Table 2

Overview of pain-associated genes that can be used as screening targets in the context of spine surgery.

GeneFunctionExample Polymorphism(s) Associated With Pain
Catechol-O-methyltransferaseMetabolism of catecholamines (dopamine, epinephrine, and norepinephrine)rs4680 GG (Ernst et al, 2024)113
Val158Met (Rakvåg et al, 2008114; Diatchenko et al, 2006115)
Neuropeptide YNeuropeptide implicated in pain modulationrs16147 TT (Ernst et al, 2024)113
Guanosine triphosphate cyclohydrolase 1Rate-limiting enzyme in the synthesis of tetrahydrobiopterin (BH4)rs998259 (minor allele T) (Kim et al, 2010)116
Opioid Receptor Mu 1Encodes for the mu opioid receptorAsn118Asp (Lötsch et al, 2004)117