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Systemic differences in serum metabolome: a cross sectional comparison of women with localised and widespread pain and controls
Department of Community Medicine and Rehabilitation, Sports Medicine Unit, Umeå University, Umeå, Sweden.
University of Gävle, Centre for Musculoskeletal Research. University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational health science. Department of Community Medicine and Rehabilitation, Sports Medicine Unit, Umeå University, Umeå, Sweden.ORCID iD: 0000-0001-7543-4397
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Department of Clinical Sciences, Professional Development, Umeå University, Sweden.
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2015 (English)In: Scientific Reports, ISSN 2045-2322, E-ISSN 2045-2322, Vol. 5, 15925Article in journal (Refereed) Published
Abstract [en]

Chronic musculoskeletal pain exists either as localised to a single region or as widespread to multiple sites in several quadrants of the body. Prospective studies indicate that widespread pain could act as a far end of a continuum of musculoskeletal pain that started with chronic localised pain. The mechanism by which the transition from localised pain to widespread occurs is not clear, although many studies suggest it to be an altered metabolism. In this study, systemic metabolic differences between women with chronic localised neck-shoulder pain (NP), women with chronic widespread pain (CWP) and women who were healthy (CON) were assessed. Blood samples were analysed taking a metabolomics approach using gas chromatography mass spectrometry (GC-MS) and orthogonal partial least square discriminant analysis (OPLS-DA). The metabolomics analysis showed a clear systematic difference in the metabolic profiles between the subjects with NP and the CON but only a weak systematic difference between the subjects with CWP and the CON. This most likely reflects a difference in the portion of the metabolome influenced by the two pain conditions. In the NP group, the overall metabolic profile suggests that processes related to energy utilisation and lipid metabolism could be central aspects of mechanisms maintaining disorder.

Place, publisher, year, edition, pages
2015. Vol. 5, 15925
Keyword [en]
Neck pain, Musculoskeletal pain, Chronic musculoskeletal pain, Chronic pain, Microdialysis
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:hig:diva-19016DOI: 10.1038/srep15925ISI: 000363874800001PubMedID: 26522699Scopus ID: 2-s2.0-84946215069OAI: oai:DiVA.org:hig-19016DiVA: diva2:788560
Funder
AFA Insurance, 090288Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-1403Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-1761Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-1259
Available from: 2015-02-16 Created: 2015-02-16 Last updated: 2017-01-10Bibliographically approved

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Hadrévi, JennyBjörklund, MartinHellström, Fredrik
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CiteExportLink to record
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Citation style
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