Three articles on PainSci cite Hand 2016: 1. The Complete Guide to Low Back Pain 2. 6 Main Causes of Morning Back Pain 3. Chronic, Subtle, Systemic Inflammation
PainSci commentary on Hand 2016: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.
This research describes a protein, cryptochrome, which may be used by the body’s biological clock to suppress inflammation during the night — which may be why we are so often sore and stiff in the morning when the suppression wears off. More broadly, this mechanism strongly suggests that inflammation varies in daily rhythms controlled by the brain.
“The clinical implications are far-reaching,” said Thoru Pederson, PhD, Editor-in-Chief of The FASEB Journal. The main one, of course, is the tantalizing possibility that cryptochrome could be used as an anti-inflammatory at other times of day.
This nightly suppression may not occur in everyone or with all kinds of inflammation. This was a test tube study, looking at the effects of depriving harvested cells of cryptochrome, and then re-supplying it. It acted like an anti-inflammatory in that relatively simple context, but human physiology is always more complicated.
Nevertheless, it’s intriguing. Widespread inflammation has many pathological causes, but it’s also just part of aging. “Human aging is characterized by a chronic, low-grade inflammation,” (Franceschi 2014) known as “inflammaging.” The contrast between normal levels inflammation and the suppressed levels at night may get greater as we age.
~ Paul Ingraham
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
There is strong diurnal variation in the symptoms and severity of chronic inflammatory diseases, such as rheumatoid arthritis. In addition, disruption of the circadian clock is an aggravating factor associated with a range of human inflammatory diseases. To investigate mechanistic links between the biological clock and pathways underlying inflammatory arthritis, mice were administered collagen (or saline as a control) to induce arthritis. The treatment provoked an inflammatory response within the limbs, which showed robust daily variation in paw swelling and inflammatory cytokine expression. Inflammatory markers were significantly repressed during the dark phase. Further work demonstrated an active molecular clock within the inflamed limbs and highlighted the resident inflammatory cells, fibroblast-like synoviocytes (FLSs), as a potential source of the rhythmic inflammatory signal. Exposure of mice to constant light disrupted the clock in peripheral tissues, causing loss of the nighttime repression of local inflammation. Finally, the results show that the core clock proteins CRYPTOCHROMES 1 and 2 repressed inflammation within the FLSs, and provide novel evidence that a CRYPTOCHROME activator has anti-inflammatory properties in human cells. We conclude that under chronic inflammatory conditions, the clock actively represses inflammatory pathways during the dark phase. This interaction has exciting potential as a therapeutic avenue for treatment of inflammatory disease.-Hand, L. E., Hopwood, T. W., Dickson, S. H., Walker, A. L., Loudon, A. S. I., Ray D. W., Bechtold, D. A., Gibbs, J. E. The circadian clock regulates inflammatory arthritis.
- “Chronic inflammation (inflammaging) and its potential contribution to age-associated diseases,” Claudio Franceschi and Judith Campisi, J Gerontol A Biol Sci Med Sci, 2014.
Specifically regarding Hand 2016:
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- No long-term effects after a three-week open-label placebo treatment for chronic low back pain: a three-year follow-up of a randomized controlled trial. Kleine-Borgmann 2022 Pain.
- Exercise and education versus saline injections for knee osteoarthritis: a randomised controlled equivalence trial. Bandak 2022 Ann Rheum Dis.
- Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-based Cohort Study. Kasch 2022 Spine (Phila Pa 1976).
- A double-blinded randomised controlled study of the value of sequential intravenous and oral magnesium therapy in patients with chronic low back pain with a neuropathic component. Yousef 2013 Anaesthesia.
- Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study. Richards 2021 Phys Ther.