Migraine is a common neurological disease of two main types: migraine with aura and migraine without aura. Familial clustering suggests that genetic factors are involved in the etiology of migraine. Recently, a gene for familial hemiplegic migraine, a rare autosomal dominant subtype of migraine with
Chromosome 19p13 loci in Finnish migraine with aura families
✍ Scribed by Mari A. Kaunisto; Päivi J. Tikka; Mikko Kallela; Suzanne M. Leal; Jeanette C. Papp; Arja Korhonen; Eija Hämäläinen; Hanna Harno; Hannele Havanka; Markku Nissilä; Erkki Säkö; Matti Ilmavirta; Jaakko Kaprio; Markus Färkkilä; Roel A. Ophoff; Aarno Palotie; Maija Wessman
- Publisher
- John Wiley and Sons
- Year
- 2005
- Tongue
- English
- Weight
- 95 KB
- Volume
- 132B
- Category
- Article
- ISSN
- 1552-4841
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✦ Synopsis
Abstract
Chromosomal area 19p13 contains two migraine associated genes: a Ca~v~2.1 (P/Q‐type) calcium channel α~1~ subunit gene, CACNA1A, and an insulin receptor gene, INSR. Missense mutations in CACNA1A cause a rare Mendelian form of migraine, familial hemiplegic migraine type 1 (FHM1). Contribution of CACNA1A locus has also been studied in the common forms of migraine, migraine with (MA) and without aura (MO), but the results have been contradictory. The role of INSR is less well established: A region on 19p13 separate from CACNA1A was recently reported to be a major locus for migraine and subsequently, the INSR gene was associated with MA and MO. Our aim was to clarify the role of these loci in MA families by analyzing 72 multigenerational Finnish MA families, the largest family sample so far. We hypothesized that the potential major contribution of the 19p13 loci should be detected in a family sample of this size, and this was confirmed by simulations. We genotyped eight polymorphic microsatellite markers surrounding the INSR and CACNA1A genes on 757 individuals. Using parametric and non‐parametric linkage analysis, none of the studied markers showed any evidence of linkage to MA either under locus homogeneity or heterogeneity. However, marginally positive lod scores were observed in three families, and thus for these families the results remain inconclusive. The overall conclusion is that our study did not provide evidence of a major MA susceptibility region on 19p13 and thus we were not able to replicate the INSR locus finding. © 2004 Wiley‐Liss, Inc.
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FIG. 1. Patient aged 11 years. Note high forehead, frontal upsweep, upslanting palpebral fissures, and small nose and mouth.