Evidence map›Paper›PMID 39841246›Full record

ArticleHuman genetics2025

Conventional and genetic association between migraine and stroke with druggable genome-wide Mendelian randomization.

Xiaoyu Wang, Wendu Pang, Xin Hu, Tao Shu, Yaxin Luo, Junhong Li, Lan Feng, Ke Qiu, Yufang Rao, Yao Song and 4 more

Abstract read
PubMed Publisher
In one paragraph

Article in Human genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Influence of Tonsillectomy on Various Disease Outcomes: An Outcome-wide Association Analysis and Mendelian Randomization Analysis.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Xiaoyu Wang *Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China.
Wendu Pang *Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China.
Xin Hu *Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Tao ShuDepartment of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China.
Yaxin LuoMRC Integrative Epidemiology Unit, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, UK.
Junhong LiDepartment of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China.
Lan FengDepartment of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China.
Ke QiuDepartment of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China.
Yufang RaoDepartment of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China.
Yao SongDepartment of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China.
Minzi MaoDepartment of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China.
Yuyang ZhangDepartment of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China.
Jianjun Ren *Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China. Jianjun.Ren@scu.edu.cn.
Yu Zhao *Department of Oto-Rhino-Laryngology, West China Hospital, Sichuan University, Chengdu, China. yuzhao@wchscu.edu.cn.

Funding

National Natural Science Foundation of China 82272777National Natural Youth Science Foundation of China 82301307The Foundation of National Clinical Research Center for Geriatrics Z2023LC002West China Hospital, Sichuan University 2023HXBH119West China Hospital, Sichuan University ZYJC21027
6 · The paper itself

Abstract

The genetic relationship between migraine and stroke remains underexplored, particularly in the context of druggable targets. Previous studies have been limited by small sample sizes and a lack of focus on genetic-targeted therapies for these conditions. We analyzed the association and causality between migraine and stroke using multivariable logistic regression in the UK Biobank cohort and Mendelian randomization (MR) analyses based on genome-wide association study (GWAS) data. Integrating expression quantitative trait loci (eQTLs) data from blood and brain regions, we explored the phenotypic and genetic links between migraine medications, drug target, and stroke. Additionally, we explored novel druggable genes for migraine and evaluated their effects on migraine signaling molecules and stroke risk. Migraine was significantly associated with stroke, particularly ischemic stroke (IS) and intracerebral hemorrhage (ICH), with MR analysis confirming a causal link to ICH. HTR1A emerged as a potential link between antidepressants (preventive medications for migraine) and stroke. We identified 17 migraine-related druggable genes, with 5 genes (HMGCR, TGFB1, TGFB3, KCNK5, IMPDH2) associated with nine existing drugs. Further MR analysis identified correlation of CELSR3 and IMPDH2 with cGMP pathway marker PRKG1, and identified KCNK5, PLXNB1, and MDK as novel migraine-associated druggable genes significantly linked to the stroke risks. These findings established the phenotypic and genetic link between migraine, its medication and stroke, identifying potential targets for single and dual-purpose therapies for migraine and stoke, and emphasized the need for further research to validate these associations.

Indexed as

Genetic Predisposition to DiseaseMigraine DisordersStrokeFemaleGenome-Wide Association StudyHumansMaleMendelian Randomization AnalysisPolymorphism, Single NucleotideQuantitative Trait Loci

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.