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Published on: June 2, 2014
Purinergic Profiling of Regulatory T-cells in Patients With Episodic Migraine
Dilyara Nurkhametova1,2, Igor Kudryavtsev3,4, Olga Khayrutdinova5
1A.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland.
Abstract:
Objectives: Immune responses in migraine are poorly characterized, yet implicated in the disease pathogenesis. This study was carried out to characterize purinergic profiles of T-cells in patients with episodic migraine without aura (MWoA) to provide mechanistic evidence for ATP and adenosine involvement in modulation of immune regulation in migraine. Methods: Peripheral blood samples were obtained from patients with migraine (n = 16) and age-matched control subjects (n = 21). Subsets of T-cells were identified by flow cytometry based on specific membrane markers. Results: Migraine patients showed reduced total T-cell counts in the peripheral blood. Whereas the total number of CD3+CD4+, CD3+CD8+, or regulatory T lymphocytes (Treg) was not changed, the proportion of Treg CD45R0+CD62L- and CD45R0-CD62L- cells was increased. Interestingly, in migraine, less Treg cells expressed CD39 and CD73 suggesting disrupted ATP breakdown to adenosine. The negative correlations were observed between the duration of migraine and the relative number of CD73+CD39- Tregs and total number of CD73-positive CD45R0+CD62L+ Tregs. Conclusion: Obtained data indicate that T-cell populations are altered in episodic migraine and suggest the involvement of Tregs in the pathophysiology of this disorder. Reduced expression of CD39 and CD73 suggests promotion of ATP-dependent pro-inflammatory and reduction of adenosine-mediated anti-inflammatory mechanisms in migraine.
Insights
Migraine patients exhibit altered T-cell profiles, particularly regulatory T-cells (Tregs), with reduced expression of CD39 and CD73. This suggests impaired immune regulation, potentially promoting inflammation in migraine.
Area of Science:
- Immunology
- Neuroscience
- Cell Biology
Background:
- Immune responses are implicated in migraine pathogenesis but remain poorly understood.
- Purinergic signaling via ATP and adenosine plays a role in immune regulation.
Purpose of the Study:
- To characterize the purinergic profiles of T-cells in episodic migraine without aura (MWoA).
- To investigate the involvement of ATP and adenosine in immune regulation within migraine pathophysiology.
Main Methods:
- Peripheral blood samples analyzed from 16 migraine patients and 21 controls.
- T-cell subsets identified using flow cytometry and specific membrane markers.
- Expression of CD39 and CD73 on regulatory T-cells (Tregs) assessed.
Main Results:
- Migraine patients displayed reduced total T-cell counts.
- While overall Treg numbers were unchanged, specific Treg subsets (CD45R0+CD62L- and CD45R0-CD62L-) increased.
- Fewer Tregs in migraine patients expressed CD39 and CD73, indicating disrupted ATP breakdown to adenosine.
- Negative correlations found between migraine duration and specific Treg populations expressing CD73 and CD39.
Conclusions:
- T-cell populations are altered in episodic migraine.
- Regulatory T-cells (Tregs) are implicated in migraine pathophysiology.
- Reduced CD39 and CD73 expression on Tregs may promote pro-inflammatory ATP signaling and reduce anti-inflammatory adenosine signaling in migraine.
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