Background
Migraine is a chronic neurovascular condition characterized by recurring attacks of pulsating headaches. Genome-wide association studies (GWAS) identified many potential loci associated with migraine. To check the association of polymorphisms of
PRDM16
(rs2651899),
LRP1
(rs11172113), and
TRPM8
(rs10166942) with migraine, the first time a case-control study was conducted in understudied Pakistani population.
Methods
The study included 127 migraine patients (21 in migraine with aura and 106 with migraine without aura group) and 120 healthy control subjects from different areas of Punjab, Pakistan. Blood samples were collected from all the participants, and DNA was isolated from the lymphocytes by the modified organic method. Sanger’s sequencing was done for
PRDM16 (
rs2651899),
LRP1
(rs11172113), and
TRPM8
(rs10166942) in all the samples to check the genotype. Logistic regression analysis was done using SPSS 20.0 to check the association of these SNPs with migraine susceptibility.
Results
We found statistically significant differences between case and control group for
PRDM16 (
rs2651899) at genotypic level (p < 0.001), allelic level (p < 0.001; OR 3.088; 95% CI 2.082–4.579) and for dominant model (p < 0.001; OR 5.437; 95% CI 3.112–9.498). The major findings of this study suggested that
PRDM16
rs2651899 is strongly associated with migraine in overall and subgroup analysis of genotypes.
LRP1
(rs11172113) showed significant association with migraine except in subgroup comparison. A similar trend of association was found for
TRPM8
(rs10166942) however, significant association was found only at the allelic level but no significant difference was seen at the genotypic level between case and control. One novel mutation c.67 + 4436_67 + 4438delA was also identified in the current study near
LRP1
(rs11172113) polymorphic site.
Conclusion
In this first-ever replication report from Pakistan,
PRDM16 (
rs2651899) was found as a potential genetic marker in migraine susceptibility while
LRP1
(rs11172113) and
TRPM8
(rs10166942) showed partial association in subgroup analysis.