Jon Lampa Team
Pain in autoimmune disease
About
Our team investigate rheumatic pain as a distinct and complex phenomenon that cannot be fully explained by joint inflammation alone. Despite major advances in antirheumatic and biologic therapies, around one fifth of patients continue to experience persistent, difficult‑to‑treat pain, which significantly reduces quality of life. Our research aim to uncover:
- What causes persistent pain in diseases such as rheumatoid arthritis (RA)
- Which biological mechanisms maintain pain even after inflammation is treated
- How chronic pain can be predicted, prevented, and better managed
This work is grounded in the analysis of blood, cerebrospinal fluid, and functional MRI, allowing the team to map pain‑related pathways in both the immune system and the central nervous system. Immune mediators that amplify pain signaling. Moreover, we investigate immune mediators that amplify pain signaling and the interplay between fatigue, pain, and disease activity.
Clinical relevance and societal impact
Chronic pain and fatigue remain among the most disabling symptoms for people with autoimmune diseases. Even when inflammation is well treated, pain can continue to impair work ability, daily functioning, and quality of life.
Our research addresses this gap by:
- Improving understanding of pain mechanisms
- Supporting development of more effective pain treatments
- Reducing long‑term disability and healthcare burden
- Enhancing patient‑centered outcomes in rheumatology
The TRAVAGA study
The TRAVAGA study is a placebo‑controlled clinical trial investigating whether non‑invasive auricular vagus nerve stimulation (taVNS) can reduce chronic inflammation and pain in people with difficult‑to‑treat rheumatoid arthritis (RA). It is conducted in collaboration with Karolinska Institutet and six rheumatology clinics in Sweden. ClinicalTrials.gov ID: NCT06779123
Principal Investigator: Jon Lampa, jon.lampa@ki.se
Contact: Jacopo Fontana, Study coordinator Jacopo.fontana.2@ki.se
Team leader
Jon Lampa, MD, Senior consultant rheumatologist, Adjunct Professor, jon.lampa@ki.se
Team members
Team members at CMM:
Caroline Wasén, PhD, Postdoc, Caroline.Wasen@ki.se
Kristin Waldenlind, MD, PhD, Postdoc, Kristin.Waldenlind@ki.se
Jacopo Fontana, PhD, Postdoc, jacopo.fontana.2@ki.se
Vilija Oke, MD, PhD, Associate professor, Vilija.Oke@ki.se
Mirjam de Vries, MD, PhD, Postdoc, Mirjam.devries@regionstockholm.se
Kristina Lend, PhD student, assistant coordinator Kristina.Lend@ki.se
PhD theses from the team
Reem Altawil (2016) Item – Pain, mechanisms of fatigue and autonomic function in rheumatoid arthritis – Karolinska Institutet – Figshare
Priya Revathikumar (2017) Item – Role of prostaglandin E2 as a neuro-immune mediator in the cholinergic anti-inflammatory pathway – Karolinska Institutet – Figshare
Johanna Estelius (2018) Item – Neuroimmune mechanisms in chronic inflammation : translational studies of the inflammatory reflex – Karolinska Institutet – Figshare
Joakim Lindqvist (2022) Item – Pain patterns in early rheumatoid arthritis – Karolinska Institutet – Figshare
Selected publications
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Article: ANNALS OF THE RHEUMATIC DISEASES. 2025;84(6):937-948
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Article: BMC RHEUMATOLOGY. 2025;9(1):45
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Article: ACR OPEN RHEUMATOLOGY. 2025;7(1):e11742
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Article: ACR OPEN RHEUMATOLOGY. 2025;7(1):e11756
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Article: RMD OPEN. 2024;10(4):e004838
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Article: ANNALS OF THE RHEUMATIC DISEASES. 2024;83(12):1657-1665
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Article: THROMBOSIS RESEARCH. 2024;243:109135
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Article: RMD OPEN. 2024;10(2):e004227
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Article: ARTHRITIS RESEARCH & THERAPY. 2024;26(1):61
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Article: SCANDINAVIAN JOURNAL OF RHEUMATOLOGY. 2024;53(2):94-103
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Article: ARTHRITIS & RHEUMATOLOGY. 2024;76(3):363-376
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Article: JOURNAL OF EXPERIMENTAL MEDICINE. 2024;221(2):e20230675
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Article: ANNALS OF THE RHEUMATIC DISEASES. 2023;82(10):1286-1295
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Article: WELLCOME OPEN RESEARCH. 2023;8:493
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Article: CLINICAL AND EXPERIMENTAL RHEUMATOLOGY. 2022;40(7):1393-1402
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Article: ACR OPEN RHEUMATOLOGY. 2022;4(6):492-502
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Article: PAIN. 2022;163(3):538-547
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Article: FRONTIERS IN NEUROSCIENCE. 2022;16:942136
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Article: ARTHRITIS CARE & RESEARCH. 2021;73(9):1312-1321
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Article: ARTHRITIS RESEARCH & THERAPY. 2021;23(1):189
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Article: SCANDINAVIAN JOURNAL OF RHEUMATOLOGY. 2021;50(4):271-279
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Article: NATURE AND SCIENCE OF SLEEP. 2021;13:775-789
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Article: FRONTIERS IN MEDICINE. 2021;8:651249
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Article: BMJ-BRITISH MEDICAL JOURNAL. 2020;371:m4328
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Article: ARTHRITIS CARE & RESEARCH. 2020;72(1):27-35
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Article: PAIN. 2020;161(1):114-126
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Article: EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING. 2019;46(11):2329-2338
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Article: BRAIN BEHAVIOR AND IMMUNITY. 2019;81:272-279
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Article: JOURNAL OF NEUROIMMUNOLOGY. 2019;334:577000
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Article: BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY. 2019;33(3):101439
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Article: NEUROIMAGE. 2019;188:102-110
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Article: ARTHRITIS RESEARCH & THERAPY. 2019;21(1):60
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Article: JOURNAL OF PROTEOMICS. 2019;190:67-76
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Article: PAIN. 2019;160(1):224-236
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Article: BRAIN BEHAVIOR AND IMMUNITY. 2019;75:72-83
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Article: ARTHRITIS CARE & RESEARCH. 2018;70(5):703-712
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Article: BRAIN BEHAVIOR AND IMMUNITY. 2018;68:146-157
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Article: ARTHRITIS CARE & RESEARCH. 2018;70(2):205-212
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Article: PLOS ONE. 2018;13(2):e0193210
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Article: JOVE-JOURNAL OF VISUALIZED EXPERIMENTS. 2017;(121)
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Article: JOURNAL OF NEUROINFLAMMATION. 2016;13(1):256
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Article: ARTHRITIS CARE & RESEARCH. 2016;68(8):1061-1068
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Article: BRAIN BEHAVIOR AND IMMUNITY. 2016;54:149-157
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Article: FRONTIERS IN HUMAN NEUROSCIENCE. 2016;10:107
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Article: PROSTAGLANDINS & OTHER LIPID MEDIATORS. 2015;121(Pt B):155-162
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Article: JOURNAL OF NEUROIMMUNOLOGY. 2015;280:49-55
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Article: PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA. 2012;109(31):12728-12733
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Article: JOURNAL OF NEUROIMMUNOLOGY. 2012;242(1-2):33-38
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Article: MUSCULOSKELETAL CARE. 2011;9(2):75-85
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Article: CLINICAL AND EXPERIMENTAL IMMUNOLOGY. 2010;162(1):62-67
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Article: BRAIN BEHAVIOR AND IMMUNITY. 2010;24(5):747-758
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Article: DISABILITY AND REHABILITATION. 2010;32(10):816-825
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Article: SCANDINAVIAN JOURNAL OF IMMUNOLOGY. 2009;70(2):136-140
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Article: ARTHRITIS RESEARCH & THERAPY. 2009;11(3):R81
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Article: ARTHRITIS RESEARCH & THERAPY. 2009;11(3):R76
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Article: IMMUNOLOGY. 2009;126(1):140-146
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Article: ANNALS OF THE RHEUMATIC DISEASES. 2007;66(4):537-541
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Article: ANNALS OF THE RHEUMATIC DISEASES. 2007;66(3):414-416
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Article: ARTHRITIS & RHEUMATOLOGY. 2007;56(2):448-452
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Article: ANNALS OF THE RHEUMATIC DISEASES. 2006;65(9):1237-1240
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Article: ARTHRITIS & RHEUMATOLOGY. 2006;54(6):1759-1771
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Article: ARTHRITIS RESEARCH & THERAPY. 2006;8(3):R64
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Article: ANNALS OF THE RHEUMATIC DISEASES. 2005;64(12):1744-1749
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Article: ARTHRITIS & RHEUMATOLOGY. 2005;52(1):61-72
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Article: JOURNAL OF RHEUMATOLOGY. 2003;30(8):1748-1755
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Article: ANNALS OF THE RHEUMATIC DISEASES. 2003;62(6):526-529
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Article: RHEUMATOLOGY. 2002;41(5):484-489
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Article: JOURNAL OF RHEUMATOLOGY. 2002;29(1):21-28
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Article: ANNALS OF THE RHEUMATIC DISEASES. 2001;60(4):423-426
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Article: ANNALS OF THE RHEUMATIC DISEASES. 2001;60(2):133-139