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Published on: May 16, 2022
From migraine genes to mechanisms
Else A Tolner1, Thijs Houben, Gisela M Terwindt
1Departments of Neurology and Human Genetics, Leiden University Medical Centre, Leiden, the Netherlands.
Abstract:
Migraine is a common multifactorial episodic brain disorder with strong genetic basis. Monogenic subtypes include rare familial hemiplegic migraine, cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy, familial advanced sleep-phase syndrome (FASPS), and retinal vasculopathy with cerebral leukodystrophy. Functional studies of disease-causing mutations in cellular and/or transgenic models revealed enhanced (glutamatergic) neurotransmission and abnormal vascular function as key migraine mechanisms. Common forms of migraine (both with and without an aura), instead, are thought to have a polygenic makeup. Genome-wide association studies have already identified over a dozen genes involved in neuronal and vascular mechanisms. Here, we review the current state of molecular genetic research in migraine, also with respect to functional and pathway analyses. We will also discuss how novel experimental approaches for the identification and functional characterization of migraine genes, such as next-generation sequencing, induced pluripotent stem cell, and optogenetic technologies will further our understanding of the molecular pathways involved in migraine pathogenesis.
Insights
Migraine, a common brain disorder, has genetic roots. Research explores both rare single-gene and common multiple-gene causes, focusing on neuronal and vascular functions.
Area of Science:
- Neurology
- Genetics
- Molecular Biology
Background:
- Migraine is a prevalent, multifactorial episodic brain disorder with a significant genetic component.
- Monogenic subtypes of migraine involve specific gene mutations, impacting neuronal and vascular functions.
- Common migraine forms are believed to have a polygenic basis, with numerous genes contributing to susceptibility.
Purpose of the Study:
- To review the current molecular genetic research in migraine.
- To discuss functional and pathway analyses related to migraine genetics.
- To explore novel experimental approaches for identifying and characterizing migraine genes.
Main Methods:
- Review of existing literature on migraine genetics.
- Analysis of functional studies on disease-causing mutations.
- Discussion of emerging technologies like next-generation sequencing, induced pluripotent stem cells, and optogenetics.
Main Results:
- Functional studies indicate enhanced glutamatergic neurotransmission and abnormal vascular function as key migraine mechanisms.
- Genome-wide association studies have identified over a dozen genes implicated in neuronal and vascular pathways.
- Novel technologies promise to enhance the identification and functional characterization of migraine-associated genes.
Conclusions:
- Molecular genetic research has significantly advanced our understanding of migraine pathogenesis.
- Future research employing advanced technologies will further elucidate the complex genetic underpinnings of migraine.
- Understanding these genetic pathways is crucial for developing targeted therapies for migraine.
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