Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education & Research, Guwahati, India.
Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education & Research, SAS Nagar, India.
CNS Neurol Disord Drug Targets. 2019;18(7):504-515. doi: 10.2174/1871527318666190809162631.
In today's world, migraine is one of the most frequent disorders with an estimated world prevalence of 14.7% characterized by attacks of a severe headache making people enfeebled and imposing a big socioeconomic burden. The pathophysiology of a migraine is not completely understood however there are pieces of evidence that epigenetics performs a primary role in the pathophysiology of migraine. Here, in this review, we highlight current evidence for an epigenetic link with migraine in particular DNA methylation of numerous genes involved in migraine pathogenesis. Outcomes of various studies have explained the function of DNA methylation of a several migraine related genes such as RAMP1, CALCA, NOS1, ESR1, MTHFR and NR4A3 in migraine pathogenesis. Mentioned data suggested there exist a strong association of DNA methylation of migraine-related genes in migraine. Although we now have a general understanding of the role of epigenetic modifications of a numerous migraine associated genes in migraine pathogenesis, there are many areas of active research are of key relevance to medicine. Future studies into the complexities of epigenetic modifications will bring a new understanding of the mechanisms of migraine processes and open novel approaches towards therapeutic intervention.
在当今世界,偏头痛是最常见的疾病之一,估计全球患病率为 14.7%,其特征是严重头痛发作,使人虚弱,并造成巨大的社会经济负担。偏头痛的病理生理学尚未完全了解,但有证据表明表观遗传学在偏头痛的病理生理学中起着主要作用。在这篇综述中,我们强调了与偏头痛相关的表观遗传联系的最新证据,特别是涉及偏头痛发病机制的许多基因的 DNA 甲基化。各种研究的结果解释了几个与偏头痛相关的基因如 RAMP1、CALCA、NOS1、ESR1、MTHFR 和 NR4A3 的 DNA 甲基化在偏头痛发病机制中的作用。所述数据表明,偏头痛相关基因的 DNA 甲基化与偏头痛之间存在很强的关联。尽管我们现在对许多与偏头痛相关的基因的表观遗传修饰在偏头痛发病机制中的作用有了一般的了解,但仍有许多活跃的研究领域与医学密切相关。对表观遗传修饰复杂性的未来研究将带来对偏头痛过程机制的新认识,并为治疗干预开辟新途径。