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Original article 239 Effect of catechol-O-methyltransferase polymorphism on response to propranolol therapy in chronic musculoskeletal pain: a randomized, double-blind, placebo-controlled, crossover pilot study Inna E. Tchivileva, Pei Feng Lim, Shad B. Smith, Gary D. Slade, Luda Diatchenko, Samuel A. McLean and William Maixner Introduction Three common haplotypes in the gene significantly reduced a composite pain index (P = 0.02) encoding catechol-O-methyltransferase (COMT) have but did not decrease other clinical and experimental been associated with pain modulation and the risk of pain ratings. When stratified by the COMT high activity developing chronic musculoskeletal pain, namely haplotype, a beneficial effect of propranolol on pain temporomandibular disorder (TMD). Haplotypes coding perception was noted in patients not carrying this for higher enzymatic activity were correlated with lower haplotype, a diminished benefit was observed in the pain perception. Rodent studies showed that COMT heterozygotes, and no benefit was noted in the inhibition increases pain sensitivity through b -adrenergic homozygotes. 2/3 receptors. We hypothesized that the nonselective Conclusion COMT haplotypes may serve as genetic b-adrenergic antagonist propranolol will reduce clinical predictors of propranolol treatment outcome, identifying and experimental pain in TMD patients in a manner a subgroup of TMD patients who will benefit from dependent
Pharmacogenetics & Genomics – Wolters Kluwer Health
Published: Apr 1, 2010
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