Purine metabolites in fibromyalgia syndrome

Clin Biochem. 2013 Jan;46(1-2):37-9. doi: 10.1016/j.clinbiochem.2012.09.009. Epub 2012 Sep 18.

Abstract

Objective: To evaluate serum purine metabolite concentrations in patients affected by fibromyalgia syndrome (FMS) and the relationships between their levels and FM clinical parameters.

Design and methods: Serum purine levels were quantified using LC/UV-vis in 22 fibromyalgic females (according to the American College of Rheumatology classification criteria) and 22 healthy females.

Results: Significantly higher serum inosine, hypoxanthine and xanthine levels (p<0.001) and significantly lower serum adenosine (p<0.05) were detected in the FMS patients vs healthy controls. Our data show a negative correlation between adenosine and Fibromyalgia Impact Questionnaire (FIQ).

Conclusions: Study results suggest that purines, in particular adenosine and inosine, may be involved in pain transmission in fibromyalgia.

MeSH terms

  • Adenosine / blood
  • Adult
  • Aged
  • Case-Control Studies
  • Female
  • Fibromyalgia / blood*
  • Fibromyalgia / etiology
  • Humans
  • Hypoxanthine / blood
  • Inosine / blood
  • Middle Aged
  • Purines / blood
  • Purines / metabolism*
  • Reference Values
  • Surveys and Questionnaires
  • Xanthine / blood

Substances

  • Purines
  • Xanthine
  • Hypoxanthine
  • Inosine
  • Adenosine