ESR1多态性与偏头痛易感性的关联:荟萃分析和试验序列分析

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY
Shovit Ranjan, Akshita Paikaray, Ankur Mishra, Aman Sethi, Dibenwita Dhurua, Aditya K Panda
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引用次数: 0

摘要

背景:偏头痛是一种高度流行和致残的神经系统疾病,其主要特征是头部一侧中度至重度的搏动和搏动性疼痛反复发作。雌激素在偏头痛中的作用已被充分证明。尽管ESR1基因的遗传变异与患偏头痛的风险增加有关,但研究结果并不一致。我们对先前发表的文章进行了荟萃分析,考虑了ESR1基因的四个重要单核苷酸多态性(rs1801132、rs2228480、rs2234693和rs9340799),以探索它们与偏头痛发展及其临床表型的可能关联。材料与方法:我们全面检索PubMed、Science Direct、Scopus等文献数据库,检索时间截止到2024年3月14日。我们使用GPower软件v.3来评估meta分析中包含的每个报告的功效,并使用Comprehensive meta-analysis v4来评估所有与meta分析相关的分析。我们采用漏斗图和Egger’s回归检验来确定每个遗传比较模型中的发表偏倚。我们使用Cochrane Q统计量、概率值和I2来评估异质性。结果:在应用预定义标准后,对11项相关研究进行了荟萃分析,其中包括3835例偏头痛和3655名健康个体。分析表明,ESR1多态性(rs2228480和rs9340799)与患偏头痛的可能性有很强的相关性。此外,亚组分析显示rs2228480与高加索人和亚洲人的偏头痛易感性相关。此外,发现rs2234693变异与先兆偏头痛的发展有关。然而,试验序列分析表明,需要更多的病例对照研究来确定ESR1变异在偏头痛中的确切作用。结论:ESR1变异(rs2228480、rs2234693和rs9340799)与偏头痛及相关表型的风险增加相关。然而,需要进一步的研究来确定一个明确的结论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of ESR1 Polymorphisms with Susceptibility to Migraine: A Meta-Analysis and Trial Sequential Analysis.

Background: Migraine is a highly prevalent and incapacitating neurological disorder mostly characterised by recurring attacks of moderate to severe throbbing and pulsating pain on one side of the head. The role of estrogen in migraine has been well documented. Although genetic variations in the ESR1 gene have been associated with an increased risk of developing migraine, the findings are inconsistent. We performed a meta-analysis of previously published articles considering four important single nucleotide polymorphisms in the ESR1 gene (rs1801132, rs2228480, rs2234693, and rs9340799) to explore their possible association with the development of migraine and its clinical phenotypes.

Materials and methods: We thoroughly searched literature databases, including PubMed, Science Direct, and Scopus until March 14, 2024, to identify the relevant reports. We utilized GPower software v.3 to assess the power of each report included in the meta-analysis and Comprehensive Meta-analysis v4 for all meta-analysis-related analyses. We employed funnel plots and Egger's regression test to identify publication biases within each genetic comparison model. We used Cochrane Q statistics, probability value, and I2 to assess heterogeneity.

Results: After applying predefined criteria, a meta-analysis was conducted with 11 relevant studies comprising 3835 cases of migraine and 3655 healthy individuals. The analysis indicated a strong correlation between ESR1 polymorphisms (rs2228480 and rs9340799) and the likelihood of developing migraine. Furthermore, the subgroup analysis showed that rs2228480 is associated with susceptibility to migraine in both Caucasians and Asians. Additionally, rs2234693 variants were found to be linked with the development of migraine with aura. However, the trial sequential analysis suggested that more case-control studies are necessary to establish the definitive role of ESR1 variants in migraine.

Conclusions: ESR1 variants (rs2228480, rs2234693, and rs9340799) are associated with an increased risk of migraine and related phenotypes. However, further studies are needed to establish a definitive conclusion.

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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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