Chronic tension-type facial pain- a pilot study on HTTLPR genetic polymorphisms

Background: This study looked at the association between serotonin transporter gene variants and with chronic persistent tension-type facial pain. Known as triallelic 5-HTTLPR, the serotonin transporter gene-linked polymorphic region and its rs25531 polymorphism have been linked to alterations in pa...

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Main Authors: A.M. Agius, R. Muscat
Format: Article
Language:English
Published: Stichting NASE 2019-12-01
Series:Rhinology Online
Subjects:
Online Access:https://www.rhinologyonline.org/Rhinology_online_issues/manuscript_60.pdf
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author A.M. Agius
R. Muscat
author_facet A.M. Agius
R. Muscat
author_sort A.M. Agius
collection DOAJ
description Background: This study looked at the association between serotonin transporter gene variants and with chronic persistent tension-type facial pain. Known as triallelic 5-HTTLPR, the serotonin transporter gene-linked polymorphic region and its rs25531 polymorphism have been linked to alterations in pain perception. Patients and methods: Genotype polymorphism analysis was carried out in 26 patients with chronic tension type facial pain unresponsive to or recurring after treatment with amitriptyline. Findings were compared to 33 asymptomatic age-and gender-matched controls. Blood serotonin levels in these two groups were also determined. Results: Consistent with previous studies, patients with chronic pain had significantly lower blood serotonin compared to controls. In all genotypes, blood serotonin was low compared to controls and this difference was significant in patients homozygous for the L allele. Conclusion: In this small pilot study, patients with the LL genotype seemed to have the best clinical outcome after three-year follow-up.
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spelling doaj.art-bd0629153e82484eb7533e20b9e6acc62022-12-21T19:46:27ZengStichting NASERhinology Online2589-56132019-12-01212513310.4193/RHINOL/19.036Chronic tension-type facial pain- a pilot study on HTTLPR genetic polymorphismsA.M. Agius0R. Muscat1Department of Surgery, Faculty of Medicine and Surgery, University of Malta, Msida , MaltaDepartment of Physiology and Biochemistry, Faculty of Medicine and Surgery, University of Malta, Msida , MaltaBackground: This study looked at the association between serotonin transporter gene variants and with chronic persistent tension-type facial pain. Known as triallelic 5-HTTLPR, the serotonin transporter gene-linked polymorphic region and its rs25531 polymorphism have been linked to alterations in pain perception. Patients and methods: Genotype polymorphism analysis was carried out in 26 patients with chronic tension type facial pain unresponsive to or recurring after treatment with amitriptyline. Findings were compared to 33 asymptomatic age-and gender-matched controls. Blood serotonin levels in these two groups were also determined. Results: Consistent with previous studies, patients with chronic pain had significantly lower blood serotonin compared to controls. In all genotypes, blood serotonin was low compared to controls and this difference was significant in patients homozygous for the L allele. Conclusion: In this small pilot study, patients with the LL genotype seemed to have the best clinical outcome after three-year follow-up.https://www.rhinologyonline.org/Rhinology_online_issues/manuscript_60.pdfchronictension-type painfacial painblood serotonin levels5-httlpr
spellingShingle A.M. Agius
R. Muscat
Chronic tension-type facial pain- a pilot study on HTTLPR genetic polymorphisms
Rhinology Online
chronic
tension-type pain
facial pain
blood serotonin levels
5-httlpr
title Chronic tension-type facial pain- a pilot study on HTTLPR genetic polymorphisms
title_full Chronic tension-type facial pain- a pilot study on HTTLPR genetic polymorphisms
title_fullStr Chronic tension-type facial pain- a pilot study on HTTLPR genetic polymorphisms
title_full_unstemmed Chronic tension-type facial pain- a pilot study on HTTLPR genetic polymorphisms
title_short Chronic tension-type facial pain- a pilot study on HTTLPR genetic polymorphisms
title_sort chronic tension type facial pain a pilot study on httlpr genetic polymorphisms
topic chronic
tension-type pain
facial pain
blood serotonin levels
5-httlpr
url https://www.rhinologyonline.org/Rhinology_online_issues/manuscript_60.pdf
work_keys_str_mv AT amagius chronictensiontypefacialpainapilotstudyonhttlprgeneticpolymorphisms
AT rmuscat chronictensiontypefacialpainapilotstudyonhttlprgeneticpolymorphisms