Pharmacogenetic study of pruritus induced by epidural morphine for post cesarean section analgesia

Objective: The mechanism through which neuroaxial morphine causes pruritus has not been elucidated clearly and thoroughly. Materials and methods: a study in 129 female parturients was conducted to investigate the effect of 14 single nucleotide polymorphisms (SNPs) on phenotype (pruritus) induced by...

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Main Authors: Chia-Chi Kung, Shiou-Sheng Chen, Hong-Jyh Yang, Chih-Jun Lai, Li-Kuei Chen
Format: Article
Language:English
Published: Elsevier 2018-02-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455917303091
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author Chia-Chi Kung
Shiou-Sheng Chen
Hong-Jyh Yang
Chih-Jun Lai
Li-Kuei Chen
author_facet Chia-Chi Kung
Shiou-Sheng Chen
Hong-Jyh Yang
Chih-Jun Lai
Li-Kuei Chen
author_sort Chia-Chi Kung
collection DOAJ
description Objective: The mechanism through which neuroaxial morphine causes pruritus has not been elucidated clearly and thoroughly. Materials and methods: a study in 129 female parturients was conducted to investigate the effect of 14 single nucleotide polymorphisms (SNPs) on phenotype (pruritus) induced by neuroaxial (including intrathecal or epidural) morphine for cesarean section. Clinical phenotype, subjective complaints and objective observations were recorded. DNA from blood samples was used to record the SNPs. Eleven SNPs were then analyzed further. Results: no significant association with the presence of phenotype (pruritus) versus genotype was observed (all p-values > 0.05). No significant association with severity of phenotype versus genotype of the 11 SNPs was observed except for unadjusted data for rs2737703. There was no significant difference between severity or incidence of IVPCA morphine-induced nausea and vomiting and genotype (11 SNPs). Conclusion: our results showed no association between SNPs of any of the genes studied with neuroaxial morphine inducing pruritus.
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spelling doaj.art-56bfe44147aa4f9e9e469fa5b41dbe882022-12-21T17:48:39ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592018-02-01571899410.1016/j.tjog.2017.12.015Pharmacogenetic study of pruritus induced by epidural morphine for post cesarean section analgesiaChia-Chi Kung0Shiou-Sheng Chen1Hong-Jyh Yang2Chih-Jun Lai3Li-Kuei Chen4Department of Anesthesiology, National Taiwan University Hospital Hsin- Chu Branch, Hsinchu City, 30059, TaiwanDepartment of Urology, School of Medicine, National Yang-Ming University, Taipei, 112, TaiwanDepartment of Internal Medicine, National Taiwan University Hospital Hsin- Chu Branch, Hsinchu City, 30059, TaiwanDepartment of Anesthesiology, National Taiwan University Hospital Hsin- Chu Branch, Hsinchu City, 30059, TaiwanDepartment of Anesthesiology, National Taiwan University Hospital Hsin- Chu Branch, Hsinchu City, 30059, TaiwanObjective: The mechanism through which neuroaxial morphine causes pruritus has not been elucidated clearly and thoroughly. Materials and methods: a study in 129 female parturients was conducted to investigate the effect of 14 single nucleotide polymorphisms (SNPs) on phenotype (pruritus) induced by neuroaxial (including intrathecal or epidural) morphine for cesarean section. Clinical phenotype, subjective complaints and objective observations were recorded. DNA from blood samples was used to record the SNPs. Eleven SNPs were then analyzed further. Results: no significant association with the presence of phenotype (pruritus) versus genotype was observed (all p-values > 0.05). No significant association with severity of phenotype versus genotype of the 11 SNPs was observed except for unadjusted data for rs2737703. There was no significant difference between severity or incidence of IVPCA morphine-induced nausea and vomiting and genotype (11 SNPs). Conclusion: our results showed no association between SNPs of any of the genes studied with neuroaxial morphine inducing pruritus.http://www.sciencedirect.com/science/article/pii/S1028455917303091MorphineNeuroaxialPhenotypePruritisSingle nucleotide polymorphisms (SNPs)
spellingShingle Chia-Chi Kung
Shiou-Sheng Chen
Hong-Jyh Yang
Chih-Jun Lai
Li-Kuei Chen
Pharmacogenetic study of pruritus induced by epidural morphine for post cesarean section analgesia
Taiwanese Journal of Obstetrics & Gynecology
Morphine
Neuroaxial
Phenotype
Pruritis
Single nucleotide polymorphisms (SNPs)
title Pharmacogenetic study of pruritus induced by epidural morphine for post cesarean section analgesia
title_full Pharmacogenetic study of pruritus induced by epidural morphine for post cesarean section analgesia
title_fullStr Pharmacogenetic study of pruritus induced by epidural morphine for post cesarean section analgesia
title_full_unstemmed Pharmacogenetic study of pruritus induced by epidural morphine for post cesarean section analgesia
title_short Pharmacogenetic study of pruritus induced by epidural morphine for post cesarean section analgesia
title_sort pharmacogenetic study of pruritus induced by epidural morphine for post cesarean section analgesia
topic Morphine
Neuroaxial
Phenotype
Pruritis
Single nucleotide polymorphisms (SNPs)
url http://www.sciencedirect.com/science/article/pii/S1028455917303091
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