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Chunk #23 — Discussion

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Combined analysis of circulating β-endorphin with gene polymorphisms in OPRM1, CACNAD2 and ABCB1 reveals correlation with pain, opioid sensitivity and opioid-related side effects.
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Interestingly, the OPRM1 A118G SNP has also been associated with higher heroin doses in addicted individuals [50]. In one of the first studies of the properties of the A118G allele, Bond et al. found a threefold increase in binding of β-endorphin [10], which could indicate that people with the minor allele might be at risk of opioid addiction. However, this finding has been disputed by Beyer and co-workers [51]. The men with chronic pain in our study who had the minor allele had lower β-endorphin levels than the men with the major allele, which could imply increased binding in the group with the minor allele.