A Genetic and Environmental Analysis of Inflammatory Factors in Chronic Widespread Pain Using the TwinsUK Cohort

Chronic widespread musculoskeletal pain (CWP), a significant health issue affecting individuals and society, is often diagnosed as part of fibromyalgia but is not generally considered inflammatory. This study investigated the relationship between blood-based inflammatory factors and CWP in 904 indiv...

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Main Authors: Stacey S. Cherny, Gregory Livshits, Frances M. K. Williams
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/15/2/155
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author Stacey S. Cherny
Gregory Livshits
Frances M. K. Williams
author_facet Stacey S. Cherny
Gregory Livshits
Frances M. K. Williams
author_sort Stacey S. Cherny
collection DOAJ
description Chronic widespread musculoskeletal pain (CWP), a significant health issue affecting individuals and society, is often diagnosed as part of fibromyalgia but is not generally considered inflammatory. This study investigated the relationship between blood-based inflammatory factors and CWP in 904 individuals from the TwinsUK cohort. Participants, free of major inflammatory conditions, completed questionnaires to assess CWP. Plasma samples were analysed using the Olink panel, alongside assays for C-reactive protein (CRP) and Apolipoproteins A1 and B. No significant associations were observed between CWP and inflammatory factors after adjusting for multiple testing. Twin modelling revealed significant heritability for both CWP and inflammatory factors, with genetic covariance observed between CWP and several inflammatory factors. Additive Bayesian network modelling suggested that any association between CWP and inflammatory factors is mediated by body mass index (BMI). These findings emphasize the complexity of CWP and its potential reliance on factors beyond inflammation, such as BMI, which strongly correlates with CRP and other inflammatory markers. Future research should explore additional molecular, genetic, and environmental contributors to CWP variability and investigate clinical factors or covariates that may obscure relationships with inflammation, providing a more comprehensive understanding of this multifaceted condition.
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spelling doaj-art-2a279276844e48cf8ca7c008a6c6346e2025-08-20T02:44:36ZengMDPI AGBiomolecules2218-273X2025-01-0115215510.3390/biom15020155A Genetic and Environmental Analysis of Inflammatory Factors in Chronic Widespread Pain Using the TwinsUK CohortStacey S. Cherny0Gregory Livshits1Frances M. K. Williams2Department of Anatomy and Anthropology, Tel Aviv University, Tel Aviv 6997801, IsraelDepartment of Morphological Sciences, Adelson School of Medicine, Ariel University, Ariel 4077625, IsraelDepartment of Twin Research and Genetic Epidemiology, King’s College London, London SE1 7EH, UKChronic widespread musculoskeletal pain (CWP), a significant health issue affecting individuals and society, is often diagnosed as part of fibromyalgia but is not generally considered inflammatory. This study investigated the relationship between blood-based inflammatory factors and CWP in 904 individuals from the TwinsUK cohort. Participants, free of major inflammatory conditions, completed questionnaires to assess CWP. Plasma samples were analysed using the Olink panel, alongside assays for C-reactive protein (CRP) and Apolipoproteins A1 and B. No significant associations were observed between CWP and inflammatory factors after adjusting for multiple testing. Twin modelling revealed significant heritability for both CWP and inflammatory factors, with genetic covariance observed between CWP and several inflammatory factors. Additive Bayesian network modelling suggested that any association between CWP and inflammatory factors is mediated by body mass index (BMI). These findings emphasize the complexity of CWP and its potential reliance on factors beyond inflammation, such as BMI, which strongly correlates with CRP and other inflammatory markers. Future research should explore additional molecular, genetic, and environmental contributors to CWP variability and investigate clinical factors or covariates that may obscure relationships with inflammation, providing a more comprehensive understanding of this multifaceted condition.https://www.mdpi.com/2218-273X/15/2/155chronic widespread painCWPfibromyalgiaOlinkinflammationTwinsUK
spellingShingle Stacey S. Cherny
Gregory Livshits
Frances M. K. Williams
A Genetic and Environmental Analysis of Inflammatory Factors in Chronic Widespread Pain Using the TwinsUK Cohort
Biomolecules
chronic widespread pain
CWP
fibromyalgia
Olink
inflammation
TwinsUK
title A Genetic and Environmental Analysis of Inflammatory Factors in Chronic Widespread Pain Using the TwinsUK Cohort
title_full A Genetic and Environmental Analysis of Inflammatory Factors in Chronic Widespread Pain Using the TwinsUK Cohort
title_fullStr A Genetic and Environmental Analysis of Inflammatory Factors in Chronic Widespread Pain Using the TwinsUK Cohort
title_full_unstemmed A Genetic and Environmental Analysis of Inflammatory Factors in Chronic Widespread Pain Using the TwinsUK Cohort
title_short A Genetic and Environmental Analysis of Inflammatory Factors in Chronic Widespread Pain Using the TwinsUK Cohort
title_sort genetic and environmental analysis of inflammatory factors in chronic widespread pain using the twinsuk cohort
topic chronic widespread pain
CWP
fibromyalgia
Olink
inflammation
TwinsUK
url https://www.mdpi.com/2218-273X/15/2/155
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