Tournier-Lasserve E
Laboratoire de Génétique, Hôpital Lariboisière AP-HP, Paris, France.
Rev Neurol (Paris). 2005 Jul;161(6-7):651-3. doi: 10.1016/s0035-3787(05)85107-0.
Migraine is a heterogeneous condition both clinically and genetically. Genetic and environmental factors are involved in migraine with and without aura. In most cases, genetic susceptibility has a polygenic pattern of inheritance with the exception of familial hemiplegic migraine (FHM) which is a mendelian, autosomal dominant, condition. Two genes have been identified so far in FHM, Cav2.1 and ATP1A2. The identification of these two genes have provided clues to understand the mechanisms of this condition, particularly through the analysis of murine animal models harboring mutations detected in human FHM patients. These two genes do not seem to be involved in the other forms of migraine. A number of association and linkage studies have pointed to several loci and/or genetic variants. However most of these data need confirmation.
偏头痛在临床和遗传方面都是一种异质性疾病。遗传和环境因素与有无先兆的偏头痛均有关。在大多数情况下,遗传易感性具有多基因遗传模式,但家族性偏瘫性偏头痛(FHM)除外,它是一种孟德尔常染色体显性疾病。迄今为止,在FHM中已鉴定出两个基因,即Cav2.1和ATP1A2。这两个基因的鉴定为理解这种疾病的机制提供了线索,特别是通过对携带人类FHM患者中检测到的突变的小鼠动物模型进行分析。这两个基因似乎与其他形式的偏头痛无关。许多关联和连锁研究已经指向了几个基因座和/或基因变异。然而,这些数据大多需要证实。