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Chunk #28 — 4. A118G and physiological response — 4.1. Pain and analgesia

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OPRM1 SNP (A118G): involvement in disease development, treatment response, and animal models.
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MOPRs also play a role in social pain, described as the feelings that result from social rejection, separation, or loss. Accordingly, the G118 allele was associated with increased self-reported sensitivity to rejection (Way et al., 2009). Subsequent fMRI measurement of neural responses in these individuals found greater activation in the dorsal anterior cingulate cortex and anterior insula while experiencing social rejection, suggesting a decrease in MOPR inhibitory modulation in G118 allele-carriers. These brain regions are associated with both physical and social pain (Eisenberger and Lieberman, 2004). Together, these data support a loss of function of the MOPR in individuals harboring the G118 allele in some, but not all, responses mediated by the same compounds.