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Influence of Catechol-O-Methyltransferase (COMT) Val158Met Polymorphism in Conditioned Pain Modulation in Women with Migraine

Cigarán-Méndez M, de-la-Llave-Rincón AI, Pacho-Hernández JC, Tejera-Alonso A, Gómez-Calero C, Fernández-de-Las-Peñas C, Arendt-Nielsen L, Ambite-Quesada S

International journal of molecular sciences, 2026

70 participants

Abstract

The role of the catechol-O-methyltransferase (COMT) Val158Met rs4680 polymorphism in altered pain processing in headaches is controversial. The aim of this study was to investigate the influence of the Val158Met rs4680 polymorphism in conditioned pain modulation (CPM) in women with migraine. A case-control study including 70 women with chronic migraine, 70 with episodic migraine and 70 pain-free women was conducted. Pressure pain thresholds (PPTs) at the temporalis muscle, lateral epicondyle, and tibialis anterior were bilaterally assessed. Heat (HPT) and cold (CPT) pain thresholds at the frontalis muscle were also assessed. Subsequently, CPM was evaluated immediately after a one-minute cold-pressor test paradigm on changes obtained in PPTs, HPT and CPT. Thus, after amplifying Val158Met polymorphism by polymerase chain reaction, genotype frequencies (Val/Val, Val/Met, or Met/Met) and allele distributions were identified. The distribution of Val158Met genotypes (p = 0.097) was not significantly different among women with episodic migraine, chronic migraine and pain-free controls. The results revealed significant group*time*Val 158Met interactions for PPTs at the temporalis (Wilk's λ = 0.917, F [4, 193] = 4.377, p = 0.002, n2p = 0.083, 1 - β = 0.930) and lateral epicondyle (Wilk's λ = 0.892, F [4, 193] = 5.870, p 2p = 0.108, 1 - β = 0.982), as well as CPT (Wilk's λ = 0.872, F [4, 193] = 7.111, p 2p = 0.128, 1 - β = 0.995) or HPT (Wilk's λ = 0.921, F [4, 193] = 4.133, p =…

How strong is the evidence?

Evidence Hub reads this as a case-control, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 70 participants or records.

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