Effect of gene variants on opioid dose, pain and adverse effect outcomes in advanced cancer: an explorative study.
Aaron Kee Yee WongPål KlepstadAndrew Alexander SomogyiSara VogrinBrian H LeJennifer A M PhilipJustin P RubioPublished in: Pharmacogenomics (2023)
Aim: Associations between gene variants and opioid net effect are unclear. We conducted an exploratory pharmacogenetic analysis of 35 gene variants and opioid response in advanced cancer. Patients & methods: This multi-center prospective cohort study included clinical data, questionnaires (pain and adverse effects) and DNA (blood). Negative binomial regression and logistic regression were used. Results: Within 54 participants, eight statistically significant associations (p = 0.002-0.038) were observed between gene variants and opioid dose, pain scores or adverse effects, the majority being within the neuroimmune TLR4 pathway (IL1B [rs1143634], IL2 [rs2069762], IL6 [rs1800795], BDNF [rs6265]) and ARRB2 pathway (ARRB2 [rs3786047], DRD2 [rs6275]). Conclusion: Neuroimmune pathway genes may contribute to differences in opioid response in cancer and may be included in future similar studies.
Keyphrases
- chronic pain
- pain management
- copy number
- genome wide
- genome wide identification
- advanced cancer
- palliative care
- inflammatory response
- emergency department
- squamous cell carcinoma
- type diabetes
- circulating tumor
- gene expression
- single molecule
- circulating tumor cells
- current status
- adipose tissue
- metabolic syndrome
- lymph node metastasis
- big data
- data analysis