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Updated: Jun 6, 2026

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Relationship Between Central Sensitization and Genetic Polymorphisms-A Case-Control Study in Fibromyalgia.
Nicolas Macian1, Christian Dualé1,2, Marine Delay1
1Plateforme D'investigation Clinique (Inserm CIC1405), CHU Clermont-Ferrand, Clermont-Ferrand, France.
This study investigated genetic factors in fibromyalgia, finding no direct link between 60 candidate genes and central sensitization (CS). Further research is needed to understand the genetic basis of fibromyalgia and CS.
Area of Science:
- Neuroscience
- Genetics
- Pain Research
Background:
- Fibromyalgia is a chronic pain syndrome linked to central sensitization (CS).
- Genetic factors may influence CS and fibromyalgia pathogenesis.
- This study explored the genetic underpinnings of CS in fibromyalgia patients.
Purpose of the Study:
- To investigate the genetic determinants of central sensitization (CS) in fibromyalgia.
- To explore the association between candidate genes and fibromyalgia.
- To identify potential genetic pathways involved in fibromyalgia pathogenesis.
Main Methods:
- 201 women with fibromyalgia and 40 healthy controls were included.
- Nociceptive flexion reflex (NFR) threshold served as a surrogate marker for CS.
- Genotyping of 60 candidate genes was performed on all participants.
Main Results:
- NFR threshold was significantly lower in fibromyalgia patients compared to controls (p=0.0003).
- Initial analysis revealed associations between fibromyalgia and polymorphisms in TNF, TACR1, and IL10 genes.
- After adjusting for NFR threshold, TACR1, FAAH, HTR1A, and MYT1L showed associations, but these were non-significant after Bonferroni correction.
Conclusions:
- Central sensitization (CS) is a key feature of fibromyalgia.
- No significant association was found between the NFR threshold and the 60 selected candidate gene polymorphisms.
- Findings guide future research in larger, well-phenotyped cohorts to explore fibromyalgia's genetic pathways.
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