Migraine polygenic risk score associates with efficacy of migraine-specific drugs

Autor: Kogelman, Lisette JA, Esserlind, Ann-Louise, Christensen, Anne Francke, Awasthi, Swapnil, Ripke, Stephan, Ingason, Andres, Davidsson, Olafur B, Erikstrup, Christian, Hjalgrim, Henrik, Ullum, Henrik, Olesen, Jes, Hansen, Thomas Folkmann, Gudbjartsson, Daniel, Gastafsson, Omar, Stefansson, Kari, Stefansson, Hreinn, Porsteinsdottir, Unnur, Andersen, Steffen, Banasik, Karina, Brunak, Soren, Buil, Alfonso, Burgdorf, Kristoffer, Gregor, Jemec, Jennum, Poul, Nielsen, Kasper Rene, Nyegaard, Mette, Paarup, Helene Mariana, Pedersen, Ole Birger, Sorensen, Erik, Werge, Thomas, Anttila, Verneri, Artto, Ville, Belin, Andrea Carmine, de Boer, Irene, Boomsma, Dorret I, Borte, Sigrid, Chasman, Daniel I, Cherkas, Lynn, Cormand, Bru, Cuenca-Leon, Ester, Davey-Smith, George, Dichgans, Martin, van Duijn, Cornelia, Esko, Tonu, Ferrari, Michel, Frants, Rune R, Freilinger, Tobias, Furlotte, Nick, Gormley, Padhraig, Griffiths, Lyn, Hamalainen, Eija, Hiekkala, Marjo, Ikram, M Arfan, Jarvelin, Marjo-Riitta, Kajanne, Risto, Kallela, Mikko, Kaprio, Jaakko, Kaunisto, Mari, Kubisch, Christian, Kurki, Mitja, Kurth, Tobias, Launer, Lenore, Lehtimaki, Terho, Lessel, Davor, Ligthart, Lannie, Litterman, Nadia, van den Maagdenberg, Arn, Macaya, Alfons, Malik, Rainer, Mangino, Massimo, McMahon, George, Muller-Myhsok, Bertram, Neale, Benjamin M, Northover, Carrie, Nyholt, Dale R, Palotie, Aarno, Palta, Priit, Pedersen, Linda, Pedersen, Nancy, Posthuma, Danielle, Pozo-Rosich, Patricia, Pressman, Alice, Raitakari, Olli, Schurks, Markus, Sintas, Celia, Steinberg, Stacy, Strachan, David, Terwindt, Gisela, Vila-Pueyo, Marta, Wessman, Maija, Winsvold, Bendik S, Zhao, Huiying, Zwart, John-Anker, Consortium, DBDS Genomic, Consortium, Int Headache Genetics
Přispěvatelé: Neurologian yksikkö, HUS Helsinki and Uusimaa Hospital District, HUS Neurocenter, Institute for Molecular Medicine Finland, Genomics of Neurological and Neuropsychiatric Disorders, University of Helsinki, Centre of Excellence in Complex Disease Genetics, Research Programs Unit, Aarno Palotie / Principal Investigator
Rok vydání: 2019
Předmět:
Zdroj: Neurology Genetics
Kogelman, L J A, Esserlind, A-L, Christensen, A F, Awasthi, S, Ripke, S, Ingason, A, Davidsson, O B, Erikstrup, C, Hjalgrim, H, Ullum, H, Olesen, J, Hansen, T F, DBDS Genomic Consortium, The International Headache Genetics Consortium, Gudbjartsson, D, Gastafsson, O, Stefansson, K, Stefansson, H, Porsteinsdottir, U, Andersen, S, Banasik, K, Brunak, S, Buil, A, Burgdorf, K, Gregor, J, Jennum, P, Nielsen, K R, Nyegaard, M, Paarup, H M, Pedersen, O B, Sorensen, E, Werge, T, Anttila, V, Artto, V, Belin, A C, de Boer, I, Boomsma I, D, Borte, S, Chasman I, D, Cherkas, L, Cormand, B, Cuenca-Leon, E, Davey-Smith, G, Dichgans, M, van Duijn, C, Esko, T, Ferrari, M, Frants, R R, Freilinger, T, Furlotte, N, Gormley, P & Pedersen, L 2019, ' Migraine polygenic risk score associates with efficacy of migraine-specific drugs ', Neurology: Genetics, vol. 5, no. 6, e364 . https://doi.org/10.1212/NXG.0000000000000364
Kogelman, L J A, Esserlind, A-L, Francke Christensen, A, Awasthi, S, Ripke, S, Ingason, A, Davidsson, O B, Erikstrup, C, Hjalgrim, H, Ullum, H, Olesen, J, Folkmann Hansen, T & DBDS Genomic Consortium, The International Headache Genetics Consortium 2019, ' Migraine polygenic risk score associates with efficacy of migraine-specific drugs ', Neurology: Genetics, vol. 5, no. 6, e364 . https://doi.org/10.1212/NXG.0000000000000364
Kogelman, L J A, Esserlind, A-L, Christensen, A F, Awasthi, S, Ripke, S, Ingason, A, Davidsson, O B, Erikstrup, C, Hjalgrim, H, Ullum, H, Olesen, J, Hansen, T F, Gudbjartsson, D, Gastafsson, O, Stefansson, K, Stefansson, H, Porsteinsdottir, U, Andersen, S, Banasik, K, Brunak, S, Buil, A, Burgdorf, K, Gregor, J, Jennum, P, Nielsen, K R, Nyegaard, M, Paarup, H M, Pedersen, O B, Sørensen, E, Werge, T, Anttila, V, Artto, V, Belin, A C, de Boer, I, Boomsma, D I, Borte, S, Chasman, D I, Cherkas, L, Cormand, B, Cuenca-Leon, E, Davey-Smith, G, Dichgans, M, van Duijn, C, Esko, T, Ferrari, M, Frants, R R, Freilinger, T, Furlotte, N, Gormley, P, Griffiths, L, Hamalainen, E, Hiekkala, M, Ikram, M A, Jarvelin, M-R, Kajanne, R, Kallela, M, Kaprio, J, Kaunisto, M, Kubisch, C, Kurki, M, Kurth, T, Launer, L, Lehtimaki, T, Lessel, D, Ligthart, L, Litterman, N, van den Maagdenberg, A, Macaya, A, Malik, R, Mangino, M, McMahon, G, Muller-Myhsok, B, Neale, B M, Northover, C, Nyholt, D R, Palotie, A, Palta, P, Pedersen, L, Pedersen, N, Posthuma, D, Pozo-Rosich, P, Pressman, A, Raitakari, O, Schurks, M, Sintas, C, Steinberg, S, Strachan, D, Terwindt, G, Vila-Pueyo, M, Wessman, M, Winsvold, B S, Zhao, H & Zwart, J-A 2019, ' Migraine polygenic risk score associates with efficacy of migraine-specific drugs ', Neurology: Genetics, vol. 5, no. 6, e364 . https://doi.org/10.1212/NXG.0000000000000364
Kogelman, L J A, Esserlind, A-L, Francke Christensen, A, Awasthi, S, Ripke, S, Ingason, A, Davidsson, O B, Erikstrup, C, Hjalgrim, H, Ullum, H, Olesen, J, Folkmann Hansen, T, DBDS Genomic Consortium, Nielsen, K R, Nyegaard, M & The International Headache Genetics Consortium 2019, ' Migraine polygenic risk score associates with efficacy of migraine-specific drugs ', Neurology. Genetics, vol. 5, no. 6, e364, pp. 1-11 . https://doi.org/10.1212/NXG.0000000000000364
Neurology: Genetics
ISSN: 2376-7839
DOI: 10.1212/nxg.0000000000000364
Popis: ObjectiveTo assess whether the polygenic risk score (PRS) for migraine is associated with acute and/or prophylactic migraine treatment response.MethodsWe interviewed 2,219 unrelated patients at the Danish Headache Center using a semistructured interview to diagnose migraine and assess acute and prophylactic drug response. All patients were genotyped. A PRS was calculated with the linkage disequilibrium pred algorithm using summary statistics from the most recent migraine genome-wide association study comprising ∼375,000 cases and controls. The PRS was scaled to a unit corresponding to a twofold increase in migraine risk, using 929 unrelated Danish controls as reference. The association of the PRS with treatment response was assessed by logistic regression, and the predictive power of the model by area under the curve using a case-control design with treatment response as outcome.ResultsA twofold increase in migraine risk associates with positive response to migraine-specific acute treatment (odds ratio [OR] = 1.25 [95% confidence interval (CI) = 1.05–1.49]). The association between migraine risk and migraine-specific acute treatment was replicated in an independent cohort consisting of 5,616 triptan users with prescription history (OR = 3.20 [95% CI = 1.26–8.14]). No association was found for acute treatment with non–migraine-specific weak analgesics and prophylactic treatment response.ConclusionsThe migraine PRS can significantly identify subgroups of patients with a higher-than-average likelihood of a positive response to triptans, which provides a first step toward genetics-based precision medicine in migraine.
Databáze: OpenAIRE
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