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Published in: BMC Neurology 1/2008

Open Access 01-12-2008 | Research article

Angiotensin-converting enzyme gene insertion/deletion polymorphism in migraine patients

Authors: Erling Tronvik, Lars J Stovner, Gunnar Bovim, Linda R White, Amanda J Gladwin, Kathryn Owen, Harald Schrader

Published in: BMC Neurology | Issue 1/2008

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Abstract

Background

The main objective of this study was to investigate the angiotensin converting enzyme (ACE) genotype as a possible risk factor for migraine (both with and without aura) compared to controls. We also wanted to examine whether a clinical response to an ACE inhibitor, lisinopril, or an angiotensin II receptor blocker, candesartan, in migraine prophylaxis was related to ACE genotype.

Methods

347 migraine patients aged 18–68 (155 migraine without aura (MoA), 187 migraine with aura (MwA) and 5 missing aura subgroup data) and 403 healthy non-migrainous controls > 40 years of age were included in the study. A polymerase chain reaction (PCR) was performed on the genomic DNA samples to obtain the ACE insertion (I)/deletion(D) polymorphisms.

Results

No significant differences between migraine patients and controls were found with regard to ACE genotype and allele distributions. Furthermore, there was no significant difference between the controls and the MwA or MoA subgroups.

Conclusion

In our sample there is no association between ACE genotype or allele frequency and migraine. In addition, ACE genotype in our experience did not predict the clinical response to lisinopril or candesartan used as migraine prophylactics.
Appendix
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Literature
1.
go back to reference Sicuteri F: Enkephalinase inhibition relieves pain syndromes of central dysnociception (migraine and related headache). Cephalalgia. 1981, 1: 229-232. 10.1046/j.1468-2982.1981.0104229.x.CrossRefPubMed Sicuteri F: Enkephalinase inhibition relieves pain syndromes of central dysnociception (migraine and related headache). Cephalalgia. 1981, 1: 229-232. 10.1046/j.1468-2982.1981.0104229.x.CrossRefPubMed
2.
go back to reference Bender WI: ACE inhibitors for prophylaxis of migraine headaches. Headache. 1995, 35: 470-471. 10.1111/j.1526-4610.1995.hed3508470.x.CrossRefPubMed Bender WI: ACE inhibitors for prophylaxis of migraine headaches. Headache. 1995, 35: 470-471. 10.1111/j.1526-4610.1995.hed3508470.x.CrossRefPubMed
3.
go back to reference Etminan M, Mitchell A, Levine MA, Tomlinson G, Rochon PA: Efficacy of angiotensin II receptor antagonists in preventing headache: a systematic overview and meta-analysis. Am J Med. 2002, 112: 642-646. 10.1016/S0002-9343(02)01100-2.CrossRefPubMed Etminan M, Mitchell A, Levine MA, Tomlinson G, Rochon PA: Efficacy of angiotensin II receptor antagonists in preventing headache: a systematic overview and meta-analysis. Am J Med. 2002, 112: 642-646. 10.1016/S0002-9343(02)01100-2.CrossRefPubMed
4.
go back to reference Schrader H, Stovner LJ, Helde G, Sand T, Bovim G: Prophylactic treatment of migraine with angiotensin converting enzyme inhibitor (lisinopril): randomised, placebo controlled, crossover study. BMJ. 2001, 322: 19-22. 10.1136/bmj.322.7277.19.CrossRefPubMedPubMedCentral Schrader H, Stovner LJ, Helde G, Sand T, Bovim G: Prophylactic treatment of migraine with angiotensin converting enzyme inhibitor (lisinopril): randomised, placebo controlled, crossover study. BMJ. 2001, 322: 19-22. 10.1136/bmj.322.7277.19.CrossRefPubMedPubMedCentral
5.
go back to reference Tronvik E, Stovner LJ, Helde G, Sand T, Bovim G: Prophylactic treatment of migraine with an angiotensin II receptor blocker (Candesartan cilexetil): a randomized, placebo controlled, crossover study. JAMA. 2003, 289: 65-69. 10.1001/jama.289.1.65.CrossRefPubMed Tronvik E, Stovner LJ, Helde G, Sand T, Bovim G: Prophylactic treatment of migraine with an angiotensin II receptor blocker (Candesartan cilexetil): a randomized, placebo controlled, crossover study. JAMA. 2003, 289: 65-69. 10.1001/jama.289.1.65.CrossRefPubMed
6.
go back to reference Tronvik E, Stovner LJ, Schrader H, Bovim G: Involvement of the renin-angiotensin system in migraine. J Hypertens Suppl. 2006, 24: S139-143. 10.1097/01.hjh.0000220419.86149.11.CrossRefPubMed Tronvik E, Stovner LJ, Schrader H, Bovim G: Involvement of the renin-angiotensin system in migraine. J Hypertens Suppl. 2006, 24: S139-143. 10.1097/01.hjh.0000220419.86149.11.CrossRefPubMed
7.
go back to reference Anderson JL, Carlquist JF, King GJ, Morrison L, Thomson MJ, Ludwig EH, Muhlestein JB, Bair TL, Ward RH: ACE polymorphisms in women and risk of myocardial infarction. J Am Coll Cardiol. 1998, 31: 790-796. 10.1016/S0735-1097(98)00007-2.CrossRefPubMed Anderson JL, Carlquist JF, King GJ, Morrison L, Thomson MJ, Ludwig EH, Muhlestein JB, Bair TL, Ward RH: ACE polymorphisms in women and risk of myocardial infarction. J Am Coll Cardiol. 1998, 31: 790-796. 10.1016/S0735-1097(98)00007-2.CrossRefPubMed
8.
go back to reference Paterna S, Di Pasquale P, D'Angelo A, Seidita G, Tuttolomondo A, Cardinale A, Maniscalchi T, Follone G, Giubilato A, Tarantello M, Licata G: Angiotensin-converting enzyme gene deletion polymorphism determines an increase in frequency of migraine attacks in patients suffering from migraine without aura. Eur Neurol. 2000, 43: 133-136. 10.1159/000008151.CrossRefPubMed Paterna S, Di Pasquale P, D'Angelo A, Seidita G, Tuttolomondo A, Cardinale A, Maniscalchi T, Follone G, Giubilato A, Tarantello M, Licata G: Angiotensin-converting enzyme gene deletion polymorphism determines an increase in frequency of migraine attacks in patients suffering from migraine without aura. Eur Neurol. 2000, 43: 133-136. 10.1159/000008151.CrossRefPubMed
9.
go back to reference Lea RA, Ovcaric M, Sundholm J, Solyom L, Macmillan J, Griffiths LR: Genetic variants of angiotensin converting enzyme and methylenetetrahydrofolate reductase may act in combination to increase migraine susceptibility. Brain Res Mol Brain Res. 2005, 136: 112-117. 10.1016/j.molbrainres.2005.01.006.CrossRefPubMed Lea RA, Ovcaric M, Sundholm J, Solyom L, Macmillan J, Griffiths LR: Genetic variants of angiotensin converting enzyme and methylenetetrahydrofolate reductase may act in combination to increase migraine susceptibility. Brain Res Mol Brain Res. 2005, 136: 112-117. 10.1016/j.molbrainres.2005.01.006.CrossRefPubMed
10.
go back to reference Kowa H, Fusayasu E, Ijiri T, Ishizaki K, Yasui K, Nakaso K, Kusumi M, Takeshima T, Nakashima K: Association of the insertion/deletion polymorphism of the angiotensin I-converting enzyme gene in patients of migraine with aura. Neurosci Lett. 2005, 374: 129-131. 10.1016/j.neulet.2004.10.041.CrossRefPubMed Kowa H, Fusayasu E, Ijiri T, Ishizaki K, Yasui K, Nakaso K, Kusumi M, Takeshima T, Nakashima K: Association of the insertion/deletion polymorphism of the angiotensin I-converting enzyme gene in patients of migraine with aura. Neurosci Lett. 2005, 374: 129-131. 10.1016/j.neulet.2004.10.041.CrossRefPubMed
11.
go back to reference Ba'albaki H, Rapoport A: Mast cells activate the renin angiotensin system and contribute to migraine: A hypothesis. Headache: The Journal of Head and Face Pain. 10.1111/j.1526-4610.2007.00852.x. OnlineEarly Articles Ba'albaki H, Rapoport A: Mast cells activate the renin angiotensin system and contribute to migraine: A hypothesis. Headache: The Journal of Head and Face Pain. 10.1111/j.1526-4610.2007.00852.x. OnlineEarly Articles
12.
go back to reference Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders, 2nd edn. Cephalalgia. 2004, 24 (Suppl 1): 1-160. Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders, 2nd edn. Cephalalgia. 2004, 24 (Suppl 1): 1-160.
13.
go back to reference Rigat B, Hubert C, Corvol P, Soubrier F: PCR detection of the insertion/deletion polymorphism of the human angiotensin converting enzyme gene (DCP1) (dipeptidyl carboxypeptidase 1). Nucleic Acids Res. 1992, 20: 1433-10.1093/nar/20.6.1433-a.CrossRefPubMedPubMedCentral Rigat B, Hubert C, Corvol P, Soubrier F: PCR detection of the insertion/deletion polymorphism of the human angiotensin converting enzyme gene (DCP1) (dipeptidyl carboxypeptidase 1). Nucleic Acids Res. 1992, 20: 1433-10.1093/nar/20.6.1433-a.CrossRefPubMedPubMedCentral
14.
go back to reference Tiret L, Rigat B, Visvikis S, Breda C, Corvol P, Cambien F, Soubrier F: Evidence, from combined segregation and linkage analysis, that a variant of the angiotensin I-converting enzyme (ACE) gene controls plasma ACE levels. Am J Hum Genet. 1992, 51: 197-205.PubMedPubMedCentral Tiret L, Rigat B, Visvikis S, Breda C, Corvol P, Cambien F, Soubrier F: Evidence, from combined segregation and linkage analysis, that a variant of the angiotensin I-converting enzyme (ACE) gene controls plasma ACE levels. Am J Hum Genet. 1992, 51: 197-205.PubMedPubMedCentral
15.
go back to reference Altman DG: Practical statistics for medical research. 1997, London: Chapman & Hall, 455-460. Altman DG: Practical statistics for medical research. 1997, London: Chapman & Hall, 455-460.
16.
go back to reference Lin JJ, Wang PJ, Chen CH, Yueh KC, Lin SZ, Harn HJ: Homozygous deletion genotype og angiotensin converting enzyme confers protection against migraine in man. Acta Neurol Taiwan. 2005, 14: 120-125.PubMed Lin JJ, Wang PJ, Chen CH, Yueh KC, Lin SZ, Harn HJ: Homozygous deletion genotype og angiotensin converting enzyme confers protection against migraine in man. Acta Neurol Taiwan. 2005, 14: 120-125.PubMed
17.
go back to reference Freedman ML, Reich D, Penney KL, McDonald GJ, Mignault AA, Patterson N, Gabriel SB, Topol EJ, Smoller JW, Pato CN, Pato MT, Petryshen TL, Kolonel LN, Lander ES, Sklar P, Henderson B, Hirschhorn JN, Altshuler D: Assessing the impact of population stratification on genetic association studies. Nat Genet. 2004, 36: 388-393. 10.1038/ng1333.CrossRefPubMed Freedman ML, Reich D, Penney KL, McDonald GJ, Mignault AA, Patterson N, Gabriel SB, Topol EJ, Smoller JW, Pato CN, Pato MT, Petryshen TL, Kolonel LN, Lander ES, Sklar P, Henderson B, Hirschhorn JN, Altshuler D: Assessing the impact of population stratification on genetic association studies. Nat Genet. 2004, 36: 388-393. 10.1038/ng1333.CrossRefPubMed
18.
go back to reference Healy DG: Case-control studies in the genomic era: a clinician's guide. Lancet Neurol. 2006, 5: 701-707. 10.1016/S1474-4422(06)70524-5.CrossRefPubMed Healy DG: Case-control studies in the genomic era: a clinician's guide. Lancet Neurol. 2006, 5: 701-707. 10.1016/S1474-4422(06)70524-5.CrossRefPubMed
Metadata
Title
Angiotensin-converting enzyme gene insertion/deletion polymorphism in migraine patients
Authors
Erling Tronvik
Lars J Stovner
Gunnar Bovim
Linda R White
Amanda J Gladwin
Kathryn Owen
Harald Schrader
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2008
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/1471-2377-8-4

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