NIH-funded research R01 grant

New molecular targets for chronic C1–C2 (atlanto‑axial) neck pain

Official title: Identifying novel therapeutic targets for chronic neck pain: RNA-sequencing in human painful atlanto-axial arthropathy

Funded at University of Washington · NIH-11173593 · Data updated 2026-11-12

Using tissue removed during neck surgery to look for molecular signals that could lead to better treatments for people with chronic neck pain from the atlanto‑axial joint.

More Neck Pain research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Washington
NIH-funded
Lab location1 site (Seattle, United States)
Project startSeptember 1, 2021
Project endAugust 31, 2026
Funding year2025
Award (this year)$551,310
NIH project number5R01AR078192-05
Project IDNIH-11173593 on NIH RePORTER

Who could benefit from this research

Could help

Adults scheduled for surgery on the atlanto‑axial joint for chronic neck pain, and patients undergoing similar surgery for acute fracture who can serve as comparison participants, are the ideal candidates.

Less likely to help

People whose neck pain is not due to atlanto‑axial arthritis or who are not undergoing surgery on that joint are unlikely to be eligible or directly helped by this study.

What this research studies

If you have chronic neck pain from arthritis of the atlanto‑axial joint and are having surgery, researchers will collect joint and nerve (dorsal root ganglion) tissue that is already being removed during the operation. They will compare those samples with tissues from people having surgery for acute fractures and with an existing database of dorsal root ganglia from people without pain. The team will run RNA sequencing to measure which genes are switched on or off and use computational methods plus detailed patient symptom information to identify molecular drivers of pain. The goal is to pinpoint biological targets that could be used to develop more specific treatments for chronic neck pain.

Why it matters

Potential benefit: This work could reveal new biological targets for therapies that relieve chronic neck pain and reduce reliance on opioids.

How similar studies have gone: Gene expression (RNA‑sequencing) studies have revealed pain‑related signals in other tissues, but applying RNA‑seq to human atlanto‑axial joint and associated dorsal root ganglia is relatively new.

Where this research is happening

  • University of Washington
    Seattle, United States
    Active

Researchers

  • Principal investigator: Curatolo, Michele — University of Washington
  • Study coordinator: Curatolo, Michele

Related research

Other NIH-funded projects on the same topics.

  • Identifying new targets to treat chronic neck pain from the C1-2 joint

    Researchers are studying tissue from people with neck pain to find molecular clues that could lead to better, non-opioid treatments.

    NIH research University of Washington · Seattle, United States · NIH-11363674

  • Finding new treatment targets for chronic neck pain using RNA sequencing.

    This study is looking at the causes of chronic neck pain, especially related to arthritis in a specific joint, by analyzing tissue samples from patients having surgery, to find out what makes the pain different from those with short-term pain, which could help in developing better treatments.

    NIH research University of Washington · Seattle, United States · NIH-10912656

  • Combining chiropractic care and Tai Chi to help older adults with neck pain

    This study is looking at how well combining chiropractic care with Tai Chi can help older adults with chronic neck pain feel better and improve their overall well-being, while also gathering feedback from participants about their experiences.

    NIH research Brigham and Women's Hospital · Boston, United States · NIH-11045394

  • New epidural leads to relieve chronic arm and neck pain

    This study is testing a new, softer type of epidural stimulation device to help people with chronic arm and neck pain feel better by making it easier to implant and more effective for treating their pain.

    NIH research Backstop Neural, INC. · Dallas, United States · NIH-11006736

  • A smart patch for managing neck pain

    This study is testing a new wireless patch with tiny needles that can help relieve neck pain without the side effects of pills, making it a friendly option for people looking for better pain management.

    NIH research University of Virginia · Charlottesville, United States · NIH-10952422

  • Combining chiropractic care and Tai Chi to help with chronic neck pain

    This study is looking at how well chiropractic care and Tai Chi work together to help people with chronic neck pain feel better and improve their quality of life.

    NIH research Brigham and Women's Hospital · Boston, United States · NIH-10866430

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.