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Updated: Aug 20, 2025

An Alternative to the Traditional Cold Pressor Test: The Cold Pressor Arm Wrap
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Multi-omics to predict changes during cold pressor test.

Lisette J A Kogelman1, Madeleine Ernst2, Katrine Falkenberg3

  • 1Danish Headache Center, Department of Neurology, Copenhagen University Hospital, 2600, Glostrup, Denmark. Lisette.kogelman@regionh.dk.

BMC Genomics
|November 19, 2022
PubMed
Summary
This summary is machine-generated.

Multi-omics analysis successfully identified molecular mechanisms during the cold pressor test (CPT), revealing insights into lipid metabolism and stress response. This approach offers significant potential for advancing pain research.

Keywords:
Cold pressor testData integrationMetabolomicsMulti-omicsPCAPLSSystems biologyTranscriptomics

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Area of Science:

  • Pain research
  • Multi-omics
  • Molecular mechanisms

Background:

  • The cold pressor test (CPT) is a standard method for assessing pain tolerance and cardiovascular reactions.
  • Investigating molecular mechanisms underlying CPT responses requires advanced analytical techniques.

Purpose of the Study:

  • To explore molecular mechanisms involved in the cold pressor test (CPT) using multi-omics analyses.
  • To assess the utility of transcriptomics, metabolomics, and steroid profiling in understanding pain responses.

Main Methods:

  • Phenotypic assessment before and after CPT in 22 females.
  • Collection of blood samples for RNA-Sequencing, steroid profiling, and untargeted metabolomics.
  • Analysis of omics data at feature- and systems-levels (PCA, PLS) and integrative multi-omics analysis.

Main Results:

  • Partial least squares (PLS) regression significantly distinguished time points using metabolomic and transcriptomic data, unlike principal component analysis (PCA) or physiological measures.
  • Transcriptomic and metabolomic data revealed key biological processes, including lipid metabolism and stress response, at multiple analytical levels.
  • Integrative multi-omics approach highlighted biologically relevant pathways during CPT.

Conclusions:

  • Multi-omics strategies are powerful tools for pain research, providing insights at both feature- and systems-levels.
  • These approaches should be utilized in intervention studies, like pain provocation tests, to elucidate complex biological mechanisms.
  • Multi-omics analysis enhances our understanding of the biological underpinnings of pain and stress responses.