TRPV1 polymorphisms and risk of interferon β-induced flu-like syndrome in patients with relapsing-remitting multiple sclerosis

J Neuroimmunol. 2017 Apr 15:305:172-174. doi: 10.1016/j.jneuroim.2017.02.007. Epub 2017 Feb 8.

Abstract

Interferon-β (IFN-β) is often discontinued in RRMS patients due to its most common side effect, the flu-like syndrome (FLS). The mechanisms underlying IFN β-induced FLS symptoms are still unclear. The endocannabinoid system (ECS) is a key regulator of pain and inflammation. Thus we tested the hypothesis that the ECS could be involved in FLS severity by exploring the effect of genetic polymorphisms with functional impact on the ECS, on patient-reported FLS symptoms. GG-carriers of the transient-receptor-potential-vanilloid-1 (TRPV1) single nucleotide polymorphism rs222747 reported greater pain and weakness during FLS. This study suggests that the TRPV1 channel is involved in FLS severity.

Keywords: CB1; Cannabinoid; Endocannabinoid system; FAAH; Pain; SNP.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Humans
  • Immunologic Factors / adverse effects*
  • Influenza, Human / chemically induced*
  • Influenza, Human / genetics*
  • Interferon-beta / adverse effects*
  • Male
  • Middle Aged
  • Multiple Sclerosis, Relapsing-Remitting / drug therapy*
  • Multiple Sclerosis, Relapsing-Remitting / genetics
  • Polymorphism, Single Nucleotide / genetics*
  • TRPV Cation Channels / genetics*

Substances

  • Immunologic Factors
  • TRPV Cation Channels
  • TRPV1 protein, human
  • Interferon-beta