Sudershan Amrit, Mahajan Kanak, Singh Kuljeet, Dhar Manoj K, Kumar Parvinder
Institute of Human Genetics, University of Jammu, Jammu and Kashmir (UT), 180006, India.
Department of Computer Sciences and Information Technology, University of Jammu, Jammu and Kashmir (UT), 180006, India.
Clin Neurol Neurosurg. 2022 Mar;214:107136. doi: 10.1016/j.clineuro.2022.107136. Epub 2022 Jan 19.
Migraine is indeed a neurovascular disorder for which several genes have been identified in this era of Genome-Wide Association Studies (GWAS) and neuroimaging studies have already revealed structural changes and different mechanisms that cause migraine, but the exact cause of this debilitating and disabling neurovascular disorder remained unclear. Low neuronal hyperexcitability ("the migrainous brain") is set and hindered by genetic and environmental factors, respectively. Migraine is also found to be associated with different diseases (co-morbidity). There is still a subject of contention: is migraine a disease of evolution or disease of pathology? This research review seeks to provide a brief overview on the genetics of disorders, structural abnormalities in the brain, CSD-like symptoms, and faulty Trigeminovascular System activation for migraine pain phenotype. This review briefly covered here to provide some ideas that may also be utilized in migraine research and to serve as motivation for future research.
偏头痛确实是一种神经血管性疾病,在全基因组关联研究(GWAS)时代已经鉴定出了多个相关基因,神经影像学研究也已经揭示了导致偏头痛的结构变化和不同机制,但这种使人衰弱和致残的神经血管性疾病的确切病因仍不清楚。低神经元过度兴奋性(“偏头痛大脑”)分别受到遗传和环境因素的影响和阻碍。偏头痛还被发现与不同疾病(共病)有关。目前仍存在一个争议点:偏头痛是一种进化性疾病还是病理性疾病?本研究综述旨在简要概述偏头痛疼痛表型的疾病遗传学、大脑结构异常、类皮质扩散性抑制(CSD)症状以及三叉神经血管系统激活异常。本文简要涵盖这些内容,以提供一些可能在偏头痛研究中也能用到的观点,并作为未来研究的动力。