RT Journal Article T1 DNA methylation changes in fibromyalgia suggest the role of the immune-inflammatory response and central sensitization A1 Gerra, Maria Carla A1 Carnevali, Davide A1 Ossola, Paolo A1 González Villar, Alberto Jacobo A1 Pedersen, Inge Søkilde A1 Triñanes, Yolanda A1 Donnini, Claudia A1 Manfredini, Matteo A1 Arendt-Nielsen, Lars A1 Carrillo de la Peña, María Teresa K1 Fibromyalgia K1 Epigenetics K1 Blood K1 Biomarkers K1 DNA methylation K1 Depression K1 Immune system K1 Pain management AB Fibromyalgia (FM) has been explained as a result of gene-environment interactions. Thepresent study aims to verify DNA methylation differences in eleven candidate genome regionspreviously associated to FM, evaluating DNA methylation patterns as potential disease biomarkers.DNA methylation was analyzed through bisulfite sequencing, comparing 42 FM women and their42 healthy sisters. The associations between the level of methylation in these regions were furtherexplored through a network analysis. Lastly, a logistic regression model investigated the regionspotentially associated with FM, when controlling for sociodemographic variables and depressivesymptoms. The analysis highlighted significant differences in the GCSAML region methylationbetween patients and controls. Moreover, seventeen single CpGs, belonging to other genes, weresignificantly different, however, only one cytosine related to GCSAML survived the correction formultiple comparisons. The network structure of methylation sites was different for each group;GRM2 methylation represented a central node only for FM patients. Logistic regression revealedthat depressive symptoms and DNA methylation in the GRM2 region were significantly associatedwith FM risk. Our study encourages better exploration of GCSAML and GRM2 functions and theirpossible role in FM affecting immune, inflammatory response, and central sensitization of pain PB MDPI YR 2021 FD 2021 LK http://hdl.handle.net/10347/27516 UL http://hdl.handle.net/10347/27516 LA eng NO Gerra, M.C.; Carnevali, D.; Ossola, P.; González-Villar, A.; Pedersen, I.S.; Triñanes, Y.; Donnini, C.; Manfredini, M.; Arendt-Nielsen, L.; Carrillo-de-la-Peña, M.T. DNA Methylation Changes in Fibromyalgia Suggest the Role of the Immune-Inflammatory Response and Central Sensitization. J. Clin. Med. 2021, 10, 4992 NO This research was funded by the Spanish Government Funding (Ministerio de Economía y Competitividad: grant PSI2013-45818-R). MCG and LAN are part of the Center for Neuroplasticity and Pain (CNAP) which is supported by the Danish National Research Foundation (DNRF121) DS Minerva RD 27 abr 2026