Cited by 468Migraine and Headache StudiesPain Mechanisms and TreatmentsNeuropeptides and Animal Physiology

The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.

Interictal increase of CGRP levels in peripheral blood as a biomarker for chronic migraine

Cernuda-Morollón, Eva, Larrosa, Davinia, Ramón, César, Vega, Juan, Martínez-Camblor, Pablo, Pascual, Julio·2013·Neurology

Abstract

OBJECTIVE: To determine calcitonin gene-related peptide (CGRP) levels outside migraine attacks in peripheral blood as a potential biomarker for chronic migraine (CM). METHODS: Women older than 17 years and diagnosed with CM were recruited. Matched healthy women with no headache history and women with episodic migraine (EM) served as control groups, together with a series of patients with episodic cluster headache in a pain-free period. CGRP levels were determined in blood samples obtained from the right antecubital vein by ELISA outside a migraine attack and having taken no symptomatic medication the day before. For ethical reasons, preventatives were not stopped. RESULTS: We assessed plasma samples from 103 women with CM, 31 matched healthy women, 43 matched women with EM, and 14 patients with episodic cluster headache matched for age. CGRP levels were significantly increased in CM (74.90 pg/mL) as compared with control healthy women (33.74 pg/mL), women with EM (46.37 pg/mL), and patients with episodic cluster headache (45.87 pg/mL). Thresholds of 43.45 and 58.22 pg/mL optimize the sensitivity and specificity to differentiate CM from healthy controls and EM, respectively. In the CM group, CGRP levels were significantly increased in women with a history of migraine with aura vs those only experiencing migraine without aura. Variables such as age, analgesic overuse, depression, fibromyalgia, vascular risk factors, history of triptan consumption, or kind of preventative treatment did not significantly influence CGRP levels. CONCLUSION: Increased CGRP level measured in peripheral blood outside migraine attacks and in the absence of symptomatic medication could be a biomarker helping in the diagnosis of CM.

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Crossref · 10.1212/wnl.0b013e3182a6cb72

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Authors
Cernuda-Morollón, E., Larrosa, D., Ramón, C., Vega, J., Martínez-Camblor, P., & Pascual, J.
Affiliations
  • From Neuroscience Area, Service of Neurology and Faculty of Medicine, University Hospital Central de Asturias and INEUROPA (E.C.-M, D.L., C.R., J.V., J.P.), and Oficina de Investigación Biosanitaria OIB (P.M.-C), Oviedo, Asturias, Spain.
  • Hospital Universitario Central de Asturias (ES)
Venue
Neurology
Published
2013-10
Volume
81
Issue
14
Pages
1191-1196
ISSN
  • 0028-3878 (ISSN-L)
  • 1526-632X
OpenAlex
W2155971820
Cited by
468
References
32
Citations by year
2026: 25 · 2025: 44 · 2024: 66 · 2023: 39 · 2022: 52 · 2021: 42 · 2020: 37 · 2019: 43 · 2018: 24 · 2017: 34 · 2016: 16 · 2015: 23 · 2014: 19 · 2013: 4
FWCI
14.61
Type
journal article
Language
en
Open access
closed
Locations
  • Neurology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Migraine and Headache Studies
  • Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuropeptides and Animal Physiology
Keywords
calcitonin gene-related peptide, chronic migraine, episodic migraine, cluster headache, biomarkers, plasma CGRP levels, migraine with aura, migraine without aura, diagnostic thresholds, women
MeSH terms
Adolescent, Adult, Aged, Chronic Disease, Cluster Headache, Female, Humans, Male, Middle Aged, Migraine Disorders, Biomarkers, Calcitonin Gene-Related Peptide, Up-Regulation, Migraine with Aura, Migraine without Aura, Young Adult

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