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Assessing the Causal Effect of Pulse Pressure on Migraine Risk: A Mendelian Randomization Study
Hongli Xu1, Xiaoyan Qin2, Zeguo Feng3
1Medical Big Data Research Center, Medical Innovation Research Department of PLA General Hospital, Beijing, 100853, People's Republic of China.
Background:
Migraine is notably prevalent among young individuals and women, who generally demonstrate favorable arterial compliance. Pulse pressure is a reliable measure of arterial compliance; nevertheless, the association between pulse pressure and migraine is not well understood.
Aim:
To investigate the potential causal relationship between pulse pressure and the risk of migraine using Mendelian randomization (MR).
Methods:
The pulse pressure studies mainly involved participants of European descent, while the migraine studies included individuals from various parts of the UK. The primary analysis used Inverse Variance Weighted (IVW) method, supplemented by weighted median and MR-Egger regression. Validation data came from the FinnGen study. Genes linked to pulse pressure were analyzed for Gene Ontology (GO) and KEGG enrichment using the DAVID platform.
Results:
Single-nucleotide polymorphisms linked to pulse pressure were sourced from a GWAS database (810,865 individuals), while migraine data came from UK Biobank (13,971 cases, 470,627 controls). The IVW method showed an OR of 0.992 [95% confidence interval (CI), 0.987-0.997; p = 0.002]. Both weighted median (OR 0.988; 95% CI, 0.982-0.994; p < 0.001) and MR-Egger (OR 0.985; 95% CI, 0.972-0.997; p = 0.016) analyses confirmed a negative causal link between pulse pressure and migraine risk. The MR-Egger intercept analysis showed minimal evidence of horizontal pleiotropy (b = 0.00013, SE = 0.00010, p = 0.209). Finnish data confirmed a causal link between migraine and pulse pressure, with the IVW method indicating a significant association (OR = 0.790, 95% CI: 0.676-0.922; p = 0.003). KEGG enrichment analysis revealed significant pathways regulating pulse pressure, many related to cardiovascular disease and type 2 diabetes.
Conclusion:
MR analysis showed that pulse pressure causally affects migraines, potentially explaining why young people and women experience more migraines, while those with type 2 diabetes have a lower risk. Further research is needed to understand this relationship.
Insights
Lower pulse pressure may reduce migraine risk, potentially explaining higher prevalence in young people and women. This Mendelian randomization study highlights a causal link between pulse pressure and migraine.
Area of Science:
- Cardiovascular Epidemiology
- Neurology
- Genetics
Background:
- Migraine is common in young individuals and women, who typically have good arterial compliance.
- Pulse pressure, a measure of arterial compliance, is linked to migraine, but the relationship is unclear.
Purpose of the Study:
- To investigate the potential causal relationship between pulse pressure and migraine risk using Mendelian randomization (MR).
Main Methods:
- Utilized large-scale genome-wide association studies (GWAS) data for pulse pressure and migraine.
- Employed Inverse Variance Weighted (IVW), weighted median, and MR-Egger regression methods for primary analysis.
- Validated findings using FinnGen study data and analyzed gene pathways with DAVID platform.
Main Results:
- Mendelian randomization analysis revealed a significant negative causal link between pulse pressure and migraine risk (IVW: OR 0.992, p=0.002).
- Supporting analyses (weighted median, MR-Egger) confirmed this association.
- Finnish data validation and pathway analysis further supported the causal relationship and identified related biological pathways.
Conclusions:
- Pulse pressure causally influences migraine risk.
- Findings may explain higher migraine prevalence in specific demographics and lower risk in type 2 diabetes.
- Further research is warranted to fully elucidate this complex relationship.
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