Syncope in Migraine: A Genome-Wide Association Study Revealing Distinct Genetic Susceptibility Variants Across Subtypes.

IF 2.9 3区 医学 Q2 CLINICAL NEUROLOGY Journal of Clinical Neurology Pub Date : 2024-11-01 DOI:10.3988/jcn.2024.0156
Wei Lin, Yi Liu, Chih-Sung Liang, Po-Kuan Yeh, Chia-Kuang Tsai, Kuo-Sheng Hung, Yu-Chin An, Fu-Chi Yang
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Abstract

Background and purpose: Syncope is characterized by the temporary loss of consciousness and is commonly associated with migraine. However, the genetic factors that contribute to this association are not well understood. This study investigated the specific genetic loci that make patients with migraine more susceptible to syncope as well as the genetic factors contributing to syncope and migraine comorbidity in a Han Chinese population in Taiwan.

Methods: A genome-wide association study was applied to 1,724 patients with migraine who visited a tertiary hospital in Taiwan. The patients were genotyped using the Affymetrix Axiom Genome-Wide TWB 2.0 array and categorized into the following subgroups based on migraine type: episodic migraine, chronic migraine, migraine with aura, and migraine without aura. Multivariate regression analyses were used to assess the relationships between specific single-nucleotide polymorphisms (SNPs) and the clinical characteristics in patients with syncope and migraine comorbidity.

Results: In patients with migraine, SNPs were observed to be associated with syncope. In particular, the rs797384 SNP located in the intron region of LOC102724945 was associated with syncope in all patients with migraine. Additionally, four SNPs associated with syncope susceptibility were detected in the nonmigraine control group, and these SNPs differed from those in the migraine group, suggesting distinct underlying mechanisms. Furthermore, the rs797384 variant in the intron region of LOC102724945 was associated with the score on the Beck Depression Inventory.

Conclusions: The novel genetic loci identified in this study will improve our understanding of the genetic basis of syncope and migraine comorbidity.

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偏头痛中的晕厥:揭示不同亚型遗传易感性变异的全基因组关联研究
背景和目的:晕厥的特征是暂时失去知觉,通常与偏头痛有关。然而,导致这种关联的遗传因素尚不十分清楚。本研究调查了使偏头痛患者更易发生晕厥的特定基因位点,以及在台湾汉族人群中导致晕厥和偏头痛合并症的遗传因素:方法:对在台湾一家三级医院就诊的1724名偏头痛患者进行了全基因组关联研究。使用 Affymetrix Axiom Genome-Wide TWB 2.0 阵列对患者进行基因分型,并根据偏头痛类型将患者分为以下亚组:发作性偏头痛、慢性偏头痛、有先兆偏头痛和无先兆偏头痛。多变量回归分析用于评估晕厥和偏头痛合并症患者的特定单核苷酸多态性(SNPs)与临床特征之间的关系:结果发现:在偏头痛患者中,SNPs 与晕厥相关。其中,位于 LOC102724945 内含子区的 rs797384 SNP 与所有偏头痛患者的晕厥有关。此外,在非偏头痛对照组中发现了四个与晕厥易感性相关的SNP,这些SNP与偏头痛组中的SNP不同,表明其潜在机制不同。此外,LOC102724945内含子区的rs797384变异与贝克抑郁量表的得分有关:本研究发现的新基因位点将提高我们对晕厥和偏头痛合并症遗传基础的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Clinical Neurology
Journal of Clinical Neurology 医学-临床神经学
CiteScore
4.50
自引率
6.50%
发文量
0
审稿时长
>12 weeks
期刊介绍: The JCN aims to publish the cutting-edge research from around the world. The JCN covers clinical and translational research for physicians and researchers in the field of neurology. Encompassing the entire neurological diseases, our main focus is on the common disorders including stroke, epilepsy, Parkinson''s disease, dementia, multiple sclerosis, headache, and peripheral neuropathy. Any authors affiliated with an accredited biomedical institution may submit manuscripts of original articles, review articles, and letters to the editor. The JCN will allow clinical neurologists to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism.
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