Senin, 27 September 2010

Faulty Gene Causes Common Migraines

A new study led by researchers from Canada and the UK suggests that a faulty gene causes common migraines: when the gene is not switched on, it inhibits a protein that regulates the threshold of sensitivity of pain centres in the brain.

You can read how the study, led by researchers from the University of Montreal and the University of Oxford, with contributions from other members in the UK and Canada and also Portugal and Australia, arrived at this result in the 26 September online issue of the journal Nature Medicine.

Migraine headaches are a debilitating condition that affect one in five women and one in ten men worldwide; the World Health Organization rates it as a leading cause of disability worldwide and it is also thought to be the most costly neurological disorder in Europe.

The headaches are severe and long-lasting and usually start as a throbbing pain on one side or the front of the head. Sometimes the pain is preceded by a visual disturbance called an "aura", often experienced as blind spots, zigzag lines, flashing lights, visual hallucinations, or tingling in an arm or leg.

The headache itself can also be accompanied by other symptoms such as sensitivity to light and smells, as well as nausea and occasional vomiting.

While previous studies have linked certain parts of human DNA to increased risk of migraines in the general population, none has yet, before this study, found genes directly responsible for common migraines.

In this latest study, the researchers found that a mutation in the KCNK18 gene inhibits the function of a protein called TRESK, which plays an important part in nerve cell communication: it helps to regulate the sensitivity threshold of pain centres in the brain.

The team compared the DNA of people who suffer from migraines with that of people who do not. They found that one large family of sufferers of migraine with aura carried the mutation.

Lead author Ron Lafreniere, Associate Director of the Centre of Excellence in Neuromics of the Université de Montréal (CENUM), said in a statement that:

"We found a mutation in the KCNK18 gene that interrupts TRESK function in one large family suffering from migraine with aura."

"When we tested everyone in the family, all those who suffered from migraine also had the mutation," he added.

Before this study, genes for migraine have only been found in a rare form of the disorder that is accompanied by limb weakness on one side of the body.

"We focused on the more common types of migraine, without this muscle weakness, in our study, and looked at genes controlling brain excitability," explained Lafreniere.

Co-author Dr Zameel Cader, from the MRC Functional Genomics Unit at Oxford, told the press that:


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