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Genetic, Psychological, and Behavioural Factors Associated with Subtypes of Pain-Related Temporomandibular Disorders

Zlendić, Marko; Vrbanović Đuričić, Ema; Gall Trošelj, Koraljka; Tomljanović, Marko; Vuković Đerfi, Kristina; Alajbeg, Ivan; Alajbeg, Iva Z. (2025) Genetic, Psychological, and Behavioural Factors Associated with Subtypes of Pain-Related Temporomandibular Disorders. Biomedicines, 13 (8). ISSN 2227-9059

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Abstract

Background: This genetic association study investigated single nucleotide polymorphism (SNP) in interleukin-8 (CXCL8) and opiorphin (OPRPN) genes, as well as psychological characteristics and oral behaviours, between patients with pain-related temporomandibular disorders (TMDp) and healthy controls. The aim was to examine associations and predictive value of these factors for TMDp subtypes: arthralgia and myalgia. Methods: A total of 85 patients with TMDp (arthralgia and/or myalgia) and 85 pain-free controls were included. Diagnoses were established following the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). All participants completed standardised self-report questionnaires assessing anxiety, depression, and oral behaviours. Buccal swabs were collected for DNA extraction, and SNP genotyping was performed using real-time PCR. Statistical analyses were conducted using dominant and recessive genetic models. Logistic regression models were applied to assess risk factors for each TMDp subtype. Results: Participants homozygous for the minor allele (CC genotype) of rs1387964 in OPRPN were significantly more prevalent in both arthralgia and myalgia groups compared to controls. Age and female sex predicted TMDp-arthralgia. Predictors of TMDp-myalgia included the CC genotype of rs1387964, age, female sex, anxiety, and depression. Conclusions: Genetic background and psychological characteristics were significant predictors of TMDp myalgia, highlighting a multifactorial profile for this TMDp subtype.

Item Type: Article
Uncontrolled Keywords: arthralgia; biomarkers; chronic pain; myalgia; single nucleotide polymorphism; temporomandibular joint disorders
Subjects: BIOMEDICINE AND HEALTHCARE > Dental Medicine
Divisions: Division of Molecular Medicine
Projects:
Project titleProject leaderProject codeProject type
Povezanost genskih polimorfizama s temporomandibularnim poremećajima-GenPolTMDIva AlajbegIP-2019-04-6211HRZZ
Laboratorijska istraživanja homeostatskih i patofizioloških procesa orofacijalne regije_LIPORIvan AlajbegSFZG-07-2025EK
Depositing User: Ana Zečević
Date Deposited: 16 Apr 2026 13:17
URI: http://fulir.irb.hr/id/eprint/11739
DOI: 10.3390/biomedicines13081961

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