adult Population |
| title_short | Analysis of Meaningful Conditioned Pain Modulation Effect in a Pain-Free Adult Population |
| title_sort | analysis of meaningful conditioned pain modulation effect in a pain-free adult population |
| topic | serotonin transporter gene Conditioned pain modulation gender diffuse noxious inhibitory controls healthy adults |
| url | http://hdl.handle.net/20.500.11937/4031 |