Cerebrospinal fluid cytokine levels in migraine, tension-type headache and cervicogenic headache

被引:86
作者
Bo, S. H. [2 ,3 ]
Davidsen, E. M. [2 ]
Gulbrandsen, P. [3 ,4 ]
Dietrichs, E. [4 ,5 ]
Bovim, G. [6 ]
Stovner, L. J. [6 ,7 ]
White, L. R. [1 ,6 ]
机构
[1] Univ Trondheim Hosp, Dept Neurol & Clin Neurophysiol, Neurobiol Lab, N-7006 Trondheim, Norway
[2] Akershus Univ Hosp, Dept Neurol, Lorenskog, Norway
[3] Helse Sor Ost Hlth Serv Res Ctr, Lorenskog, Norway
[4] Univ Oslo, Fac Med, Oslo, Norway
[5] Univ Hosp, Rikshosp, Ctr Clin Neurosci, Dept Neurol, Oslo, Norway
[6] Norwegian Univ Sci & Technol, Dept Neurosci, N-7034 Trondheim, Norway
[7] Norwegian Univ Sci & Technol, Fac Med, Norwegian Natl Headache Ctr, N-7034 Trondheim, Norway
关键词
Cytokines; cerebrospinal fluid; migraine; episodic tension-type hedache; cervicogenic headache; MONOCYTE CHEMOATTRACTANT PROTEIN-1; TUMOR-NECROSIS-FACTOR; PROINFLAMMATORY CYTOKINES; FACTOR-ALPHA; EXPRESSION; INTERLEUKIN-1; MOLECULES; SCLEROSIS; RESPONSES; TRIGGERS;
D O I
10.1111/j.1468-2982.2008.01727.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Cytokines have been measured in cerebrospinal fluid (CSF) from headache patients [infrequent episodic tension-type headache (TTH) and migraine with or without aura, all during attack, and cervicogenic headache] and compared with levels in pain-free individuals. Both proinflammatory [interleukin (IL)-1 beta, tumour necrosis factor-alpha and monocyte chemoattractant protein-1 (MCP-1)] and anti-inflammatory cytokines [IL-1 receptor antagonist (IL-1ra), IL-4, IL-10 and transforming growth factor-beta 1 (TGF-beta 1)] were included. There were significant group differences in IL-1ra, TGF-beta 1 and MCP-1 in episodic TTH and migraine compared with controls, and a significant difference in MCP-1 between cervicogenic headache and migraine with aura. Intrathecal MCP-1 correlated with IL-1ra, IL-10 and TGF-beta 1 in episodic TTH, and MCP-1 with IL-10 in migraine with aura. Cytokine increases were modest compared with those often accompanying serious neurological conditions, and may represent a mild response to pain. We believe this to be the first comparative study of CSF cytokine levels in connection with headache.
引用
收藏
页码:365 / 372
页数:8
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