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Published in: The Journal of Headache and Pain 2/2011

Open Access 01-04-2011 | Rapid Communication

Increased asymmetric dimethylarginine and nitric oxide levels in patients with migraine

Authors: Ertugrul Uzar, Osman Evliyaoglu, Gülten Toprak, Abdullah Acar, Yavuz Yucel, Tugba Calisir, Mehmet Ugur Cevik, Nebahat Tasdemir

Published in: The Journal of Headache and Pain | Issue 2/2011

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Abstract

Asymmetric dimethylarginine (ADMA) has been found as correlated with endothelial dysfunction and oxidative stress. There are few studies regarding ADMA and nitric oxide (NO) levels in patients with migraine and alterations of ADMA and NO levels during migraine attack are not well-known. Therefore, in present study, we aimed to measure NO and ADMA levels in patients with migraine and compare them with the control group to investigate the correlation between migraine, oxidative stress and endothelial dysfunction. The migraine group consisted of 59 patients, including 22 suffering from migraine with aura and 37 suffering from migraine without aura. The control group consisted of 31 healthy volunteers without headache. The patients in migraine group were divided into subgroups based on whether attack period was present or not and whether it was migraine with or without aura. Plasma ADMA levels were measured using an enzyme-linked immunosorbent assay method. Migraine patients had higher concentrations of NO (35.6 ± 7.7, 31.0 ± 6.2 μmol/L, respectively, p = 0.005) and ADMA (0.409 ± 0.028, 0.381 ± 0.044 μmol/L, respectively, p = 0.001) levels when compared with the healthy controls. During migraine attack, NO and ADMA levels were found to be significantly higher in migraine group as compared to control group (respectively, p = 0.015, p = 0.014). Similarly, NO and ADMA levels in the patients with migraine in the interictal period were found to be significantly higher as compared to control group (p = 0.011, p = 0.003). In conclusion, higher ADMA and NO levels of patients with migraine supported that oxidative stress and endothelial dysfunction may have a role in migraine pathogenesis.
Literature
1.
go back to reference Silva FA, Rueda-Clausen CF, Silva SY, Zarruk JG, Guzmán JC, Morillo CA, Vesga B, Pradilla G, Flórez M, López-Jaramillo P (2007) Endothelial function in patients with migraine during the interictal period. Headache 47:45–51, 17355493, 10.1111/j.1526-4610.2006.00532.xCrossRefPubMed Silva FA, Rueda-Clausen CF, Silva SY, Zarruk JG, Guzmán JC, Morillo CA, Vesga B, Pradilla G, Flórez M, López-Jaramillo P (2007) Endothelial function in patients with migraine during the interictal period. Headache 47:45–51, 17355493, 10.1111/j.1526-4610.2006.00532.xCrossRefPubMed
2.
go back to reference Sarchielli P, Alberti A, Vaianella L, Pierguidi L, Floridi A, Mazzotta G, Floridi A, Gallai V (2004) Chemokine levels in the jugular venous blood of migraine without aura patients during attacks. Headache 44:961–968, 15546258, 10.1111/j.1526-4610.2004.04189.xCrossRefPubMed Sarchielli P, Alberti A, Vaianella L, Pierguidi L, Floridi A, Mazzotta G, Floridi A, Gallai V (2004) Chemokine levels in the jugular venous blood of migraine without aura patients during attacks. Headache 44:961–968, 15546258, 10.1111/j.1526-4610.2004.04189.xCrossRefPubMed
3.
go back to reference Toda N, Ayajiki K, Okamura T (2009) Cerebral blood flow regulation by nitric oxide in neurological disorders. Can J Physiol Pharmacol 87:581–594, 19767882, 10.1139/Y09-048, 1:CAS:528:DC%2BD1MXht1SktLjICrossRefPubMed Toda N, Ayajiki K, Okamura T (2009) Cerebral blood flow regulation by nitric oxide in neurological disorders. Can J Physiol Pharmacol 87:581–594, 19767882, 10.1139/Y09-048, 1:CAS:528:DC%2BD1MXht1SktLjICrossRefPubMed
4.
go back to reference Ciancarelli I, Tozzi-Ciancarelli MG, Di Massimo C, Marini C, Carolei A (2003) Urinary nitric oxide metabolites and lipid peroxidation by-products in migraine. Cephalalgia 23:39–42, 12534579, 10.1046/j.1468-2982.2003.00447.x, 1:STN:280:DC%2BD3s%2FivVSnsQ%3D%3DCrossRefPubMed Ciancarelli I, Tozzi-Ciancarelli MG, Di Massimo C, Marini C, Carolei A (2003) Urinary nitric oxide metabolites and lipid peroxidation by-products in migraine. Cephalalgia 23:39–42, 12534579, 10.1046/j.1468-2982.2003.00447.x, 1:STN:280:DC%2BD3s%2FivVSnsQ%3D%3DCrossRefPubMed
5.
go back to reference Yilmaz G, Sürer H, Inan LE, Coskun O, Yücel D (2007) Increased nitrosative and oxidative stress in platelets of migraine patients. Tohoku J Exp Med 211:23–30, 17202769, 10.1620/tjem.211.23, 1:CAS:528:DC%2BD2sXhsFymsLc%3DCrossRefPubMed Yilmaz G, Sürer H, Inan LE, Coskun O, Yücel D (2007) Increased nitrosative and oxidative stress in platelets of migraine patients. Tohoku J Exp Med 211:23–30, 17202769, 10.1620/tjem.211.23, 1:CAS:528:DC%2BD2sXhsFymsLc%3DCrossRefPubMed
6.
go back to reference Tain YL, Kao YH, Hsieh CS, Chen CC, Sheen JM, Lin IC, Huang LT (2010) Melatonin blocks oxidative stress-induced increased asymmetric dimethylarginine. Free Radic Biol Med (in press) Tain YL, Kao YH, Hsieh CS, Chen CC, Sheen JM, Lin IC, Huang LT (2010) Melatonin blocks oxidative stress-induced increased asymmetric dimethylarginine. Free Radic Biol Med (in press)
7.
go back to reference Guldiken B, Demir M, Guldiken S, Turgut N, Ozkan H, Kabayel L, Tugrul A (2009) Asymmetric dimethylarginine and nitric oxide levels in migraine during the interictal period. J Clin Neurosci 16:672–674, 19282179, 10.1016/j.jocn.2008.08.015, 1:CAS:528:DC%2BD1MXjvVyhsb4%3DCrossRefPubMed Guldiken B, Demir M, Guldiken S, Turgut N, Ozkan H, Kabayel L, Tugrul A (2009) Asymmetric dimethylarginine and nitric oxide levels in migraine during the interictal period. J Clin Neurosci 16:672–674, 19282179, 10.1016/j.jocn.2008.08.015, 1:CAS:528:DC%2BD1MXjvVyhsb4%3DCrossRefPubMed
8.
go back to reference Gruber HJ, Bernecker C, Lechner A, Weiss S, Wallner-Blazek M, Meinitzer A, Höbarth G, Renner W, Fauler G, Horejsi R, Fazekas F, Truschnig-Wilders M (2009) Increased nitric oxide stress is associated with migraine. Cephalalgia 30:486–492 Gruber HJ, Bernecker C, Lechner A, Weiss S, Wallner-Blazek M, Meinitzer A, Höbarth G, Renner W, Fauler G, Horejsi R, Fazekas F, Truschnig-Wilders M (2009) Increased nitric oxide stress is associated with migraine. Cephalalgia 30:486–492
9.
go back to reference Lima MM, Padula NA, Santos LC, Oliveira LD, Agapejev S, Padovani C (2005) Critical analysis of the international classification of headache disorders diagnostic criteria (ICHD I-1988) and (ICHD II-2004), for migraine in children and adolescents. Cephalalgia 25:1042–1047, 16232155, 10.1111/j.1468-2982.2005.00954.x, 1:STN:280:DC%2BD2MrlsF2qsg%3D%3DCrossRefPubMed Lima MM, Padula NA, Santos LC, Oliveira LD, Agapejev S, Padovani C (2005) Critical analysis of the international classification of headache disorders diagnostic criteria (ICHD I-1988) and (ICHD II-2004), for migraine in children and adolescents. Cephalalgia 25:1042–1047, 16232155, 10.1111/j.1468-2982.2005.00954.x, 1:STN:280:DC%2BD2MrlsF2qsg%3D%3DCrossRefPubMed
10.
go back to reference Cortas NK, Wakid NW (1990) Determination of inorganic nitrate in serum and urine by a kinetic cadmium-reduction method. Clin Chem 36:1440–1443, 2387039, 1:CAS:528:DyaK3cXlsVyht78%3DPubMed Cortas NK, Wakid NW (1990) Determination of inorganic nitrate in serum and urine by a kinetic cadmium-reduction method. Clin Chem 36:1440–1443, 2387039, 1:CAS:528:DyaK3cXlsVyht78%3DPubMed
11.
go back to reference Schulze F, Wesemann R, Schwedhelm E, Sydow K, Albsmeier J, Cooke JP, Böger RH (2004) Determination of asymmetric dimethylarginine (ADMA) using a novel ELISA assay. Clin Chem Lab Med 42:1377–1383, 15576299, 10.1515/CCLM.2004.257, 1:CAS:528:DC%2BD2cXhtFGmtLzICrossRefPubMed Schulze F, Wesemann R, Schwedhelm E, Sydow K, Albsmeier J, Cooke JP, Böger RH (2004) Determination of asymmetric dimethylarginine (ADMA) using a novel ELISA assay. Clin Chem Lab Med 42:1377–1383, 15576299, 10.1515/CCLM.2004.257, 1:CAS:528:DC%2BD2cXhtFGmtLzICrossRefPubMed
12.
go back to reference Ciancarelli I, Tozzi-Ciancarelli MG, Di Massimo C, Olivieri L, Carolei A (2005) Preventive non-pharmacological treatment and nitric oxide in chronic migraine. J Headache Pain 6:341–342, 16362706, 10.1007/s10194-005-0227-5, 1:CAS:528:DC%2BD28XmvFGlsrk%3DPubMedCentralCrossRefPubMed Ciancarelli I, Tozzi-Ciancarelli MG, Di Massimo C, Olivieri L, Carolei A (2005) Preventive non-pharmacological treatment and nitric oxide in chronic migraine. J Headache Pain 6:341–342, 16362706, 10.1007/s10194-005-0227-5, 1:CAS:528:DC%2BD28XmvFGlsrk%3DPubMedCentralCrossRefPubMed
13.
go back to reference Olesen J (2008) The role of nitric oxide (NO) in migraine, tension-type headache and cluster headache. Pharmacol Ther 120:157–171, 18789357, 10.1016/j.pharmthera.2008.08.003, 1:CAS:528:DC%2BD1cXht1Knsb3ICrossRefPubMed Olesen J (2008) The role of nitric oxide (NO) in migraine, tension-type headache and cluster headache. Pharmacol Ther 120:157–171, 18789357, 10.1016/j.pharmthera.2008.08.003, 1:CAS:528:DC%2BD1cXht1Knsb3ICrossRefPubMed
14.
go back to reference Napoli R, Guardasole V, Zarra E, Matarazzo M, D’Anna C, Saccà F, Affuso F, Cittadini A, Carrieri PB, Saccà L (2009) Vascular smooth muscle cell dysfunction in patients with migraine. Neurology 72:2111–2114, 19528518, 10.1212/WNL.0b013e3181aa53ce, 1:CAS:528:DC%2BD1MXnt1OksLc%3DCrossRefPubMed Napoli R, Guardasole V, Zarra E, Matarazzo M, D’Anna C, Saccà F, Affuso F, Cittadini A, Carrieri PB, Saccà L (2009) Vascular smooth muscle cell dysfunction in patients with migraine. Neurology 72:2111–2114, 19528518, 10.1212/WNL.0b013e3181aa53ce, 1:CAS:528:DC%2BD1MXnt1OksLc%3DCrossRefPubMed
15.
go back to reference Sarchielli P, Alberti A, Codini M, Floridi A, Gallai V (2000) Nitric oxide metabolites, prostaglandins and trigeminal vasoactive peptides in internal jugular vein blood during spontaneous migraine attacks. Cephalalgia 20:907–918, 11304026, 10.1046/j.1468-2982.2000.00146.x, 1:STN:280:DC%2BD3MvntlSgsg%3D%3DCrossRefPubMed Sarchielli P, Alberti A, Codini M, Floridi A, Gallai V (2000) Nitric oxide metabolites, prostaglandins and trigeminal vasoactive peptides in internal jugular vein blood during spontaneous migraine attacks. Cephalalgia 20:907–918, 11304026, 10.1046/j.1468-2982.2000.00146.x, 1:STN:280:DC%2BD3MvntlSgsg%3D%3DCrossRefPubMed
16.
go back to reference Gruber HJ, Bernecker C, Pailer S, Fauler G, Horejsi R, Möller R, Lechner A, Fazekas F, Truschnig-Wilders M (2009) Hyperinsulinaemia in migraineurs is associated with nitric oxide stress. Cephalalgia 30:593–598 Gruber HJ, Bernecker C, Pailer S, Fauler G, Horejsi R, Möller R, Lechner A, Fazekas F, Truschnig-Wilders M (2009) Hyperinsulinaemia in migraineurs is associated with nitric oxide stress. Cephalalgia 30:593–598
17.
go back to reference Förstermann U (2008) Oxidative stress in vascular disease: causes, defense mechanisms and potential therapies. Nat Clin Pract Cardiovasc Med. 5:338–349, 18461048, 10.1038/ncpcardio1211CrossRefPubMed Förstermann U (2008) Oxidative stress in vascular disease: causes, defense mechanisms and potential therapies. Nat Clin Pract Cardiovasc Med. 5:338–349, 18461048, 10.1038/ncpcardio1211CrossRefPubMed
18.
go back to reference Taffi R, Vignini A, Lanciotti C, Luconi R, Nanetti L, Mazzanti L, Provinciali L, Silvestrini M, Bartolini M (2005) Platelet membrane fluidity and peroxynitrite levels in migraine patients during headache-free periods. Cephalalgia 25:353–358, 15839850, 10.1111/j.1468-2982.2004.00863.x, 1:STN:280:DC%2BD2M3gsF2ltg%3D%3DCrossRefPubMed Taffi R, Vignini A, Lanciotti C, Luconi R, Nanetti L, Mazzanti L, Provinciali L, Silvestrini M, Bartolini M (2005) Platelet membrane fluidity and peroxynitrite levels in migraine patients during headache-free periods. Cephalalgia 25:353–358, 15839850, 10.1111/j.1468-2982.2004.00863.x, 1:STN:280:DC%2BD2M3gsF2ltg%3D%3DCrossRefPubMed
19.
go back to reference Fidan I, Yüksel S, Ymir T, Irkeç C, Aksakal FN (2006) The importance of cytokines, chemokines and nitric oxide in pathophysiology of migraine. J Neuroimmunol 171:184–188, 16325275, 10.1016/j.jneuroim.2005.10.005, 1:CAS:528:DC%2BD28Xkt1yrCrossRefPubMed Fidan I, Yüksel S, Ymir T, Irkeç C, Aksakal FN (2006) The importance of cytokines, chemokines and nitric oxide in pathophysiology of migraine. J Neuroimmunol 171:184–188, 16325275, 10.1016/j.jneuroim.2005.10.005, 1:CAS:528:DC%2BD28Xkt1yrCrossRefPubMed
20.
go back to reference Shimomura T, Murakami F, Kotani K, Ikawa S, Kono S (1999) Platelet nitric oxide metabolites in migraine. Cephalalgia 19:218–222, 10376166, 10.1046/j.1468-2982.1999.019004218.x, 1:STN:280:DyaK1MzgsVCmtg%3D%3DCrossRefPubMed Shimomura T, Murakami F, Kotani K, Ikawa S, Kono S (1999) Platelet nitric oxide metabolites in migraine. Cephalalgia 19:218–222, 10376166, 10.1046/j.1468-2982.1999.019004218.x, 1:STN:280:DyaK1MzgsVCmtg%3D%3DCrossRefPubMed
21.
go back to reference Shukla R, Barthwal MK, Srivastava N, Nag D, Seth PK, Srimal RC, Dikshit M (2001) Blood nitrite levels in patients with migraine during headache-free period. Headache. 41:475–481, 11380645, 10.1046/j.1526-4610.2001.01085.x, 1:STN:280:DC%2BD3M3pvVOhtA%3D%3DCrossRefPubMed Shukla R, Barthwal MK, Srivastava N, Nag D, Seth PK, Srimal RC, Dikshit M (2001) Blood nitrite levels in patients with migraine during headache-free period. Headache. 41:475–481, 11380645, 10.1046/j.1526-4610.2001.01085.x, 1:STN:280:DC%2BD3M3pvVOhtA%3D%3DCrossRefPubMed
22.
go back to reference Van der Kuy PH, Merkus FW, Lohman JJ, ter Berg JW, Hooymans PM (2002) Hydroxocobalamin, a nitric oxide scavenger, in the prophylaxis of migraine: an open, pilot study. Cephalalgia 22:513–519, 12230592, 10.1046/j.1468-2982.2002.00412.xCrossRefPubMed Van der Kuy PH, Merkus FW, Lohman JJ, ter Berg JW, Hooymans PM (2002) Hydroxocobalamin, a nitric oxide scavenger, in the prophylaxis of migraine: an open, pilot study. Cephalalgia 22:513–519, 12230592, 10.1046/j.1468-2982.2002.00412.xCrossRefPubMed
23.
go back to reference Bigal ME, Kurth T, Santanello N, Buse D, Golden W, Robbins M, Lipton RB (2010) Migraine and cardiovascular disease: a population-based study. Neurology 74:628–635, 20147658, 10.1212/WNL.0b013e3181d0cc8b, 1:STN:280:DC%2BC3c7islWitw%3D%3DPubMedCentralCrossRefPubMed Bigal ME, Kurth T, Santanello N, Buse D, Golden W, Robbins M, Lipton RB (2010) Migraine and cardiovascular disease: a population-based study. Neurology 74:628–635, 20147658, 10.1212/WNL.0b013e3181d0cc8b, 1:STN:280:DC%2BC3c7islWitw%3D%3DPubMedCentralCrossRefPubMed
24.
go back to reference Kurth T (2010) The association of migraine with ischemic stroke. Curr Neurol Neurosci Rep 10:133–139, 20425238, 10.1007/s11910-010-0098-2CrossRefPubMed Kurth T (2010) The association of migraine with ischemic stroke. Curr Neurol Neurosci Rep 10:133–139, 20425238, 10.1007/s11910-010-0098-2CrossRefPubMed
25.
go back to reference Siekmeier R, Grammer T, März W (2008) Roles of oxidants, nitric oxide, and asymmetric dimethylarginine in endothelial function. J Cardiovasc Pharmacol Ther 13:279–297, 18945874, 10.1177/1074248408326488, 1:CAS:528:DC%2BD1MXivFGhsQ%3D%3DCrossRefPubMed Siekmeier R, Grammer T, März W (2008) Roles of oxidants, nitric oxide, and asymmetric dimethylarginine in endothelial function. J Cardiovasc Pharmacol Ther 13:279–297, 18945874, 10.1177/1074248408326488, 1:CAS:528:DC%2BD1MXivFGhsQ%3D%3DCrossRefPubMed
26.
go back to reference De Gennaro Colonna V, Bianchi M, Pascale V, Ferrario P, Morelli F, Pascale W, Tomasoni L, Turiel M (2009) Asymmetric dimethylarginine (ADMA): an endogenous inhibitor of nitric oxide synthase and a novel cardiovascular risk molecule. Med Sci Monit 15:91–101 De Gennaro Colonna V, Bianchi M, Pascale V, Ferrario P, Morelli F, Pascale W, Tomasoni L, Turiel M (2009) Asymmetric dimethylarginine (ADMA): an endogenous inhibitor of nitric oxide synthase and a novel cardiovascular risk molecule. Med Sci Monit 15:91–101
27.
go back to reference Dayoub H, Rodionov RN, Lynch C, Cooke JP, Arning E, Bottiglieri T, Lentz SR, Faraci FM (2008) Overexpression of dimethylarginine dimethylaminohydrolase inhibits asymmetric dimethylarginine-induced endothelial dysfunction in the cerebral circulation. Stroke 39:180–184, 18063827, 10.1161/STROKEAHA.107.490631, 1:CAS:528:DC%2BD2sXhsVehs7rMCrossRefPubMed Dayoub H, Rodionov RN, Lynch C, Cooke JP, Arning E, Bottiglieri T, Lentz SR, Faraci FM (2008) Overexpression of dimethylarginine dimethylaminohydrolase inhibits asymmetric dimethylarginine-induced endothelial dysfunction in the cerebral circulation. Stroke 39:180–184, 18063827, 10.1161/STROKEAHA.107.490631, 1:CAS:528:DC%2BD2sXhsVehs7rMCrossRefPubMed
28.
go back to reference Hamed SA, Hamed EA, Ezz Eldin AM, Mahmoud NM (2010) Vascular risk factors, endothelial function, and carotid thickness in patients with migraine: relationship to atherosclerosis. J Stroke Cerebrovasc Dis 19:92–103, 20189084, 10.1016/j.jstrokecerebrovasdis.2009.04.007CrossRefPubMed Hamed SA, Hamed EA, Ezz Eldin AM, Mahmoud NM (2010) Vascular risk factors, endothelial function, and carotid thickness in patients with migraine: relationship to atherosclerosis. J Stroke Cerebrovasc Dis 19:92–103, 20189084, 10.1016/j.jstrokecerebrovasdis.2009.04.007CrossRefPubMed
29.
go back to reference Tietjen GE, Herial NA, White L, Utley C, Kosmyna JM, Khuder SA (2009) Migraine and biomarkers of endothelial activation in young women. Stroke 40:2977–2982, 19608996, 10.1161/STROKEAHA.109.547901, 1:CAS:528:DC%2BD1MXhtVSisLrMCrossRefPubMed Tietjen GE, Herial NA, White L, Utley C, Kosmyna JM, Khuder SA (2009) Migraine and biomarkers of endothelial activation in young women. Stroke 40:2977–2982, 19608996, 10.1161/STROKEAHA.109.547901, 1:CAS:528:DC%2BD1MXhtVSisLrMCrossRefPubMed
30.
go back to reference Borroni B, Rao R, Liberini P, Venturelli E, Cossandi M, Archetti S, Caimi L, Padovani A (2006) Endothelial nitric oxide synthase (Glu298Asp) polymorphism is an independent risk factor for migraine with aura. Headache 46:1575–1579, 17115991, 10.1111/j.1526-4610.2006.00614.xCrossRefPubMed Borroni B, Rao R, Liberini P, Venturelli E, Cossandi M, Archetti S, Caimi L, Padovani A (2006) Endothelial nitric oxide synthase (Glu298Asp) polymorphism is an independent risk factor for migraine with aura. Headache 46:1575–1579, 17115991, 10.1111/j.1526-4610.2006.00614.xCrossRefPubMed
31.
go back to reference Stovner LJ, Tronvik E, Hagen K (2009) New drugs for migraine. J Headache Pain 10:395–406, 19795182, 10.1007/s10194-009-0156-9, 1:CAS:528:DC%2BD1MXhsVGlsbvOPubMedCentralCrossRefPubMed Stovner LJ, Tronvik E, Hagen K (2009) New drugs for migraine. J Headache Pain 10:395–406, 19795182, 10.1007/s10194-009-0156-9, 1:CAS:528:DC%2BD1MXhsVGlsbvOPubMedCentralCrossRefPubMed
32.
go back to reference Farinelli I, De Filippis S, Coloprisco G, Missori S, Martelletti P (2009) Future drugs for migraine. Intern Emerg Med 4:367–373, 19551474, 10.1007/s11739-009-0273-0CrossRefPubMed Farinelli I, De Filippis S, Coloprisco G, Missori S, Martelletti P (2009) Future drugs for migraine. Intern Emerg Med 4:367–373, 19551474, 10.1007/s11739-009-0273-0CrossRefPubMed
Metadata
Title
Increased asymmetric dimethylarginine and nitric oxide levels in patients with migraine
Authors
Ertugrul Uzar
Osman Evliyaoglu
Gülten Toprak
Abdullah Acar
Yavuz Yucel
Tugba Calisir
Mehmet Ugur Cevik
Nebahat Tasdemir
Publication date
01-04-2011
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 2/2011
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1007/s10194-011-0323-7

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