Potential use of salivary TNF-α as a vaccine-induced pain biomarker in people with cerebral palsy and communication disorders.

<h4>Background</h4>Pain in people with cerebral palsy (CP) has been classically underestimated and poorly treated, particularly in individuals with impaired communication skills.<h4>Objective</h4>To analyze changes in different salivary metabolites and pain behavior scales af...

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Main Authors: Álvaro Sabater-Gárriz, José Joaquín Cerón, Pedro Montoya, Inmaculada Riquelme
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0308386
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author Álvaro Sabater-Gárriz
José Joaquín Cerón
Pedro Montoya
Inmaculada Riquelme
author_facet Álvaro Sabater-Gárriz
José Joaquín Cerón
Pedro Montoya
Inmaculada Riquelme
author_sort Álvaro Sabater-Gárriz
collection DOAJ
description <h4>Background</h4>Pain in people with cerebral palsy (CP) has been classically underestimated and poorly treated, particularly in individuals with impaired communication skills.<h4>Objective</h4>To analyze changes in different salivary metabolites and pain behavior scales after a painful procedure in adults with CP and adults with typical development.<h4>Methods</h4>Salivary levels of sTNF-α, sIgA, Cortisol, FRAP, ADA and Alpha Amylase, as well as 3 observational pain scales (Wong-Baker, Non-Communicating Adults Pain Checklist and Facial Action Coding System) were assessed before and after an intramuscular injection in 30 Individuals with CP and 30 healthy controls. Video recording of face expression was performed during the procedure for offline analysis.<h4>Results</h4>Pain in subjects with CP was higher than in healthy controls after the intramuscular injection as displayed by observational scales. sTNF-α experienced a significant post-stimulus increase in both groups and that increase shows a tendency to correlate with the observational scales scores. Other biomarkers classically associated with stress (cortisol, Alpha Amylase) remain stable.<h4>Conclusion</h4>sTNF-α might be a promising pain indicator. Further research using controlled painful stimuli of greater intensity and pain self-reports, would be necessary to better understand its use as a pain biomarker.
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spelling doaj-art-66dad3c1cc304597ac4c6bd729bc6d382025-01-08T05:32:28ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e030838610.1371/journal.pone.0308386Potential use of salivary TNF-α as a vaccine-induced pain biomarker in people with cerebral palsy and communication disorders.Álvaro Sabater-GárrizJosé Joaquín CerónPedro MontoyaInmaculada Riquelme<h4>Background</h4>Pain in people with cerebral palsy (CP) has been classically underestimated and poorly treated, particularly in individuals with impaired communication skills.<h4>Objective</h4>To analyze changes in different salivary metabolites and pain behavior scales after a painful procedure in adults with CP and adults with typical development.<h4>Methods</h4>Salivary levels of sTNF-α, sIgA, Cortisol, FRAP, ADA and Alpha Amylase, as well as 3 observational pain scales (Wong-Baker, Non-Communicating Adults Pain Checklist and Facial Action Coding System) were assessed before and after an intramuscular injection in 30 Individuals with CP and 30 healthy controls. Video recording of face expression was performed during the procedure for offline analysis.<h4>Results</h4>Pain in subjects with CP was higher than in healthy controls after the intramuscular injection as displayed by observational scales. sTNF-α experienced a significant post-stimulus increase in both groups and that increase shows a tendency to correlate with the observational scales scores. Other biomarkers classically associated with stress (cortisol, Alpha Amylase) remain stable.<h4>Conclusion</h4>sTNF-α might be a promising pain indicator. Further research using controlled painful stimuli of greater intensity and pain self-reports, would be necessary to better understand its use as a pain biomarker.https://doi.org/10.1371/journal.pone.0308386
spellingShingle Álvaro Sabater-Gárriz
José Joaquín Cerón
Pedro Montoya
Inmaculada Riquelme
Potential use of salivary TNF-α as a vaccine-induced pain biomarker in people with cerebral palsy and communication disorders.
PLoS ONE
title Potential use of salivary TNF-α as a vaccine-induced pain biomarker in people with cerebral palsy and communication disorders.
title_full Potential use of salivary TNF-α as a vaccine-induced pain biomarker in people with cerebral palsy and communication disorders.
title_fullStr Potential use of salivary TNF-α as a vaccine-induced pain biomarker in people with cerebral palsy and communication disorders.
title_full_unstemmed Potential use of salivary TNF-α as a vaccine-induced pain biomarker in people with cerebral palsy and communication disorders.
title_short Potential use of salivary TNF-α as a vaccine-induced pain biomarker in people with cerebral palsy and communication disorders.
title_sort potential use of salivary tnf α as a vaccine induced pain biomarker in people with cerebral palsy and communication disorders
url https://doi.org/10.1371/journal.pone.0308386
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