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Genetic analysis for a shared biological basis between migraine and coronary artery disease

  • Bendik S. Winsvold
  • , Christopher P. Nelson
  • , Rainer Malik
  • , Padhraig Gormley
  • , Verneri Anttila
  • , Jason Vander Heiden
  • , Katherine S. Elliott
  • , Line M. Jacobsen
  • , Priit Palta
  • , Najaf Amin
  • , Boukje De Vries
  • , Eija Hämäläinen
  • , Tobias Freilinger
  • , M. Arfan Ikram
  • , Thorsten Kessler
  • , Markku Koiranen
  • , Lannie Ligthart
  • , George McMahon
  • , Linda M. Pedersen
  • , Christina Willenborg
  • Hong Hee Won, Jes Olesen, Ville Artto, Themistocles L. Assimes, Stefan Blankenberg, Dorret I. Boomsma, Lynn Cherkas, George Davey Smith, Stephen E. Epstein, Jeanette Erdmann, Michel D. Ferrari, Hartmut Göbel, Alistair S. Hall, Marjo Riitta Jarvelin, Mikko Kallela, Jaakko Kaprio, Sekar Kathiresan, Terho Lehtimäki, Ruth McPherson, Winfried März, Dale R. Nyholt, Christopher J. O'Donnell, Lydia Quaye, Daniel J. Rader, Olli Raitakari, Robert Roberts, Heribert Schunkert, Markus Schürks, Alexandre F.R. Stewart, Gisela M. Terwindt, Unnur Thorsteinsdottir, Arn M.J.M. Van Den Maagdenberg, Cornelia Van Duijn, Maija Wessman, Tobias Kurth, Christian Kubisch, Martin Dichgans, Daniel I. Chasman, Chris Cotsapas, John Anker Zwart, Nilesh J. Samani, Aarno Palotie
  • University of Oslo
  • Wellcome Trust
  • University Hospitals of Leicester NHS Trust
  • University of Leicester
  • Ludwig Maximilian University of Munich
  • Munich Cluster for Systems Neurology (SyNergy)
  • Broad Institute
  • Psychiatric and Neurodevelopmental Genetics Unit
  • Analytic and Translational Genetics Unit
  • Brigham and Women’s Hospital
  • Yale University
  • University of Oxford
  • University of Helsinki
  • Erasmus University Rotterdam
  • Leiden University
  • University of Tübingen
  • Technical University of Munich
  • German Centre for Cardiovascular Research
  • University of Oulu
  • VU University Medical Center
  • Medical Research Council
  • University of Lübeck
  • Center for Human Genetic Research
  • Massachusetts General Hospital
  • University of Copenhagen
  • Helsinki University Hospital
  • Stanford University
  • Johannes Gutenberg University Mainz
  • King's College London
  • University of Bristol
  • Washington Hospital Center
  • Kiel Pain and Headache Center
  • University of Leeds
  • National Institute for Health and Welfare
  • Imperial College London
  • Fimlab Laboratories
  • Tampere University
  • University of Ottawa
  • SYNLAB International GmbH
  • Medical University of Graz
  • Heidelberg University 
  • Queensland University of Technology
  • Boston University's Framingham Heart Study
  • University of Pennsylvania
  • University of Turku
  • University of Duisburg-Essen
  • deCODE genetics
  • University of Iceland
  • Folkhalsan
  • Harvard University
  • Institut national de la santé et de la recherche médicale
  • Université de Bordeaux
  • University of Hamburg

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To apply genetic analysis of genome-wide association data to study the extent and nature of a shared biological basis between migraine and coronary artery disease (CAD). Methods: Four separate methods for cross-phenotype genetic analysis were applied on data from 2 large-scale genome-wide association studies of migraine (19,981 cases, 56,667 controls) and CAD (21,076 cases, 63,014 controls). The first 2 methods quantified the extent of overlapping risk variants and assessed the load of CAD risk loci in migraineurs. Genomic regions of shared risk were then identified by analysis of covariance patterns between the 2 phenotypes and by querying known genome-wide significant loci. Results: We found a significant overlap of genetic risk loci for migraine and CAD. When stratified by migraine subtype, this was limited to migraine without aura, and the overlap was protective in that patients with migraine had a lower load of CAD risk alleles than controls. Genes indicated by 16 shared risk loci point to mechanisms with potential roles in migraine pathogenesis and CAD, including endothelial dysfunction (PHACTR1) and insulin homeostasis (GIP). Conclusions: The results suggest that shared biological processes contribute to risk of migraine and CAD, but surprisingly this commonality is restricted to migraine without aura and the impact is in opposite directions. Understanding the mechanisms underlying these processes and their opposite relationship to migraine and CAD may improve our understanding of both disorders.

Original languageEnglish
Pages (from-to)e10
JournalNeurology: Genetics
Volume1
Issue number1
DOIs
StatePublished - Jun 2015
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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