Beta2-Adrenergic Receptor Polymorphisms and Haplotypes Associate With Chronic Pain in Sickle Cell Disease

Pain in sickle cell disease (SCD) is severe, variable, and inadequately comprehended. The β2-adrenergic receptor (ADRB2) is critical in mediating neurotransmitter response in the sympathetic nervous system. In this association study, we examined 16 single nucleotide polymorphisms (SNPs) covering 5&#...

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Main Authors: Ellie H. Jhun (Author), Nilanjana Sadhu (Author), Xiaoyu Hu (Author), Yingwei Yao (Author), Ying He (Author), Diana J. Wilkie (Author), Robert E. Molokie (Author), Zaijie Jim Wang (Author)
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Published: Frontiers Media S.A., 2019-02-01T00:00:00Z.
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100 1 0 |a Ellie H. Jhun  |e author 
700 1 0 |a Nilanjana Sadhu  |e author 
700 1 0 |a Xiaoyu Hu  |e author 
700 1 0 |a Yingwei Yao  |e author 
700 1 0 |a Yingwei Yao  |e author 
700 1 0 |a Ying He  |e author 
700 1 0 |a Ying He  |e author 
700 1 0 |a Diana J. Wilkie  |e author 
700 1 0 |a Diana J. Wilkie  |e author 
700 1 0 |a Robert E. Molokie  |e author 
700 1 0 |a Robert E. Molokie  |e author 
700 1 0 |a Robert E. Molokie  |e author 
700 1 0 |a Robert E. Molokie  |e author 
700 1 0 |a Zaijie Jim Wang  |e author 
700 1 0 |a Zaijie Jim Wang  |e author 
245 0 0 |a Beta2-Adrenergic Receptor Polymorphisms and Haplotypes Associate With Chronic Pain in Sickle Cell Disease 
260 |b Frontiers Media S.A.,   |c 2019-02-01T00:00:00Z. 
500 |a 1663-9812 
500 |a 10.3389/fphar.2019.00084 
520 |a Pain in sickle cell disease (SCD) is severe, variable, and inadequately comprehended. The β2-adrenergic receptor (ADRB2) is critical in mediating neurotransmitter response in the sympathetic nervous system. In this association study, we examined 16 single nucleotide polymorphisms (SNPs) covering 5'-UTR and coding regions of ADRB2 for pain variability in SCD. Subjects recorded their non-crisis, baseline pain experience on a computerized tool from which we obtained chronic pain measurement score- composite pain index (CPI). Regression models yielded significant associations between chronic pain and seven SNPs. Non-synonymous SNP rs1042713 A allele (Arg16) caused a 5.73-fold decrease in CPI (p = 0.002). Allele A of rs12654778 and T of rs17778257 reduced CPI by a fold of 4.52 (p = 0.019), and 4.39 (p = 0.032), respectively. Whereas, in the 5' UTR, allele C of rs1042711, G of rs11168070, C of rs11959427, and C of rs1801704 increased CPI by a fold of 10.86 (p = 0.00049), 5.99 (p = 0.016), 5.69 (p = 0.023), and 5.26 (p = 0.031), respectively. Together, these SNPs accounted for 2-15% of CPI variance after adjusting for covariates. Moreover, these SNPs were in high linkage disequilibrium (LD) showing three LD blocks in our cohort. A 10-marker haplotype increased CPI by 11.5-fold (p = 0.000407). Thus, ADRB2 polymorphisms might contribute to chronic pain severity and heterogeneity in SCD. 
546 |a EN 
690 |a single nucleotide polymorphism 
690 |a haplotype 
690 |a sickle cell disease 
690 |a beta2-adrenergic receptor 
690 |a chronic pain 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pharmacology, Vol 10 (2019) 
787 0 |n https://www.frontiersin.org/article/10.3389/fphar.2019.00084/full 
787 0 |n https://doaj.org/toc/1663-9812 
856 4 1 |u https://doaj.org/article/af26b19a3d9a49c4b126b5e7d0f1b445  |z Connect to this object online.