دورية أكاديمية
Prophylactic treatment can modify vascular risk biomarkers in high-frequency episodic and chronic migraine patients: a pilot study
العنوان: | Prophylactic treatment can modify vascular risk biomarkers in high-frequency episodic and chronic migraine patients: a pilot study |
---|---|
المؤلفون: | González Mingot, Cristina, Santos Lasaosa , Sonia, Colàs Campàs, Laura, Chilangua Canaval, Laura, Gil Sánchez, Anna, Brieva Ruiz, Luis, Marzo Alonso, María Cristina, Peralta Moncusí, Silvia, Valls Marsal, Joan, Cambray Carner, Serafí, Purroy Garcia, Francisco |
بيانات النشر: | Nature Research |
سنة النشر: | 2023 |
المجموعة: | Universitat de Lleida: Repositori Obert UdL |
مصطلحات موضوعية: | Biomarkers, Neurology, Neuroscience |
الوصف: | To evaluate whether preventive treatment can modify endothelial and oxidative biomarkers of vascular disease risk in patients with high-frequency episodic and chronic migraine. In this observational, prospective pilot study, 88 prophylactic treatment-naïve patients with episodic and chronic migraine and 56 healthy sex/age matched controls underwent ultrasonography exams and blood tests at baseline, and again in the migraine patients after 3 months’ treatment with metoprolol or topiramate. Biomarkers for endothelial function and oxidative stress were analyzed. At baseline, patients with migraine in the low-frequency episodic group had differences exclusively in nitrates 17.6 versus 27.33 µM; p = 0.046 compared to the controls. However, when comparing the group comprised of patients with high-frequency episodic migraine and chronic migraine versus controls, statistically significant differences appeared in hsCRP 2.68 versus 1.64 mg/dL; p = 0.049, vWF antigen (133% vs. 110%; p = 0.020, vWF activity (111% vs. 90%; p = 0.010) and isoprostane levels (181 vs. 238 µM; p = 0.05). Only in the chronic migraine subgroup did we found statistically significant differences in CIMT (0.60 vs. 0.54 mm; p = 0.042) which were significantly greater than in the controls. After treatment, patients who respond to preventive treatment exhibited significantly higher levels of nitrates (24.2–13.8 µM; p = 0.022) and nitrites (10.4–3.43 µM; p = 0.002) compared than non-responders. Moreover, biomarker levels improved in treatment-responsive patients with migraine; hsCRP levels decreased from 2.54 to 1.69 mg/dL (p < 0.05), vWF activity levels decreased from 124 to 103 IU/dL (p = 0.003) and prothrombin activity decreased from 1.01 to 0.93 (p = 0.01). These differences were also observed in the high-frequency and chronic migraine subgroup and reach statistical significance in the case of hsCRP, which decreased from 2.12 to 0.83 mg/dL (p = 0.048). Patients with migraines have differences in biomarker levels compared to controls, suggesting ... |
نوع الوثيقة: | article in journal/newspaper |
اللغة: | English |
تدمد: | 2045-2322 |
العلاقة: | Reproducció del document publicat a https://doi.org/10.1038/s41598-023-44522-8Test; Scientific Reports, 2023, vol. 13, 19416; https://doi.org/10.1038/s41598-023-44522-8Test; https://repositori.udl.cat/handle/10459.1/464720Test |
DOI: | 10.1038/s41598-023-44522-8 |
الإتاحة: | https://doi.org/10.1038/s41598-023-44522-8Test https://repositori.udl.cat/handle/10459.1/464720Test |
حقوق: | cc-by (c) Cristina González Mingot et al., 2023 ; Attribution 4.0 International ; info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by/4.0Test/ |
رقم الانضمام: | edsbas.9EED9120 |
قاعدة البيانات: | BASE |
تدمد: | 20452322 |
---|---|
DOI: | 10.1038/s41598-023-44522-8 |