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    Genetic variation in the beta-2 adrenergic receptor is associated with chronic musculoskeletal complaints in adolescents

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    Fulltext not available
    Authors
    Skouen, J.
    Smith, Anne
    Warrington, N.
    O'Sullivan, Peter
    McKenzie, Luke
    Pennell, C.
    Straker, Leon
    Date
    2012
    Type
    Journal Article
    
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    Citation
    Skouen, J.S. and Smith, A.J. and Warrington, N.M. and O'Sullivan, P.B. and McKenzie, L. and Pennell, C.E. and Straker, L.M. 2012. Genetic variation in the beta-2 adrenergic receptor is associated with chronic musculoskeletal complaints in adolescents. European Journal of Pain. 16: pp. 1232-1242.
    Source Title
    European Journal of Pain
    DOI
    10.1002/j.1532-2149.2012.00131.x
    ISSN
    1090-3801
    URI
    http://hdl.handle.net/20.500.11937/7169
    Collection
    • Curtin Research Publications
    Abstract

    Background: There is significant evidence to suggest that psychological and stress-related factors are important predictors of the onset of chronic widespread pain (CWP) and fibromyalgia (FM). The hypothalamic-pituitary-adrenal axis, together with the efferent sympathetic/adrenomedullary system, influence all body organs (including muscles) during short- and long-term threatening stimuli. The aim of this study was to investigate the relationship between genetic variants in adrenergic candidate genes and chronic musculoskeletal complaints (MSCs) in adolescents. Methods: Adolescents from the Western Australian Pregnancy (Raine) Cohort attending the 17-year cohort review completed a questionnaire containing a broad range of psychosocial factors and pain assessment (n = 1004). Blood samples were collected for DNA extraction and genotyping. Genotype data was obtained for 14 single nucleotide polymorphisms (SNPs) in two candidate genes – beta-2 adrenergic receptor (ADRB2) and catecholamine-O-methyltransferase (COMT). Haplotypes were reconstructed for all individuals with genotype data. Results and Conclusion: Both female gender and poor mental health were associated with (1) an increased risk for chronic, disabling comorbid neck and low back pain (CDCP); and (2) an increase in the number of areas of pain. Of the 14 SNPs evaluated, only SNP rs2053044 (ADRB2, recessive model) displayed an association with CDCP [odds ratio (OR) = 2.49; 95% confidence interval (CI) = 1.25, 4.98; p = 0.01] and pain in three to four pain areas in the last month (OR = 1.86; 95% CI = 1.13, 3.06; p = 0.02). These data suggest that genetic variants in ADRB2 may be involved in chronic MSCs.

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