Sunday, 3 June 2012

Can Genetics Help Back Pain Sufferers?

It has been reported that a gene responsible for chronic pain has been identified, with scientists saying this could lead to drugs for treating long-lasting back pain. Writing in the journal Science, University of Cambridge researchers removed the HCN2 gene from pain-sensitive nerves in mice. Deleting the gene stopped any chronic pain but did not affect acute pain. About one in seven people in the UK suffer from chronic back ache, which can also include arthritis and headaches.

The researchers say their findings open up the possibility that new drugs could be developed to block the protein produced by the HCN2 gene, which regulates chronic pain. The HCN2 gene, which is expressed in pain-sensitive nerve endings, has been known for several years, but its role in regulating pain was not understood.

For the study, the researchers removed the HCN2 gene from pain-sensitive nerves. They then carried out studies using electrical stimuli on these nerves in cell cultures to determine how they were altered by the removal of HCN2. They then studied genetically modified mice in which the HCN2 gene had been deleted.

By measuring the speed that the mice withdrew from different types of painful stimuli, the scientists were able to conclude that deleting the HCN2 gene abolished neuropathic pain. However, they found that deleting HCN2 did not affect normal acute responses - which occurs suddenly, for example when biting one's tongue.

Chronic aches comes in two main varieties. Inflammatory pain occurs when a persistent injury, such as a burn or arthritis, results in very sensitive nerve endings which increase the sensation of hurting.

Neuropathic pain occurs when nerves are damaged, causing ongoing pain. This type of chronic response, which is often life long, is surprisingly common and is poorly treated by current drugs, the study says. It is often seen in patients with diabetes and shingles, and in the aftermath of cancer chemotherapy. It is also common in lumbago and other chronic conditions.

Individuals suffering from neuropathic pain often have little or no respite because of the lack of effective medications and it is believed that this research lays the groundwork for the development of new drugs to treat chronic response by blocking HCN2.

Many genes play a critical role in pain sensation, but in most cases interfering with them simply abolishes all pain, or even all sensation and what is interesting about the work on the HCN2 gene is that removing it - or blocking it pharmacologically - eliminates neuropathic pain without affecting normal acute responses. This finding could be very valuable clinically because normal pain sensation is essential for avoiding accidental damage.

Paul Yates is a mild sufferer of back pain and is investigating natural cures for back pain within the context of the many back pain relief devices that are on the market today.

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