Upregulation of inflammatory gene transcripts in periosteum of chronic migraineurs: Implications for extracranial origin of headache Article Swipe
Carlton Perry
,
Pamela G. Blake
,
Catherine Buettner
,
Efstathios Papavassiliou
,
Aaron Schain
,
Manoj Bhasin
,
Rami Burstein
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1002/ana.24665
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1002/ana.24665
Objective Chronic migraine (CM) is often associated with chronic tenderness of pericranial muscles. A distinct increase in muscle tenderness prior to onset of occipital headache that eventually progresses into a full‐blown migraine attack is common. This experience raises the possibility that some CM attacks originate outside the cranium. The objective of this study was to determine whether there are extracranial pathophysiologies in these headaches. Methods We biopsied and measured the expression of gene transcripts (mRNA) encoding proteins that play roles in immune and inflammatory responses in affected (ie, where the head hurts) calvarial periosteum of (1) patients whose CMs are associated with muscle tenderness and (2) patients with no history of headache. Results Expression of proinflammatory genes (eg, CCL8 , TLR2 ) in the calvarial periosteum significantly increased in CM patients attesting to muscle tenderness, whereas expression of genes that suppress inflammation and immune cell differentiation (eg, IL10RA , CSF1R ) decreased. Interpretation Because the upregulated genes were linked to activation of white blood cells, production of cytokines, and inhibition of NF‐κB, and the downregulated genes were linked to prevention of macrophage activation and cell lysis, we suggest that the molecular environment surrounding periosteal pain fibers is inflamed and in turn activates trigeminovascular nociceptors that reach the affected periosteum through suture branches of intracranial meningeal nociceptors and/or somatic branches of the occipital nerve. This study provides the first set of evidence for localized extracranial pathophysiology in CM. Ann Neurol 2016;79:1000–1013
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/ana.24665
- OA Status
- green
- Cited By
- 88
- References
- 87
- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2337907391Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/ana.24665Digital Object Identifier
- Title
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Upregulation of inflammatory gene transcripts in periosteum of chronic migraineurs: Implications for extracranial origin of headacheWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2016Year of publication
- Publication date
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2016-04-19Full publication date if available
- Authors
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Carlton Perry, Pamela G. Blake, Catherine Buettner, Efstathios Papavassiliou, Aaron Schain, Manoj Bhasin, Rami BursteinList of authors in order
- Landing page
-
https://doi.org/10.1002/ana.24665Publisher landing page
- Open access
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://doi.org/10.1002/ana.24665Direct OA link when available
- Concepts
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Downregulation and upregulation, Periosteum, Medicine, Inflammation, Gene, Bioinformatics, Pathology, Internal medicine, Biology, GeneticsTop concepts (fields/topics) attached by OpenAlex
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88Total citation count in OpenAlex
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2025: 7, 2024: 13, 2023: 8, 2022: 10, 2021: 14Per-year citation counts (last 5 years)
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87Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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