Peripheral Ion Channel Genes Screening in Painful Small Fiber Neuropathy

Neuropathic pain is a characteristic feature of small fiber neuropathy (SFN), which in 18% of the cases is caused by genetic variants in voltage-gated sodium ion channels. In this study, we assessed the role of fifteen other ion channels in neuropathic pain. Patients with SFN (n = 414) were analyzed...

Full description

Bibliographic Details
Main Authors: Milena Ślęczkowska, Rowida Almomani, Margherita Marchi, Erika Salvi, Bianca T A de Greef, Maurice Sopacua, Janneke G J Hoeijmakers, Patrick Lindsey, Stephen G Waxman, Giuseppe Lauria, Catharina G Faber, Hubert J M Smeets, Monique M Gerrits
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/22/14095
_version_ 1797465088407371776
author Milena Ślęczkowska
Rowida Almomani
Margherita Marchi
Erika Salvi
Bianca T A de Greef
Maurice Sopacua
Janneke G J Hoeijmakers
Patrick Lindsey
Stephen G Waxman
Giuseppe Lauria
Catharina G Faber
Hubert J M Smeets
Monique M Gerrits
author_facet Milena Ślęczkowska
Rowida Almomani
Margherita Marchi
Erika Salvi
Bianca T A de Greef
Maurice Sopacua
Janneke G J Hoeijmakers
Patrick Lindsey
Stephen G Waxman
Giuseppe Lauria
Catharina G Faber
Hubert J M Smeets
Monique M Gerrits
author_sort Milena Ślęczkowska
collection DOAJ
description Neuropathic pain is a characteristic feature of small fiber neuropathy (SFN), which in 18% of the cases is caused by genetic variants in voltage-gated sodium ion channels. In this study, we assessed the role of fifteen other ion channels in neuropathic pain. Patients with SFN (n = 414) were analyzed for <i>ANO1</i>, <i>ANO3</i>, <i>HCN1</i>, <i>KCNA2</i>, <i>KCNA4</i>, <i>KCNK18</i>, <i>KCNN1</i>, <i>KCNQ3</i>, <i>KCNQ5</i>, <i>KCNS1</i>, <i>TRPA1</i>, <i>TRPM8</i>, <i>TRPV1</i>, <i>TRPV3</i> and <i>TRPV4</i> variants by single-molecule molecular inversion probes–next-generation sequencing. These patients did not have genetic variants in <i>SCN3A</i>, <i>SCN7A-SCN11A</i> and <i>SCN1B-SCN4B</i>. In twenty patients (20/414, 4.8%), a potentially pathogenic heterozygous variant was identified in an ion-channel gene (ICG). Variants were present in seven genes, for two patients (0.5%) in <i>ANO3</i>, one (0.2%) in <i>KCNK18</i>, two (0.5%) in <i>KCNQ3</i>, seven (1.7%) in <i>TRPA1</i>, three (0.7%) in <i>TRPM8</i>, three (0.7%) in <i>TRPV1</i> and two (0.5%) in <i>TRPV3</i>. Variants in the TRP genes were the most frequent (n = 15, 3.6%), partly in patients with high mean maximal pain scores VAS = 9.65 ± 0.7 (n = 4). Patients with ICG variants reported more severe pain compared to patients without such variants (VAS = 9.36 ± 0.72 vs. VAS = 7.47 ± 2.37). This cohort study identified ICG variants in neuropathic pain in SFN, complementing previous findings of ICG variants in diabetic neuropathy. These data show that ICG variants are central in neuropathic pain of different etiologies and provides promising gene candidates for future research.
first_indexed 2024-03-09T18:16:27Z
format Article
id doaj.art-2de82955c0494f2b8af1fe0d6215c9f8
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-09T18:16:27Z
publishDate 2022-11-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-2de82955c0494f2b8af1fe0d6215c9f82023-11-24T08:38:28ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-11-0123221409510.3390/ijms232214095Peripheral Ion Channel Genes Screening in Painful Small Fiber NeuropathyMilena Ślęczkowska0Rowida Almomani1Margherita Marchi2Erika Salvi3Bianca T A de Greef4Maurice Sopacua5Janneke G J Hoeijmakers6Patrick Lindsey7Stephen G Waxman8Giuseppe Lauria9Catharina G Faber10Hubert J M Smeets11Monique M Gerrits12Department of Toxicogenomics, Maastricht University, 6229 ER Maastricht, The NetherlandsDepartment of Neurology, School of Mental Health and Neuroscience, Maastricht University Medical Centre+, 6229 ER Maastricht, The NetherlandsNeuroalgology Unit, IRCCS Foundation “Carlo Besta” Neurological Institute, 20133 Milan, ItalyNeuroalgology Unit, IRCCS Foundation “Carlo Besta” Neurological Institute, 20133 Milan, ItalyDepartment of Neurology, School of Mental Health and Neuroscience, Maastricht University Medical Centre+, 6229 ER Maastricht, The NetherlandsDepartment of Neurology, School of Mental Health and Neuroscience, Maastricht University Medical Centre+, 6229 ER Maastricht, The NetherlandsDepartment of Neurology, School of Mental Health and Neuroscience, Maastricht University Medical Centre+, 6229 ER Maastricht, The NetherlandsDepartment of Toxicogenomics, Maastricht University, 6229 ER Maastricht, The NetherlandsDepartment of Neurology, Yale University School of Medicine, New Haven, CT 06510, USANeuroalgology Unit, IRCCS Foundation “Carlo Besta” Neurological Institute, 20133 Milan, ItalyDepartment of Neurology, School of Mental Health and Neuroscience, Maastricht University Medical Centre+, 6229 ER Maastricht, The NetherlandsDepartment of Toxicogenomics, Maastricht University, 6229 ER Maastricht, The NetherlandsDepartment of Clinical Genetics, Maastricht University Medical Centre+, 6229 HX Maastricht, The NetherlandsNeuropathic pain is a characteristic feature of small fiber neuropathy (SFN), which in 18% of the cases is caused by genetic variants in voltage-gated sodium ion channels. In this study, we assessed the role of fifteen other ion channels in neuropathic pain. Patients with SFN (n = 414) were analyzed for <i>ANO1</i>, <i>ANO3</i>, <i>HCN1</i>, <i>KCNA2</i>, <i>KCNA4</i>, <i>KCNK18</i>, <i>KCNN1</i>, <i>KCNQ3</i>, <i>KCNQ5</i>, <i>KCNS1</i>, <i>TRPA1</i>, <i>TRPM8</i>, <i>TRPV1</i>, <i>TRPV3</i> and <i>TRPV4</i> variants by single-molecule molecular inversion probes–next-generation sequencing. These patients did not have genetic variants in <i>SCN3A</i>, <i>SCN7A-SCN11A</i> and <i>SCN1B-SCN4B</i>. In twenty patients (20/414, 4.8%), a potentially pathogenic heterozygous variant was identified in an ion-channel gene (ICG). Variants were present in seven genes, for two patients (0.5%) in <i>ANO3</i>, one (0.2%) in <i>KCNK18</i>, two (0.5%) in <i>KCNQ3</i>, seven (1.7%) in <i>TRPA1</i>, three (0.7%) in <i>TRPM8</i>, three (0.7%) in <i>TRPV1</i> and two (0.5%) in <i>TRPV3</i>. Variants in the TRP genes were the most frequent (n = 15, 3.6%), partly in patients with high mean maximal pain scores VAS = 9.65 ± 0.7 (n = 4). Patients with ICG variants reported more severe pain compared to patients without such variants (VAS = 9.36 ± 0.72 vs. VAS = 7.47 ± 2.37). This cohort study identified ICG variants in neuropathic pain in SFN, complementing previous findings of ICG variants in diabetic neuropathy. These data show that ICG variants are central in neuropathic pain of different etiologies and provides promising gene candidates for future research.https://www.mdpi.com/1422-0067/23/22/14095idiopathic small fiber neuropathyion channelMIPs-NGSneuropathic painperipheral neuropathy
spellingShingle Milena Ślęczkowska
Rowida Almomani
Margherita Marchi
Erika Salvi
Bianca T A de Greef
Maurice Sopacua
Janneke G J Hoeijmakers
Patrick Lindsey
Stephen G Waxman
Giuseppe Lauria
Catharina G Faber
Hubert J M Smeets
Monique M Gerrits
Peripheral Ion Channel Genes Screening in Painful Small Fiber Neuropathy
International Journal of Molecular Sciences
idiopathic small fiber neuropathy
ion channel
MIPs-NGS
neuropathic pain
peripheral neuropathy
title Peripheral Ion Channel Genes Screening in Painful Small Fiber Neuropathy
title_full Peripheral Ion Channel Genes Screening in Painful Small Fiber Neuropathy
title_fullStr Peripheral Ion Channel Genes Screening in Painful Small Fiber Neuropathy
title_full_unstemmed Peripheral Ion Channel Genes Screening in Painful Small Fiber Neuropathy
title_short Peripheral Ion Channel Genes Screening in Painful Small Fiber Neuropathy
title_sort peripheral ion channel genes screening in painful small fiber neuropathy
topic idiopathic small fiber neuropathy
ion channel
MIPs-NGS
neuropathic pain
peripheral neuropathy
url https://www.mdpi.com/1422-0067/23/22/14095
work_keys_str_mv AT milenasleczkowska peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT rowidaalmomani peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT margheritamarchi peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT erikasalvi peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT biancatadegreef peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT mauricesopacua peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT jannekegjhoeijmakers peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT patricklindsey peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT stephengwaxman peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT giuseppelauria peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT catharinagfaber peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT hubertjmsmeets peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy
AT moniquemgerrits peripheralionchannelgenesscreeninginpainfulsmallfiberneuropathy