Celikbilek A, Gocmen A Y, Zararsiz G, Tanik N, Ak H, Borekci E, Delibas N
Department of Neurology, Medical School, Bozok University, Yozgat, Turkey.
Int J Clin Pract. 2014 Oct;68(10):1272-7. doi: 10.1111/ijcp.12456. Epub 2014 May 18.
Inflammation is proposed to be involved in the pathogenesis of both vitamin D deficiency and migraine. However, the data examining the relation of vitamin D with migraine are limited. We aimed to investigate the serum levels of vitamin D, vitamin D-binding protein (VDBP) and vitamin D receptor (VDR) in combination, in migraine patients from central Anatolia region.
Fifty-two newly diagnosed migraine patients and age- and sex-matched 49 control subjects were enrolled in this cross-sectional prospective study. Migraine diagnosis was settled according to the International Classification of Headache Disorders-II diagnostic criteria. Serum samples were analysed for the measurement of vitamin D, VDBP and VDR levels by using commercial enzyme-linked immuno sorbent assay kits.
Serum vitamin D and VDR levels were found to be significantly lower in migraine patients than in controls (p = 0.012 and p = 0.038, respectively); whereas serum VDBP levels were similar between the groups (p > 0.05). There was no correlation between serum vitamin D, VDBP and VDR levels and headache characteristics including aura, attack severity, frequency and duration, and disease duration (p > 0.05). In terms of headache characteristics, no significant difference between migraineurs with vitamin D values < 25 and ≥ 25 ng/ml was observed (p > 0.05).
The present findings may suggest that decreased serum vitamin D levels were associated with migraine.
炎症被认为与维生素D缺乏症和偏头痛的发病机制均有关。然而,研究维生素D与偏头痛关系的数据有限。我们旨在研究安纳托利亚中部地区偏头痛患者的血清维生素D、维生素D结合蛋白(VDBP)和维生素D受体(VDR)水平。
52名新诊断的偏头痛患者以及年龄和性别匹配的49名对照受试者纳入了这项横断面前瞻性研究。偏头痛诊断依据《国际头痛疾病分类第二版》诊断标准确定。使用商用酶联免疫吸附测定试剂盒分析血清样本,以测定维生素D、VDBP和VDR水平。
发现偏头痛患者的血清维生素D和VDR水平显著低于对照组(分别为p = 0.012和p = 0.038);而两组间血清VDBP水平相似(p > 0.05)。血清维生素D、VDBP和VDR水平与包括先兆、发作严重程度、频率和持续时间以及病程在内的头痛特征之间无相关性(p > 0.05)。就头痛特征而言,维生素D值<25和≥25 ng/ml的偏头痛患者之间未观察到显著差异(p > 0.05)。
目前的研究结果可能表明血清维生素D水平降低与偏头痛有关。