TY - JOUR
T1 - Large-scale plasma metabolome analysis reveals alterations in HDL metabolism in migraine
AU - Onderwater, Gerrit L. J.
AU - Ligthart, Lannie
AU - Bot, Mariska
AU - Demirkan, Ayse
AU - Fu, Jingyuan
AU - van der Kallen, Carla J. H.
AU - Vijfhuizen, Lisanne S.
AU - Pool, Rene
AU - Liu, Jun
AU - Vanmolkot, Floris H. M.
AU - Beekman, Marian
AU - Wen, Ke-xin
AU - Amin, Najaf
AU - Thesing, Carisha S.
AU - Pijpers, Judith A.
AU - Kies, Dennis A.
AU - Zielman, Ronald
AU - de Boer, Irene
AU - van Greevenbroek, Marleen M. J.
AU - Arts, Ilja C. W.
AU - Milaneschi, Yuri
AU - Schram, Miranda T.
AU - Dagnelie, Pieter C.
AU - Franke, Lude
AU - Ikram, M. Arfan
AU - Ferrari, Michel D.
AU - Goeman, Jelle J.
AU - Slagboom, P. Eline
AU - Wijmenga, Cisca
AU - Stehouwer, Coen D. A.
AU - Boomsma, Dorret I.
AU - van Duijn, Cornelia M.
AU - Penninx, Brenda W.
AU - 't Hoen, Peter A. C.
AU - Terwindt, Gisela M.
AU - van den Maagdenberg, Arn M. J. M.
AU - BBMRI Metabolomics Consortium
N1 - Publisher Copyright:
© American Academy of Neurology.
PY - 2019/4/16
Y1 - 2019/4/16
N2 - ObjectiveTo identify a plasma metabolomic biomarker signature for migraine.MethodsPlasma samples from 8 Dutch cohorts (n = 10,153: 2,800 migraine patients and 7,353 controls) were profiled on a H-1-NMR-based metabolomics platform, to quantify 146 individual metabolites (e.g., lipids, fatty acids, and lipoproteins) and 79 metabolite ratios. Metabolite measures associated with migraine were obtained after single-metabolite logistic regression combined with a random-effects meta-analysis performed in a nonstratified and sex-stratified manner. Next, a global test analysis was performed to identify sets of related metabolites associated with migraine. The Holm procedure was applied to control the family-wise error rate at 5% in single-metabolite and global test analyses.ResultsDecreases in the level of apolipoprotein A1 (beta -0.10; 95% confidence interval [CI] -0.16, -0.05; adjusted p = 0.029) and free cholesterol to total lipid ratio present in small high-density lipoprotein subspecies (HDL) (beta -0.10; 95% CI -0.15, -0.05; adjusted p = 0.029) were associated with migraine status. In addition, only in male participants, a decreased level of omega-3 fatty acids (beta -0.24; 95% CI -0.36, -0.12; adjusted p = 0.033) was associated with migraine. Global test analysis further supported that HDL traits (but not other lipoproteins) were associated with migraine status.ConclusionsMetabolic profiling of plasma yielded alterations in HDL metabolism in migraine patients and decreased omega-3 fatty acids only in male migraineurs.
AB - ObjectiveTo identify a plasma metabolomic biomarker signature for migraine.MethodsPlasma samples from 8 Dutch cohorts (n = 10,153: 2,800 migraine patients and 7,353 controls) were profiled on a H-1-NMR-based metabolomics platform, to quantify 146 individual metabolites (e.g., lipids, fatty acids, and lipoproteins) and 79 metabolite ratios. Metabolite measures associated with migraine were obtained after single-metabolite logistic regression combined with a random-effects meta-analysis performed in a nonstratified and sex-stratified manner. Next, a global test analysis was performed to identify sets of related metabolites associated with migraine. The Holm procedure was applied to control the family-wise error rate at 5% in single-metabolite and global test analyses.ResultsDecreases in the level of apolipoprotein A1 (beta -0.10; 95% confidence interval [CI] -0.16, -0.05; adjusted p = 0.029) and free cholesterol to total lipid ratio present in small high-density lipoprotein subspecies (HDL) (beta -0.10; 95% CI -0.15, -0.05; adjusted p = 0.029) were associated with migraine status. In addition, only in male participants, a decreased level of omega-3 fatty acids (beta -0.24; 95% CI -0.36, -0.12; adjusted p = 0.033) was associated with migraine. Global test analysis further supported that HDL traits (but not other lipoproteins) were associated with migraine status.ConclusionsMetabolic profiling of plasma yielded alterations in HDL metabolism in migraine patients and decreased omega-3 fatty acids only in male migraineurs.
KW - CARDIOVASCULAR-DISEASE
KW - RISK-FACTORS
KW - GLOBAL TEST
KW - EPIDEMIOLOGY
KW - LIPOPROTEINS
KW - ASSOCIATION
KW - BIOMARKERS
U2 - 10.1212/WNL.0000000000007313
DO - 10.1212/WNL.0000000000007313
M3 - Article
C2 - 30944236
SN - 0028-3878
VL - 92
SP - E1899-E1911
JO - Neurology
JF - Neurology
IS - 16
ER -