The Role of Endothelial Dysfunction in the Pathophysiology and Cerebrovascular Effects of Migraine: A Narrative Review
| العنوان: | The Role of Endothelial Dysfunction in the Pathophysiology and Cerebrovascular Effects of Migraine: A Narrative Review |
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| المؤلفون: | Claudia Altamura, Matteo Paolucci, Fabrizio Vernieri |
| المصدر: | Journal of Clinical Neurology (Seoul, Korea) |
| بيانات النشر: | Korean Neurological Association, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Endothelium, Vasodilation, Vascular permeability, Review, Bioinformatics, 03 medical and health sciences, 0302 clinical medicine, medicine, vasoconstriction, 030212 general & internal medicine, Endothelial dysfunction, thrombosis, business.industry, medicine.disease, vasodilatation, Migraine with aura, hypercoagulability, medicine.anatomical_structure, Neurology, Migraine, inflammation, Cortical spreading depression, Neurology (clinical), Neurovascular Disorder, medicine.symptom, business, 030217 neurology & neurosurgery |
| الوصف: | Background and purpose Migraine is a complex neurovascular disorder whose triggers are not entirely understood. Endothelial dysfunction might play a role in migraine, and there have been numerous reports on endothelium dysfunction and migraine pathophysiology, but their reciprocal cause-effect relationship remains unclear. This review reports the current evidence on endothelium dysfunction, its link with migraine, and its possible consequences for cerebral hemodynamics. Methods We performed a systematic literature search of PubMed up to March 2020. We included 115 articles in a narrative review. Results Several studies have demonstrated that endothelium dysfunction may play an important role in migraine. Despite the lack of specific biomarkers, there is evidence of oxidative stress and inflammation-two of the primary causes of endothelial damage-in migraine. The main consequences of endothelial dysfunction are increased vascular tone, thrombosis, inflammation, and increased vascular permeability. As a consequence of oxidative stress, the activity of endothelin-1 is not counterbalanced by nitric oxide (NO), whose levels decrease to lead to vasoconstriction and a possible contribution to cortical spreading depression. NO is involved in pain perception via the cyclic guanosine monophosphate (cGMP) pathway and the induction of calcitonin gene-related peptide. Oxidative stress may induce a hypercoagulable state that mainly affects platelet function through different mechanisms. Endothelial dysfunction seems to be particularly pronounced in migraine with aura (MA). Endothelial dysfunction in migraine particularly involves intracranial vessels, since flow-mediated dilation cannot detect overt peripheral vascular dysfunction. Conclusions Endothelial dysfunction is a vascular risk marker. How it impacts migraine, and particularly MA, needs to be understood better by defining its possible role in increasing the stroke risk in migraine patients. |
| تدمد: | 2005-5013 1738-6586 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8ea6c9bf03794a63d68262ee505ff71fTest https://doi.org/10.3988/jcn.2021.17.2.164Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8ea6c9bf03794a63d68262ee505ff71f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20055013 17386586 |
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