Abstract
The pathogenic mechanisms involved in migraine are complex and not completely clarified. Because there is evidence for the involvement of nitric oxide (NO) in migraine pathophysiology, candidate gene approaches focusing on genes affecting the endothelial function have been studied including the genes encoding endothelial NO synthase (eNOS), inducible NO synthase (iNOS), and vascular endothelial growth factor (VEGF). However, investigations on gene–gene interactions are warranted to better elucidate the genetic basis of migraine. This study aimed at characterizing interactions among nine clinically relevant polymorphisms in eNOS (T−786C/rs2070744, the 27 bp VNTR in intron 4, the Glu298Asp/rs1799983, and two additional tagSNPs rs3918226 and rs743506), iNOS (C−1026A/rs2779249 and G2087A/rs2297518), and VEGF (C−2578A/rs699947 and G−634C/rs2010963) in migraine patients and control group. Genotypes were determined by real-time polymerase chain reaction using the Taqman® allele discrimination assays or PCR and fragment separation by electrophoresis in 99 healthy women without migraine (control group) and in 150 women with migraine divided into two groups: 107 with migraine without aura and 43 with aura. The multifactor dimensionality reduction method was used to detect and characterize gene–gene interactions. We found a significant interaction between eNOS rs743506 and iNOS 2087G/A polymorphisms in migraine patients compared to control group (P < 0.05), suggesting that this combination affect the susceptibility to migraine. Further studies are needed to determine the molecular mechanisms explaining this interaction.
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References
Maher BH, Griffiths LR (2011) Identification of molecular genetic factors that influence migraine. Mol Genet Genomics 285:433–446
Victor T, Hu X, Campbell J, Buse D, Lipton R (2010) Migraine prevalence by age and sex in the United States: a life-span study. Cephalalgia 30:1065–1072
Jensen R, Stovner LJ (2008) Epidemiology and comorbidity of headache. Lancet Neurol 7:354–361
Martins-Oliveira A, Speciali JG, Dach F, Marcaccini AM, Gonçalves FM, Gerlach RF, Tanus-Santos JE (2009) Different circulating metalloproteinases profiles in women with migraine with and without aura. Clin Chim Acta 408:60–64
Goadsby PJ, Charbit AR, Andreou AP, Akerman S, Holland PR (2009) Neurobiology of migraine. Neuroscience 161:327–341
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
Kurth T, Chabriat H, Bousser MG (2012) Migraine and stroke: a complex association with clinical implications. Lancet Neurol 11:92–100
Schurks M, Buring JE, Ridker PM, Chasman DI, Kurth T (2011) Genetic determinants of cardiovascular events among women with migraine: a genome-wide association study. PLoS ONE 6:e22106
Olesen J (2010) Nitric oxide-related drug targets in headache. Neurotherapeutics 7:183–190
Galletti F, Cupini LM, Corbelli I, Calabresi P, Sarchielli P (2009) Pathophysiological basis of migraine prophylaxis. Prog Neurobiol 89:176–192
Pietrobon D, Striessnig J (2003) Neurological diseases: neurobiology of migraine. Nat Rev Neurosci 4:386–398
Olesen J (2008) The role of nitric oxide (NO) in migraine, tension-type headache and cluster headache. Pharmacol Ther 120:157–171
Sarchielli P, Floridi A, Mancini ML, Rossi C, Coppola F, Baldi A, Pini LA, Calabresi P (2006) NF-kappaB activity and iNOS expression in monocytes from internal jugular blood of migraine without aura patients during attacks. Cephalalgia 26:1071–1079
Reuter U, Bolay H, Jansen-Olesen I, Chiarugi A, Sanchez del Rio M, Letourneau R, Theoharides TC, Waeber C, Moskowitz MA (2001) Delayed inflammation in rat meninges: implications for migraine pathophysiology. Brain 124:2490–2502
Reuter U, Chiarugi A, Bolay H, Moskowitz MA (2002) Nuclear factor-kappaB as a molecular target for migraine therapy. Ann Neurol 51:507–516
Scharfman HE, MacLusky NJ (2008) Estrogen growth factor interactions and their contributions to neurological disorders. headache. J Head Face Pain 48:S77–S89
Facemire CS, Nixon AB, Griffiths R, Hurwitz H, Coffman TM (2009) Vascular endothelial growth factor receptor 2 controls blood pressure by regulating nitric oxide synthase expression. Hypertension 54:652–658
Goncalves FM, Martins-Oliveira A, Speciali JG, Izidoro-Toledo TC, Luizon MR, Dach F, Tanus-Santos JE (2010) Vascular endothelial growth factor genetic polymorphisms and haplotypes in women with migraine. DNA Cell Biol 29:357–362
Gonçalves FM, Martins-Oliveira A, Speciali JG, Luizon MR, Izidoro-Toledo TC, Silva PS, Dach F, Tanus-Santos JE (2011) Endothelial nitric oxide synthase haplotypes associated with aura in patients with migraine. DNA Cell Biol 30:363–369
MacClellan LR, Howard TD, Cole JW, Stine OC, Giles WH, O’Connell JR, Wozniak MA, Stern BJ, Mitchell BD, Kittner SJ (2009) Relation of candidate genes that encode for endothelial function to migraine and stroke: the stroke prevention in young women study. Stroke 40:e550–e557
Mansur OS, Gonçalves FM T, Martins-Oliveira A, Speciali JG, Speciali JG, Dach F, Lacchini R, Tanus-Santos JE (2012) Inducible nitric oxide synthase haplotype associated with migraine and aura. Mol Cell Biochem 364:303–308
Crawford DC, Nickerson DA (2005) Definition and clinical importance of haplotypes. Annu Rev Med 56:303–320
Goncalves FM, Luizon MR, Speciali JG (2012) Haplotypes in candidate genes related to nitric oxide pathway and vascular permeability associated with migraine and aura. J Headache Pain 13:335–336
Schürks M (2011) Genetics of migraine in the age of genome-wide association studies. J Headache Pain 13:1–9
Schürks M, Kurth T, Buring JE, Zee RYL (2009) A candidate gene association study of 77 polymorphisms in migraine. J Pain 10:759–766
Moore JH (2003) The ubiquitous nature of epistasis in determining susceptibility to common human diseases. Hum Hered 56:73–82
Moore JH (2004) Computational analysis of gene–gene interactions using multifactor dimensionality reduction. Expert Rev Mol Diagn 4:795–803
Ritchie MD, Hahn LW, Roodi N, Bailey LR, Dupont WD, Parl FF, Moore JH (2001) Multifactor-dimensionality reduction reveals high-order interactions among estrogen-metabolism genes in sporadic breast cancer. Am J Hum Genet 69:138–147
Motsinger AA, Brassat D, Caillier SJ, Erlich HA, Walker K, Steiner LL, Barcellos LF, Pericak-Vance MA, Schmidt S, Gregory S, Hauser SL, Haines JL, Oksenberg JR, Ritchie MD (2007) Complex gene–gene interactions in multiple sclerosis: a multifactorial approach reveals associations with inflammatory genes. Neurogenetics 8:11–20
Corominas R, Sobrido MJ, Ribasés M, Cuenca-León E, Blanco-Arias P, Narberhaus B, Roig M, Leira R, López-González J, Macaya A, Cormand B (2009) Association study of the serotoninergic system in migraine in the Spanish population. Am J Med Genet B Neuropsychiatr Genet 153:177–184
Joshi G, Pradhan S, Mittal B (2010) Role of the oestrogen receptor (ESR1 PvuII and ESR1 325 C→G) and progesterone receptor (PROGINS) polymorphisms in genetic susceptibility to migraine in a North Indian population. Cephalalgia 30:311–320
Joshi G, Pradhan S, Mittal B (2011) Vascular gene polymorphisms (EDNRA −231 G>A andAPOEHhaI) and risk for migraine. DNA Cell Biol 30:577–584
Lemos C, Mendonca D, Pereira-Monteiro J, Barros J, Sequeiros J, Alonso I, Sousa A (2010) BDNF and CGRP interaction: implications in migraine susceptibility. Cephalalgia 30:1375–1382
Oterino A, Toriello M, Cayón A, Castillo J, Colas R, Alonson-Arranz A, Ruiz-Alegria C, Quintela E, Monton F, Ruiz-Lavilla N, Gonzalez F, Pascual J (2008) Multilocus analyses reveal involvement of the ESR1, ESR2, and FSHR genes in migraine. headache. J Head Face Pain 48:1438–1450
Schürks M, Zee RYL, Buring JE, Kurth T (2009) Polymorphisms in the renin-angiotensin system and migraine in women. headache. J Head Face Pain 49:292–299
SotIH Society HC (2004) The international classification of headache disorders: 2nd edition. Cephalalgia 24(Suppl 1):9–160
Sandrim VC, Palei AC, Cavalli RC, Araujo FM, Ramos ES, Duarte G, Tanus-Santos JE (2009) Vascular endothelial growth factor genotypes and haplotypes are associated with pre-eclampsia but not with gestational hypertension. Mol Hum Reprod 15:115–120
Luizon MR, Izidoro-Toledo TC, Simoes AL, Tanus-Santos JE (2009) Endothelial nitric oxide synthase polymorphisms and haplotypes in Amerindians. DNA Cell Biol 28:329–334
Pattin KA, White BC, Barney N, Gui J, Nelson HH, Kelsey KT, Andrew AS, Karagas MR, Moore JH (2009) A computationally efficient hypothesis testing method for epistasis analysis using multifactor dimensionality reduction. Genet Epidemiol 33:87–94
Wang SS (2006) Polymorphisms in oxidative stress genes and risk for non-Hodgkin lymphoma. Carcinogenesis 27:1828–1834
Olesen J, Thomsen LL, Iversen H (1994) Nitric oxide is a key molecule in migraine and other vascular headaches. Trends Pharmacol Sci 15:149–153
Lassen LH, Ashina M, Christiansen I, Ulrich V, Olesen J (1997) Nitric oxide synthase inhibition in migraine. Lancet 349:401–402
Hoffmann J, Goadsby PJ (2011) New agents for acute treatment of migraine: CGRP receptor antagonists, iNOS inhibitors. Curr Treat Options Neurol 14:50–59
Acknowledgments
This study was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo, Conselho Nacional de Desenvolvimento Científico e Tecnológico, and Coordenadoria de Aperfeiçoamento de Pessoal de Nível Superior.
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Flavia M. Gonçalves and Marcelo R. Luizon contributed equally to this work.
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Gonçalves, F.M., Luizon, M.R., Speciali, J.G. et al. Interaction among nitric oxide (NO)-related genes in migraine susceptibility. Mol Cell Biochem 370, 183–189 (2012). https://doi.org/10.1007/s11010-012-1409-5
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DOI: https://doi.org/10.1007/s11010-012-1409-5