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Clinical susceptibility to migraine with aura is modified by dopamine D2 receptor (DRD2) NcoI alleles.
Peroutka, S J; Wilhoit, T; Jones, K.
Afiliación
  • Peroutka SJ; Spectra Biomedical, Inc., Menlo Park, CA 94025, USA.
Neurology ; 49(1): 201-6, 1997 Jul.
Article en En | MEDLINE | ID: mdl-9222191
Migraine has a major genetic component. Although most recent scientific studies have focused on the role of 5-hydroxytryptamine and neuropeptides in migraine, dopaminergic systems are also implicated in the pathogenesis. Therefore, the dopamine D2 receptor (DRD2) was analyzed as a candidate gene since antagonists of this receptor have been reported to be effective in the acute treatment of migraine. Individuals with migraine with aura (n = 52) have an increased frequency (0.84) of the DRD2 NcoI C allele (chi-square = 6.47; p < 0.005) compared with control individuals (n = 121; C allele frequency = 0.71). Individuals with migraine without aura (n = 77) showed the same DRD2 T allele frequency (0.70) as the control group. Migraine with aura was present in 27% of the C/C individuals, 16% of the C/T individuals, and 5.2% of the T/T individuals. These data suggest that activation of the DRD2 receptor plays a modifying role in the pathophysiology of migraine with aura. As a result, these data provide a molecular rationale for the documented efficacy of DRD2 antagonists in the treatment of migraine with aura.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Receptores de Dopamina D2 / Alelos / Trastornos Migrañosos Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Neurology Año: 1997 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Receptores de Dopamina D2 / Alelos / Trastornos Migrañosos Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Neurology Año: 1997 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos