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Migraine, Stroke, and Cervical Arterial Dissection: Shared Genetics for a Triad of Brain Disorders With Vascular Involvement.

作者信息

Daghlas Iyas, Sargurupremraj Muralidharan, Danning Rebecca, Gormley Padhraig, Malik Rainer, Amouyel Philippe, Metso Tiina, Pezzini Alessandro, Kurth Tobias, Debette Stéphanie, Chasman Daniel I

机构信息

From the Harvard Medical School (I.D., D.I.C.), Boston, MA; Division of Preventive Medicine (I.D., R.D., D.I.C.), Brigham and Women's Hospital, Boston, MA; University of Bordeaux (M.S., S.D.), Inserm, Bordeaux Population Health Research Center, Team VINTAGE, UMR 1219, France; Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases (M.S.), University of Texas Health, San Antonio; Massachusetts General Hospital (P.G.), Boston; Institute for Stroke and Dementia Research (R.M.), Klinikum der Universität München, Ludwig-Maximilians-University, Germany; LabEx DISTALZ-U1167 (P.A.), RID-AGE-Risk Factors and Molecular Determinants of Aging-Related Diseases, University of Lille; Inserm U1167 (P.A.), Lille; Centre Hospitalier Universitaire Lille (P.A.); Institut Pasteur de Lille (P.A.), France; Department of Neurology (T.M.), Helsinki University Central Hospital, Finland; Department of Clinical and Experimental Sciences (A.P.), Neurology Clinic, Brescia University Hospital, Italy; Institute of Public Health (T.K.), Charité-Universitätsmedizin Berlin, Germany; and Department of Neurology (S.D.), CHU de Bordeaux, France.

出版信息

Neurol Genet. 2022 Feb 1;8(1):e653. doi: 10.1212/NXG.0000000000000653. eCollection 2022 Feb.


DOI:10.1212/NXG.0000000000000653
PMID:35128049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8808356/
Abstract

BACKGROUND AND OBJECTIVES: Migraine, stroke, and cervical artery dissection (CeAD) represent a triad of cerebrovascular disorders with pairwise comorbid relationships and vascular involvement. Larger samples and recent advances in methodology invite systematic exploration of their shared genetics. METHODS: Genetic analyses leveraged summary statistics from genome-wide association studies of the largest available samples of each disorder, including subtypes of stroke (ischemic stroke, large artery stroke, small vessel stroke, and cardioembolic stroke) and migraine (with aura and without aura). For each pair of disorders, genetic correlation was assessed both on a genome-wide basis and within independent segments across the genome including known specific loci for each disorder. A cross-trait meta-analysis was used to identify novel candidate loci. Finally, potential causality of migraine susceptibility on stroke and CeAD was assessed by Mendelian randomization. RESULTS: Among all pairs of disorders, genome-wide genetic correlation was observed only between CeAD and migraine, particularly MO. Local genetic correlations were more extensive between migraine and CeAD than those between migraine and stroke or CeAD and stroke and revealed evidence for novel CeAD associations at rs6693567 (), rs11187838 (), and rs7940646 () while strengthening prior subthreshold evidence at rs9486725 () and rs650724 (). At known migraine loci, novel associations with stroke had concordant risk alleles for small vessel stroke at rs191602009 () and for cardioembolic stroke at rs55884259 (). Known migraine loci also revealed novel associations but with opposite risk alleles for all stroke, ischemic stroke, and small vessel stroke at rs55928386 (), for large artery stroke at rs11172113 (), and for all stroke and ischemic stroke at rs1535791 and rs4942561 (both ), respectively. rs182923402 (near ) was a novel concordant locus for migraine and cardioembolic stroke. Mendelian randomization supported potential causal influences of migraine on CeAD (odds ratio [95% confidence interval] per doubling migraine prevalence = 1.69 [1.24-2.3], = 0.0009) with concordant risk, but with opposite risk on large artery stroke (0.86 [0.76-0.96], = 0.0067). DISCUSSION: The findings emphasize shared genetic risk between migraine and CeAD while identifying loci with likely vascular function in migraine and shared but opposite genetic risk between migraine and stroke subtypes, and a central role of in all 3 cerebrovascular disorders.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb60/8808356/5fb78c7f6b8b/NG2021017260f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb60/8808356/ef7ee78d5d78/NG2021017260f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb60/8808356/5fb78c7f6b8b/NG2021017260f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb60/8808356/ef7ee78d5d78/NG2021017260f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb60/8808356/5fb78c7f6b8b/NG2021017260f2.jpg

相似文献

[1]
Migraine, Stroke, and Cervical Arterial Dissection: Shared Genetics for a Triad of Brain Disorders With Vascular Involvement.

Neurol Genet. 2022-2-1

[2]
Association Between Migraine and Cervical Artery Dissection: The Italian Project on Stroke in Young Adults.

JAMA Neurol. 2017-5-1

[3]
Migraine in cervical artery dissection and ischemic stroke patients.

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[4]
Migraine and the risk of cervical artery dissection: A systematic review and meta-analysis.

Eur Stroke J. 2023-12

[5]
Shared genetic basis for migraine and ischemic stroke: A genome-wide analysis of common variants.

Neurology. 2015-5-26

[6]
Migraine improvement after spontaneous cervical artery dissection the Italian Project on Stroke in Young Adults (IPSYS).

Neurol Sci. 2018-9-21

[7]
Exploring the causal inference of migraine on stroke: A Mendelian randomization study.

Eur J Neurol. 2022-1

[8]
Pathophysiology and risk factors of cervical artery dissection: what have we learnt from large hospital-based cohorts?

Curr Opin Neurol. 2014-2

[9]
Genetic associations of adult height with risk of cardioembolic and other subtypes of ischemic stroke: A mendelian randomization study in multiple ancestries.

PLoS Med. 2022-4

[10]
Cervical artery dissection in young adults in the stroke in young Fabry patients (sifap1) study.

Cerebrovasc Dis. 2015

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[2]
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Res Sq. 2025-8-5

[3]
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Cardiovasc Res. 2025-7-31

[4]
Clinical Characteristics, Risk Factors, and Outcomes of Arterial Dissection-Associated Stroke: A 22-Year Cohort Study from the Japan Stroke Data Bank.

J Atheroscler Thromb. 2025-9-1

[5]
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J Headache Pain. 2025-2-20

[6]
Headaches attributed to cranial and cervical artery dissections.

J Headache Pain. 2025-2-6

[7]
Genetic variation in patent foramen ovale: a case-control genome-wide association study.

Front Genet. 2025-1-13

[8]
Vertebral artery dissection in a patient with migraine treated with calcitonin gene-related peptide monoclonal antibody: a case report and FAERS database analysis.

BMC Neurol. 2025-1-2

[9]
Plasma pQTL and brain eQTL integration identifies PNKP as a therapeutic target and reveals mechanistic insights into migraine pathophysiology.

J Headache Pain. 2024-11-22

[10]
Genetically proxied liability to migraine and risk of intracranial aneurysm and subarachnoid hemorrhage.

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