Loading…
Modulation of signal transduction gene expression following pulsed radiofrequency in dorsal root ganglia and pregabalin therapy
A randomized controlled study was conducted to assess modulation of signal transduction genes ( , and ) following integrated multimodal approach encompassing pulsed radiofrequency treatment (PRF) of dorsal root ganglion and pregabalin in thoracic postherpetic neuralgia (PHN). Clinical variables such...
Saved in:
Published in: | Pain management (London) 2022-04, Vol.12 (3), p.347-356 |
---|---|
Main Authors: | , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | |
---|---|
cites | cdi_FETCH-LOGICAL-c299t-c0d69c0f09eaefcf0a4369aed501736a9831a627c016e2e2045ace0d2489fa03 |
container_end_page | 356 |
container_issue | 3 |
container_start_page | 347 |
container_title | Pain management (London) |
container_volume | 12 |
creator | Saxena, Ashok Kumar Singh, Anshul Chilkoti, Geetanjali T Sharma, Tusha Banerjee, Basu Dev Das, Swati Singhal, Archana |
description | A randomized controlled study was conducted to assess modulation of signal transduction genes (
,
and
) following integrated multimodal approach encompassing pulsed radiofrequency treatment (PRF) of dorsal root ganglion and pregabalin in thoracic postherpetic neuralgia (PHN). Clinical variables such as pain intensity and quality of life were also explored.
A total of 40 Patients of PHN were recruited. 20 patients randomly assigned to each of the two groups, group PP administered PRF with pregabalin and group SP administered pregabalin alone.
Significant downregulation of
and
observed in group PP at end of 10th week (p |
doi_str_mv | 10.2217/pmt-2021-0057 |
format | article |
fullrecord | <record><control><sourceid>futurescience_cross</sourceid><recordid>TN_cdi_crossref_primary_10_2217_pmt_2021_0057</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>10_2217_pmt_2021_0057</sourcerecordid><originalsourceid>FETCH-LOGICAL-c299t-c0d69c0f09eaefcf0a4369aed501736a9831a627c016e2e2045ace0d2489fa03</originalsourceid><addsrcrecordid>eNp1kE9PwzAMxSMEEtPYkXu-QCFJ17Q5ool_0hCX3SuTOCWoS0rSCnbiq5MyxA1f7Gc9_yQ_Qi45uxKC19fDfiwEE7xgrKpPyILXVVPwpq5P_2apzskqpTeWq5JccbkgX0_BTD2MLngaLE2u89DTMYJPZtI_6w49UvwcIqY0axv6Pnw439Fh6hMaGsG4YCO-T-j1gTpPTYgpY2III-3Ad70DCt7QzOjgBfpsGV8xwnC4IGcWMmX125dkd3e72zwU2-f7x83NttBCqbHQzEilmWUKAa22DNalVICmYrwuJaim5CBFrRmXKFCwdQUamRHrRllg5ZIUR6yOIaWIth2i20M8tJy1c35tzq-d82vn_LJfHf12Gqf8uHb5NWyPao_Gaefxn9tvOhp7Ww</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Modulation of signal transduction gene expression following pulsed radiofrequency in dorsal root ganglia and pregabalin therapy</title><source>PubMed Central</source><creator>Saxena, Ashok Kumar ; Singh, Anshul ; Chilkoti, Geetanjali T ; Sharma, Tusha ; Banerjee, Basu Dev ; Das, Swati ; Singhal, Archana</creator><creatorcontrib>Saxena, Ashok Kumar ; Singh, Anshul ; Chilkoti, Geetanjali T ; Sharma, Tusha ; Banerjee, Basu Dev ; Das, Swati ; Singhal, Archana</creatorcontrib><description>A randomized controlled study was conducted to assess modulation of signal transduction genes (
,
and
) following integrated multimodal approach encompassing pulsed radiofrequency treatment (PRF) of dorsal root ganglion and pregabalin in thoracic postherpetic neuralgia (PHN). Clinical variables such as pain intensity and quality of life were also explored.
A total of 40 Patients of PHN were recruited. 20 patients randomly assigned to each of the two groups, group PP administered PRF with pregabalin and group SP administered pregabalin alone.
Significant downregulation of
and
observed in group PP at end of 10th week (p < 0.05). A significantly positive correlation demonstrated between Visual analog scale scores and signal transduction genes expression in PHN patients.
Downregulation of all three signal transduction genes was observed following the integrated multimodal approach; however, significant downregulation was observed with
and
only. A positive correlation observed between signal transduction gene expression and visual analog scale scores signify their role in the pathogenesis of PHN.
People who had nerve pain after recovering from a herpes attack (postherpetic neuralgia) were treated with pulsed radiofrequency (PRF) treatment of the dorsal root ganglion, which involves stimulating a nerve cluster at the base of the spine with radio waves, along with oral pregabalin therapy, or with pregabalin alone. Certain pain genes such PKA, PKC and ERK were found to be suppressed after the combined treatment with PRF and pregabalin. The suppression of these genes was also associated with the self-reported pain scores of the participants in the study.
Downregulation of mRNA expression of PKA and ERK genes, which may play a part in chronic pain pathogenesis, was observed following treatment consisting of pulsed radiofrequency treatment of dorsal root ganglion + pregabalin compared with pregabalin only.</description><identifier>ISSN: 1758-1869</identifier><identifier>EISSN: 1758-1877</identifier><identifier>DOI: 10.2217/pmt-2021-0057</identifier><language>eng</language><publisher>Future Medicine Ltd</publisher><subject>chronic pain ; pain management ; postherpetic neuralgia ; pregabalin ; pulsed radiofrequency ; quality of life ; signal transduction genes</subject><ispartof>Pain management (London), 2022-04, Vol.12 (3), p.347-356</ispartof><rights>2021 Future Medicine Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c299t-c0d69c0f09eaefcf0a4369aed501736a9831a627c016e2e2045ace0d2489fa03</cites><orcidid>0000-0001-9926-7917</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Saxena, Ashok Kumar</creatorcontrib><creatorcontrib>Singh, Anshul</creatorcontrib><creatorcontrib>Chilkoti, Geetanjali T</creatorcontrib><creatorcontrib>Sharma, Tusha</creatorcontrib><creatorcontrib>Banerjee, Basu Dev</creatorcontrib><creatorcontrib>Das, Swati</creatorcontrib><creatorcontrib>Singhal, Archana</creatorcontrib><title>Modulation of signal transduction gene expression following pulsed radiofrequency in dorsal root ganglia and pregabalin therapy</title><title>Pain management (London)</title><description>A randomized controlled study was conducted to assess modulation of signal transduction genes (
,
and
) following integrated multimodal approach encompassing pulsed radiofrequency treatment (PRF) of dorsal root ganglion and pregabalin in thoracic postherpetic neuralgia (PHN). Clinical variables such as pain intensity and quality of life were also explored.
A total of 40 Patients of PHN were recruited. 20 patients randomly assigned to each of the two groups, group PP administered PRF with pregabalin and group SP administered pregabalin alone.
Significant downregulation of
and
observed in group PP at end of 10th week (p < 0.05). A significantly positive correlation demonstrated between Visual analog scale scores and signal transduction genes expression in PHN patients.
Downregulation of all three signal transduction genes was observed following the integrated multimodal approach; however, significant downregulation was observed with
and
only. A positive correlation observed between signal transduction gene expression and visual analog scale scores signify their role in the pathogenesis of PHN.
People who had nerve pain after recovering from a herpes attack (postherpetic neuralgia) were treated with pulsed radiofrequency (PRF) treatment of the dorsal root ganglion, which involves stimulating a nerve cluster at the base of the spine with radio waves, along with oral pregabalin therapy, or with pregabalin alone. Certain pain genes such PKA, PKC and ERK were found to be suppressed after the combined treatment with PRF and pregabalin. The suppression of these genes was also associated with the self-reported pain scores of the participants in the study.
Downregulation of mRNA expression of PKA and ERK genes, which may play a part in chronic pain pathogenesis, was observed following treatment consisting of pulsed radiofrequency treatment of dorsal root ganglion + pregabalin compared with pregabalin only.</description><subject>chronic pain</subject><subject>pain management</subject><subject>postherpetic neuralgia</subject><subject>pregabalin</subject><subject>pulsed radiofrequency</subject><subject>quality of life</subject><subject>signal transduction genes</subject><issn>1758-1869</issn><issn>1758-1877</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kE9PwzAMxSMEEtPYkXu-QCFJ17Q5ool_0hCX3SuTOCWoS0rSCnbiq5MyxA1f7Gc9_yQ_Qi45uxKC19fDfiwEE7xgrKpPyILXVVPwpq5P_2apzskqpTeWq5JccbkgX0_BTD2MLngaLE2u89DTMYJPZtI_6w49UvwcIqY0axv6Pnw439Fh6hMaGsG4YCO-T-j1gTpPTYgpY2III-3Ad70DCt7QzOjgBfpsGV8xwnC4IGcWMmX125dkd3e72zwU2-f7x83NttBCqbHQzEilmWUKAa22DNalVICmYrwuJaim5CBFrRmXKFCwdQUamRHrRllg5ZIUR6yOIaWIth2i20M8tJy1c35tzq-d82vn_LJfHf12Gqf8uHb5NWyPao_Gaefxn9tvOhp7Ww</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Saxena, Ashok Kumar</creator><creator>Singh, Anshul</creator><creator>Chilkoti, Geetanjali T</creator><creator>Sharma, Tusha</creator><creator>Banerjee, Basu Dev</creator><creator>Das, Swati</creator><creator>Singhal, Archana</creator><general>Future Medicine Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0001-9926-7917</orcidid></search><sort><creationdate>20220401</creationdate><title>Modulation of signal transduction gene expression following pulsed radiofrequency in dorsal root ganglia and pregabalin therapy</title><author>Saxena, Ashok Kumar ; Singh, Anshul ; Chilkoti, Geetanjali T ; Sharma, Tusha ; Banerjee, Basu Dev ; Das, Swati ; Singhal, Archana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c299t-c0d69c0f09eaefcf0a4369aed501736a9831a627c016e2e2045ace0d2489fa03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>chronic pain</topic><topic>pain management</topic><topic>postherpetic neuralgia</topic><topic>pregabalin</topic><topic>pulsed radiofrequency</topic><topic>quality of life</topic><topic>signal transduction genes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saxena, Ashok Kumar</creatorcontrib><creatorcontrib>Singh, Anshul</creatorcontrib><creatorcontrib>Chilkoti, Geetanjali T</creatorcontrib><creatorcontrib>Sharma, Tusha</creatorcontrib><creatorcontrib>Banerjee, Basu Dev</creatorcontrib><creatorcontrib>Das, Swati</creatorcontrib><creatorcontrib>Singhal, Archana</creatorcontrib><collection>CrossRef</collection><jtitle>Pain management (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saxena, Ashok Kumar</au><au>Singh, Anshul</au><au>Chilkoti, Geetanjali T</au><au>Sharma, Tusha</au><au>Banerjee, Basu Dev</au><au>Das, Swati</au><au>Singhal, Archana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modulation of signal transduction gene expression following pulsed radiofrequency in dorsal root ganglia and pregabalin therapy</atitle><jtitle>Pain management (London)</jtitle><date>2022-04-01</date><risdate>2022</risdate><volume>12</volume><issue>3</issue><spage>347</spage><epage>356</epage><pages>347-356</pages><issn>1758-1869</issn><eissn>1758-1877</eissn><abstract>A randomized controlled study was conducted to assess modulation of signal transduction genes (
,
and
) following integrated multimodal approach encompassing pulsed radiofrequency treatment (PRF) of dorsal root ganglion and pregabalin in thoracic postherpetic neuralgia (PHN). Clinical variables such as pain intensity and quality of life were also explored.
A total of 40 Patients of PHN were recruited. 20 patients randomly assigned to each of the two groups, group PP administered PRF with pregabalin and group SP administered pregabalin alone.
Significant downregulation of
and
observed in group PP at end of 10th week (p < 0.05). A significantly positive correlation demonstrated between Visual analog scale scores and signal transduction genes expression in PHN patients.
Downregulation of all three signal transduction genes was observed following the integrated multimodal approach; however, significant downregulation was observed with
and
only. A positive correlation observed between signal transduction gene expression and visual analog scale scores signify their role in the pathogenesis of PHN.
People who had nerve pain after recovering from a herpes attack (postherpetic neuralgia) were treated with pulsed radiofrequency (PRF) treatment of the dorsal root ganglion, which involves stimulating a nerve cluster at the base of the spine with radio waves, along with oral pregabalin therapy, or with pregabalin alone. Certain pain genes such PKA, PKC and ERK were found to be suppressed after the combined treatment with PRF and pregabalin. The suppression of these genes was also associated with the self-reported pain scores of the participants in the study.
Downregulation of mRNA expression of PKA and ERK genes, which may play a part in chronic pain pathogenesis, was observed following treatment consisting of pulsed radiofrequency treatment of dorsal root ganglion + pregabalin compared with pregabalin only.</abstract><pub>Future Medicine Ltd</pub><doi>10.2217/pmt-2021-0057</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-9926-7917</orcidid></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1758-1869 |
ispartof | Pain management (London), 2022-04, Vol.12 (3), p.347-356 |
issn | 1758-1869 1758-1877 |
language | eng |
recordid | cdi_crossref_primary_10_2217_pmt_2021_0057 |
source | PubMed Central |
subjects | chronic pain pain management postherpetic neuralgia pregabalin pulsed radiofrequency quality of life signal transduction genes |
title | Modulation of signal transduction gene expression following pulsed radiofrequency in dorsal root ganglia and pregabalin therapy |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T22%3A03%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-futurescience_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Modulation%20of%20signal%20transduction%20gene%20expression%20following%20pulsed%20radiofrequency%20in%20dorsal%20root%20ganglia%20and%20pregabalin%20therapy&rft.jtitle=Pain%20management%20(London)&rft.au=Saxena,%20Ashok%20Kumar&rft.date=2022-04-01&rft.volume=12&rft.issue=3&rft.spage=347&rft.epage=356&rft.pages=347-356&rft.issn=1758-1869&rft.eissn=1758-1877&rft_id=info:doi/10.2217/pmt-2021-0057&rft_dat=%3Cfuturescience_cross%3E10_2217_pmt_2021_0057%3C/futurescience_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c299t-c0d69c0f09eaefcf0a4369aed501736a9831a627c016e2e2045ace0d2489fa03%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true |