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Serum levels of endocannabinoids and related lipids in painful vs painless diabetic neuropathy: results from the Pain in Neuropathy Study

Emmanuel Bäckryd, Andreas Themistocleous, Niclas Stensson, Andrew S C Rice, Solomon Tesfaye, David L Bennett, Björn Gerdle, Bijar Ghafouri. Pain. 2024 Jan 1;165(1):225-232.

Observational studyHumans

Design
Observational study
Subjects
Diabetic patients with painful or painless neuropathy in the Pain in Neuropathy Study; numbers not stated in the abstract
Dose used in the study
Not applicable; palmitoylethanolamide was measured in serum, not given
Duration
Cross-sectional
What was measured
Serum anandamide, 2-AG, OEA, PEA and SEA by LC-MS/MS, compared between painful and painless neuropathy, plus patient-reported outcomes.

What the authors reported

This observational study found:

  • Anandamide was higher in the painful group but the effect size was small (Cohen d = 0.31).
  • Cluster analysis split patients into high and low endocannabinoid groups; 61% of the high group had painful neuropathy versus 45% of the low group (p = 0.039).
  • The abstract reports no separate result for PEA.
  • The authors describe the work as correlative only.

Limits of this study

A cross-sectional biomarker study; it cannot show cause or any effect of taking PEA. Two authors report consultancy, patents and industry funding; the others declare none.

Source

PubMed 37578507 · doi:10.1097/j.pain.0000000000003015

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.