Table 1 Low back pain markers

From: What a pain in the back: etiology, diagnosis and future treatment directions for discogenic low back pain

Gene symbol

Gene function

References

BDKRB1

G-protein coupled receptor that binds to bradykinin and is synthesized in pathophysiologic conditions such as inflammation, trauma, burns, shock, and allergy. Ultimately results in chronic and acute inflammation

29,390

CGRP (CALCA or CALCB)

Neuropeptide that is involved with pain signaling, vasodilation, neurogenic inflammation, and modulation of autonomic nervous system

29,128,146,276,277,278,279,280,330,390,391,392,393,394,395

CALCA: accounts for >90% of total CGRP expression in most tissues. Primarily expressed in CNS and PNS

CALCB: Mainly expressed in enteric nervous system.

COMT

Enzyme involved inactivation of catecholamine neurotransmitters transmitters including dopamine, epinephrine and norepinephrine

29,87,390,396

IL-6

Pleiotrophic cytokine that plays an important role in inflammation, immune response, etc.

29,279,330,397,398,399,400

TMEM100

Involved in vascular development

397

VEGF-A

Growth factor in PDGF/VEGF family. Heparin-binding protein that induces proliferation and migration of vascular endothelial cells

401,402

CD31 (PECAM1)

Protein found in endothelial cell junctions and is likely involved in leukocyte migration, angiogenesis and integrin activation

195,401,402

IL-1B

Produced by activated macrophages then activated by caspase 1. important mediator of inflammatory response and other cellular responses such as proliferation, differentiation and apoptosis

165,330,394,398,399,400,401,402

IL-17

Pro-inflammatory cytokine produced by T-helper 17 cells

400,402,403

TAC1

Precursor protein for Substance P

146,404,405

SubP (Substance P)

Neuropeptide associated with pain and noxious stimuli

280,393,398,404

NPY

Neuropeptide and neurotransmitter synthesized by GABAergic neurons involved in various physiological and homeostatic processes in both the central and peripheral nervous system

219,395,406

BDNF

Neurotrophin that primarily involved in the regulation of growth, maintenance, proliferation, and survival of certain target neurons

29,165,401,405,407

NGF

Neurotrophic factor and neuropeptide with nerve growth stimulating activity and the complex is involved in the regulation of growth and the differentiation of sympathetic and certain sensory neurons.

165,279,330,390,401,405,408

NGFR (p75NTR)

Non-specific neurotrophin receptor

195,333,409,410

NTRK1 (TrkA)

Receptor for NGF. Activation leads to cell differentiation, and may play a role in specifying sensory neuron subtypes

165,195,333,405,409

NTRK2 (TrkB)

Receptor for BDNF.

405,410

ATF3

Transcription factor involved in physiological stress response. Marker of DRG neuron injury, Androgen signaling repressor

330,408,411

TNF

Proinflammatory cytokine mainly secreted by macrophages but can be produced by other cell types.

128,165,253,279,330,398,400

TRPV1

Non-selective cation channel activated by noxious stimuli including heat. Thought to function as a transducer of painful thermal stimuli

146,280,333,392,399,412,413

TRPV4

A2 + -permeable, nonselective cation channel that is thought to be involved multiple physiological functions. Activated by osmotic, mechanical, chemical, and thermal cues

399,414,415

IL-8 (CXCL8)

Cytokine secreted by mononuclear macrophages, neutrophils, eosinophils, T lymphocytes, epithelial cells, and fibroblasts. It functions as a chemotactic factor by guiding the neutrophils to the site of infection

3,128,399,416,417

UCHL1 (PGP9.5)

Enzyme involved in hydrolysis of peptide bond at C-terminal glycine of ubiquitin. Specifically expressed in neurons and in cell of the diffuse neuroendocrine system

276,277,395,401,418

GAP43

Involved in neuronal growth, development and regeneration. Highly expressed in growth cones. Involved in the formation and strengthening of synapses

195,330,408

RAMP1

Required to transport calcitonin-receptor-like receptor (CALCRL) to the plasma membrane

391

CALCRL

G-protein coupled receptor related to calcitonin receptor. Associated with RAMPs to produce different receptors. Ex: RAMP1 and CALCRL produces a CGRP receptor

391,419

NK1R (TAC1R or SPR)

G-protein coupled receptor found in the nervous system activated by substance p

398,405

NTN1

Thought to be involved in axon guidance and cell migration during development

224,420

SCN8A (Nav1.6)

Sodium channel found in various tissues including neurons, heart and glial cells

421,422

SCN9A (Nav1.7)

Sodium channel found in various neural tissues

278,281,423

SCN10A (Nav1.8)

Sodium channel found in DRG and associated with pain and neuropsychiatric disorders

418,423

AIF1 (IBA1)

Induced by cytokines and interferons and protein that binds actin and calcium. induced by cytokines and interferon and may promote macrophage activation and growth of vascular smooth muscle cells and T-lymphocytes

235,279,395

GFAP

Major intermediate filaments found in mature astrocytes. Marker used to distinguish astrocytes from other glial cells

128,235,279,282,394,395