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Migraine Triggers and Oxidative Stress: A Narrative Review and Synthesis.

Headache
January 1, 2016
Jonathan M Borkum
Journal ArticleReviewMolecular Study
Study Details

Study Goal

The researchers aimed to determine whether common migraine triggers generate oxidative stress in the brain and if oxidative stress could be a unifying principle behind migraine triggers.

Results Summary

The study found that most common migraine triggers, except pericranial pain, can generate oxidative stress through various mechanisms, including mitochondrial dysfunction, excitotoxicity, and neuroinflammation. Oxidative stress is proposed as a plausible unifying factor for migraine triggers.

Population

Not specified (review of in vitro and animal studies).

Effective Dosage

Not available

Duration

Not applicable (literature review)

Interactions

None mentioned

Extracted Claims (22)
InterventionDirectionEndpointPopulationDosageImpactClaim #
alcohol
increase
oxidative stress
brain
-
capable of generating
#1
dehydration
increase
oxidative stress
brain
-
capable of generating
#2
water deprivation
increase
oxidative stress
brain
-
capable of generating
#3
monosodium glutamate
increase
oxidative stress
brain
-
capable of generating
#4
aspartame
increase
oxidative stress
brain
-
capable of generating
#5
tyramine
increase
oxidative stress
brain
-
capable of generating
#6
phenylethylamine
increase
oxidative stress
brain
-
capable of generating
#7
dietary nitrates
increase
oxidative stress
brain
-
capable of generating
#8
nitrosamines
increase
oxidative stress
brain
-
capable of generating
#9
noise
increase
oxidative stress
brain
-
capable of generating
#10
weather
increase
oxidative stress
brain
-
capable of generating
#11
air pollutants
increase
oxidative stress
brain
-
capable of generating
#12
hypoglycemia
increase
oxidative stress
brain
-
capable of generating
#13
hypoxia
increase
oxidative stress
brain
-
capable of generating
#14
infection
increase
oxidative stress
brain
-
capable of generating
#15
estrogen
increase
oxidative stress
brain
-
capable of generating
#16
circadian disruption
increase
oxidative stress
brain
-
capable of generating
#17
sleep deprivation
increase
oxidative stress
brain
-
capable of generating
#18
information processing
increase
oxidative stress
brain
-
capable of generating
#19
psychosocial stress
increase
oxidative stress
brain
-
capable of generating
#20
nitroglycerin and tolerance
increase
oxidative stress
brain
-
capable of generating
#21
pericranial pain
no change
oxidative stress
brain
-
not capable of generating
#22
Abstract

BACKGROUND: Blau theorized that migraine triggers are exposures that in higher amounts would damage the brain. The recent discovery that the TRPA1 ion channel transduces oxidative stress and triggers neurogenic inflammation suggests that oxidative stress may be the common denominator underlying migraine triggers. OBJECTIVE: The aim of this review is to present and discuss the available literature on the capacity of common migraine triggers to generate oxidative stress in the brain. METHODS: A Medline search was conducted crossing the terms "oxidative stress" and "brain" with "alcohol," "dehydration," "water deprivation," "monosodium glutamate," "aspartame," "tyramine," "phenylethylamine," "dietary nitrates," "nitrosamines," "noise," "weather," "air pollutants," "hypoglycemia," "hypoxia," "infection," "estrogen," "circadian," "sleep deprivation," "information processing," "psychosocial stress," or "nitroglycerin and tolerance." "Flavonoids" was crossed with "prooxidant." The reference lists of the resulting articles were examined for further relevant studies. The focus was on empirical studies, in vitro and of animals, of individual triggers, indicating whether and/or by what mechanism they can generate oxidative stress. RESULTS: In all cases except pericranial pain, common migraine triggers are capable of generating oxidative stress. Depending on the trigger, mechanisms include a high rate of energy production by the mitochondria, toxicity or altered membrane properties of the mitochondria, calcium overload and excitotoxicity, neuroinflammation and activation of microglia, and activation of neuronal nicotinamide adenine dinucleotide phosphate (NADPH) oxidase. For some triggers, oxidants also arise as a byproduct of monoamine oxidase or cytochrome P450 processing, or from uncoupling of nitric oxide synthase. CONCLUSIONS: Oxidative stress is a plausible unifying principle behind the types of migraine triggers encountered in clinical practice. The possible implications for prevention and for understanding the nature of the migraine attack are discussed.

Medical Subject Headings (MeSH)
AnimalsBrainCalcium ChannelsEnvironmentHumansMEDLINEMigraine DisordersNerve Tissue ProteinsOxidative StressTRPA1 Cation ChannelTransient Receptor Potential Channels
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations181
Citations/Year20.1
Relative Citation Ratio9.26
NIH Percentile97.5%
Research Impact Scores
APT Score0.95
Weight Score1.08
Normalized Score0.66
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