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Old 05-13-2010, 11:59 PM
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Default Low Tolerance for Pain May Be Genetic

Low Tolerance for Pain May Be Genetic
March 8, 2010 | 5:04 pm
One form of a common genetic variant may ratchet up pain sensitivity in people who have it, researchers report online March 8 in the Proceedings of the National Academy of Sciences.
The discovery could lead to more powerful pain treatments that lack the debilitating side effects of current drugs. “We could fill our clinics many times over with people with chronic pain that we can’t help with our current medications,” says neurologist and neuroscientist Stephen Waxman of Yale University School of Medicine and the Veterans Affairs Connecticut Hospital in West Haven.
In the new study, researchers led by clinical geneticist Geoffrey Woods of the Cambridge Institute for Medical Research in the United Kingdom examined the DNA of 578 people with the painful condition osteoarthritis. Woods and his colleagues searched for genetic variations that might be linked to how much pain a patient reported feeling — a subjective measure, Woods says, but currently the best researchers can do.

The team found that people who reported higher levels of pain were more likely to carry a particular DNA base, an A instead of a G, at a certain location in the gene SCN9A. The A version is found in an estimated 10 to 30 percent of people, Woods says, though its presence varies in populations of different ancestries.
This gene version may set the pain threshold, he says. “You’re more sensitive to pain.”
The same trend — higher pain levels reported by people who carried the A — held true in cohorts of people with other painful conditions including sciatica, phantom limb syndrome and lumbar discectomy. The A variant wasn’t strongly associated with higher pain scores in patients with chronic pancreatitis, however. Woods says that might change as more people are added to the study..."


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