Table 1 Low back pain markers
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 | |
CGRP (CALCA or CALCB) | Neuropeptide that is involved with pain signaling, vasodilation, neurogenic inflammation, and modulation of autonomic nervous system | |
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 | |
IL-6 | Pleiotrophic cytokine that plays an important role in inflammation, immune response, etc. | |
TMEM100 | Involved in vascular development | |
VEGF-A | Growth factor in PDGF/VEGF family. Heparin-binding protein that induces proliferation and migration of vascular endothelial cells | |
CD31 (PECAM1) | Protein found in endothelial cell junctions and is likely involved in leukocyte migration, angiogenesis and integrin activation | |
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 | |
IL-17 | Pro-inflammatory cytokine produced by T-helper 17 cells | |
TAC1 | Precursor protein for Substance P | |
SubP (Substance P) | Neuropeptide associated with pain and noxious stimuli | |
NPY | Neuropeptide and neurotransmitter synthesized by GABAergic neurons involved in various physiological and homeostatic processes in both the central and peripheral nervous system | |
BDNF | Neurotrophin that primarily involved in the regulation of growth, maintenance, proliferation, and survival of certain target neurons | |
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. | |
NGFR (p75NTR) | Non-specific neurotrophin receptor | |
NTRK1 (TrkA) | Receptor for NGF. Activation leads to cell differentiation, and may play a role in specifying sensory neuron subtypes | |
NTRK2 (TrkB) | Receptor for BDNF. | |
ATF3 | Transcription factor involved in physiological stress response. Marker of DRG neuron injury, Androgen signaling repressor | |
TNF | Proinflammatory cytokine mainly secreted by macrophages but can be produced by other cell types. | |
TRPV1 | Non-selective cation channel activated by noxious stimuli including heat. Thought to function as a transducer of painful thermal stimuli | |
TRPV4 | A2 + -permeable, nonselective cation channel that is thought to be involved multiple physiological functions. Activated by osmotic, mechanical, chemical, and thermal cues | |
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 | |
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 | |
GAP43 | Involved in neuronal growth, development and regeneration. Highly expressed in growth cones. Involved in the formation and strengthening of synapses | |
RAMP1 | Required to transport calcitonin-receptor-like receptor (CALCRL) to the plasma membrane | |
CALCRL | G-protein coupled receptor related to calcitonin receptor. Associated with RAMPs to produce different receptors. Ex: RAMP1 and CALCRL produces a CGRP receptor | |
NK1R (TAC1R or SPR) | G-protein coupled receptor found in the nervous system activated by substance p | |
NTN1 | Thought to be involved in axon guidance and cell migration during development | |
SCN8A (Nav1.6) | Sodium channel found in various tissues including neurons, heart and glial cells | |
SCN9A (Nav1.7) | Sodium channel found in various neural tissues | |
SCN10A (Nav1.8) | Sodium channel found in DRG and associated with pain and neuropsychiatric disorders | |
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 | |
GFAP | Major intermediate filaments found in mature astrocytes. Marker used to distinguish astrocytes from other glial cells |