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Chunk #21 — Results — Association of rs2952768 SNP with sensitivity to opioid analgesics in patients who underwent major open abdominal surgery

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Genome-wide association study identifies a potent locus associated with human opioid sensitivity.
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To examine whether the SNPs identified in our GWAS generally affect individual differences in opioid sensitivity, we attempted to confirm the association between the rs2952768 SNP and postoperative opioid requirements in another cohort that underwent a different surgical procedure. The subjects recruited in this study were 112 patients who underwent major open abdominal surgery under combined general and epidural anesthesia (Supplementary Table S5),18 mostly gastrectomy for gastric cancer and colectomy for colorectal cancer, which involves different modes of invasion from the orthognathic surgery and might cause different pain modalities. Appropriate doses of analgesics, mainly opioids such as morphine, buprenorphine, pentazocine and pethidine, were administered as rescue analgesics at the discretion of the surgeons whenever the patients complained of significant postoperative pain during the postoperative period, and the total dose administered was estimated for the association analysis. As a result, a significant difference in postoperative analgesic requirements was found between the subjects with the combined T/T and T/C genotype and subjects with the C/C genotype in the rs2952768 SNP. Interestingly, the subjects with the C/C genotype required significantly more analgesics than