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Association of Helicobacter pylori antibodies and severity of migraine attack
Behnaz Ansari1, Keivan Basiri1, Rokhsareh Meamar2
1Department of Neurology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Background:
Recent studies have shown a positive correlation between Helicobacter pylori infection and migraine headache. The aim of this study was to evaluate the role of H. pylori infection in migraine headache with (MA) and without aura (MO).
Methods:
This is a case-control study containing information on 84 patients (including MA, MO) and 49 healthy individuals. The enzyme-linked immunosorbent assay (ELISA) test was used to measure immunoglobulin G (IgG,) immunoglobulin M (IgM) titer in two groups. Headache severity was evaluated according to Headache Impact Test (HIT6) questionnaire.
Results:
Mean ± SD of IgM antibody in Migrainous patients 26.3 (23.1) showed significantly difference with control group 17.5 (11.2) (P = 0.004). In addition, the mean ± SD HIT6 in Migrainous patients differed significantly between MA and MO groups 65.5 (4.7), 54.9 (5.3) respectively, P < 0.001). The only significant correlation was found for IgG antibody and HIT6 in MA patients (r = 0.407, P = 0.011) and MO group (r = 0.499, P = 0.002). The risk of migraine occurrence in patients did not significantly associate with the level of IgG and IgM antibodies.
Conclusion:
The results give a hope that definite treatment and eradication of this bacterium could be a cure or to reduce the severity and course of migraine headaches.
Insights
Helicobacter pylori infection may be linked to migraine headaches. Eradicating this bacterium could potentially reduce migraine severity and frequency.
Area of Science:
- Neurology
- Gastroenterology
- Infectious Diseases
Background:
- Emerging research suggests a link between Helicobacter pylori infection and migraine headaches.
- Helicobacter pylori (H. pylori) is a common bacterial infection.
- Migraine is a prevalent neurological disorder characterized by severe headaches.
Purpose of the Study:
- To investigate the association between H. pylori infection and migraine with aura (MA) and without aura (MO).
- To evaluate the role of H. pylori infection in the pathogenesis of different migraine types.
Main Methods:
- A case-control study involving 84 migraine patients (MA and MO) and 49 healthy controls.
- Enzyme-linked immunosorbent assay (ELISA) was used to measure immunoglobulin G (IgG) and immunoglobulin M (IgM) antibody titers.
- Headache severity was assessed using the Headache Impact Test (HIT-6) questionnaire.
Main Results:
- Migraine patients showed significantly higher mean IgM antibody levels compared to controls (P = 0.004).
- Headache Impact Test (HIT-6) scores were significantly higher in MA patients than MO patients (P < 0.001).
- A significant correlation was observed between IgG antibody levels and HIT-6 scores in both MA (r = 0.407, P = 0.011) and MO (r = 0.499, P = 0.002) groups.
Conclusions:
- The findings suggest a potential role of H. pylori infection in migraine headaches.
- Treatment and eradication of H. pylori may offer a therapeutic strategy to alleviate migraine symptoms.
- Further research is warranted to confirm the causal relationship and optimize treatment approaches.
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