Association of Biomarkers with Individual and Multiple Body Sites of Pain: The Johnston County Osteoarthritis Project.

dc.contributor.author

Norman, Katherine S

dc.contributor.author

Goode, Adam P

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Alvarez, Carolina

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Hu, David

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George, Steven Z

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Schwartz, Todd A

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Danyluk, Stephanie T

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Fillipo, Rebecca

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Kraus, Virginia B

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Huebner, Janet L

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Cleveland, Rebecca J

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Jordan, Joanne M

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Nelson, Amanda E

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Golightly, Yvonne M

dc.date.accessioned

2022-09-02T13:23:35Z

dc.date.available

2022-09-02T13:23:35Z

dc.date.issued

2022-01

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2022-09-02T13:23:35Z

dc.description.abstract

Introduction

Biochemical biomarkers may provide insight into musculoskeletal pain reported at individual or multiple body sites. The purpose of this study was to determine if biomarkers or pressure-pain threshold (PPT) were associated with individual or multiple sites of pain.

Methods

This cross-sectional analysis included 689 community-based participants. Self-reported symptoms (ie, pain, aching, or stiffness) were ascertained about the neck, upper back/thoracic, low back, shoulders, elbows, wrist, hands, hips, knees, ankles, and feet. Measured analytes included CXCL-6, RANTES, HA, IL-6, BDNF, OPG and NPY. A standard dolorimeter measured PPT. Logistic regression was used determine the association between biomarkers and PPT with individual and summed sites of pain.

Results

Increased IL-6 and HA were associated with knee pain (OR=1.30, 95% CI 1.03, 1.64) and (OR=1.32, 95% CI 1.01, 1.73) respectively; HA was also associated with elbow/wrist/hand pain (OR=1.60, 95% CI 1.22, 2.09). Those with increased NPY levels were less likely to have shoulder pain (OR=0.56, 95% CI 0.33, 0.93). Biomarkers HA (OR=1.50, 95% CI 1.07, 2.10), OPG (OR=1.74, 95% CI 1.00, 3.03), CXCL-6 (OR=1.75, 95% CI 1.02, 3.01) and decreased PPT (OR=3.97, 95% CI 2.22, 7.12) were associated with multiple compared to no sites of pain. Biomarker HA (OR=1.57, 95% CI 1.06, 2.32) and decreased PPT (OR=3.53, 95% CI 1.81, 6.88) were associated with multiple compared to a single site of pain.

Conclusion

Biomarkers of inflammation (HA, OPG, IL-6 and CXCL-6), pain (NPY) and PPT may help to understand the etiology of single and multiple pain sites.
dc.identifier

365187

dc.identifier.issn

1178-7090

dc.identifier.issn

1178-7090

dc.identifier.uri

https://hdl.handle.net/10161/25667

dc.language

eng

dc.publisher

Informa UK Limited

dc.relation.ispartof

Journal of pain research

dc.relation.isversionof

10.2147/jpr.s365187

dc.subject

epidemiology

dc.subject

musculoskeletal

dc.subject

pain

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population health

dc.title

Association of Biomarkers with Individual and Multiple Body Sites of Pain: The Johnston County Osteoarthritis Project.

dc.type

Journal article

duke.contributor.orcid

Norman, Katherine S|0000-0002-3064-5294

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Goode, Adam P|0000-0002-0793-3298

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George, Steven Z|0000-0003-4988-9421

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Fillipo, Rebecca|0000-0003-1467-7971

duke.contributor.orcid

Kraus, Virginia B|0000-0001-8173-8258

pubs.begin-page

2393

pubs.end-page

2404

pubs.organisational-group

Duke

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School of Medicine

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Student

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Basic Science Departments

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Clinical Science Departments

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Institutes and Centers

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Medicine

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Orthopaedic Surgery

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Pathology

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Medicine, Rheumatology and Immunology

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Duke Clinical Research Institute

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Duke Molecular Physiology Institute

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Orthopaedic Surgery, Physical Therapy

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Population Health Sciences

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Regeneration Next Initiative

pubs.publication-status

Published

pubs.volume

15

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