Abstract
There are limited studies evaluating the fibrinogen levels in patients with migraine. It remains unknown whether the levels of the haematological marker of thromboembolism, d-dimer, and the levels of galectin-3, which plays an important role in inflammation as a proinflammatory mediator, change during the attacks in patients with migraine. The present study aims to compare galectin-3, fibrinogen and d-dimer levels in patients with migraine during the attacks and interictal periods, and to compare galectin-3, fibrinogen and d-dimer levels between patients with migraine and healthy controls to investigate the role of these parameters in the pathogenesis of migraine. Fifty-nine patients with migraine and 30 age-gender matched healthy control subjects were enrolled in the study. Blood galectin-3, fibrinogen and d-dimer levels were measured in patients with migraine. Patients with migraine had higher levels of galectin-3, fibrinogen and d-dimer compared to the healthy controls (p < 0.05). No statistically significant difference was found between galectin-3 and fibrinogen levels during the attacks and interictal period in the migraine group (p > 0.05). Migraine patients had higher d-dimer levels during the attacks compared to the patients in the interictal period in the migraine group (p = 0.05). In conclusion, we found increased levels of fibrinogen, d-dimer and galectin-3 in patients with migraine compared to the healthy control group. Furthermore, we showed increased galectin-3 levels in patients with migraine, and higher d-dimer levels during migraine attacks compared to the interictal periods for the first time. These findings may be associated with the hypercoagulability and neurogenic inflammation during migraine headaches.
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Ferrara M, Capozzi L, Bertocco F, Ferrara D, Russo R (2012) Thrombophilic gene mutations in children with migraine. Hematology 17:115–117. doi:10.1179/102453312X13221316478010
Martinez-Sanchez P, Martinez–Martinez M, Fuentes B, Cuesta MV, Cuellar-Gamboa L, Idrovo-Freire L, Fernandez-Dominguez J, Diez-Tejedor E (2011) Migraine and hypercoagulable states in ischemic stroke. Cephalalgia: Int J Headache 31:1609–1617. doi:10.1177/0333102411427599
Schurks M, Rist PM, Bigal ME, Buring JE, Lipton RB, Kurth T (2009) Migraine and cardiovascular disease: systematic review and meta-analysis. BMJ 339:b3914. doi:10.1136/bmj.b3914
Isobe C, Terayama Y (2010) A remarkable increase in total homocysteine concentrations in the CSF of migraine patients with aura. Headache 50:1561–1569. doi:10.1111/j.1526-4610.2010.01713.x
Termine C, Trotti R, Ondei P, Gamba G, Montani N, Gamba A, De Simone M, Marni E, Balottin U (2010) Mitral valve prolapse and abnormalities of haemostasis in children and adolescents with migraine with aura and other idiopathic headaches: a pilot study. Acta Neurol Scand 122:91–96. doi:10.1111/j.1600-0404.2009.01268.x
Walkowiak B, Kozubski W, Pawlowska Z, Prusinski A, Cierniewski CS (1989) Expression of fibrinogen receptors in platelets of migraine patients—correlation with platelet GPIIb content and plasma cholesterol. Thromb Haemost 61:419–422
Stoppa-Vaucher S, Dirlewanger MA, Meier CA, de Moerloose P, Reber G, Roux-Lombard P, Combescure C, Saudan S, Schwitzgebel VM (2012) Inflammatory and prothrombotic states in obese children of European descent. Obesity (Silver Spring) 20:1662–1668. doi:10.1038/oby.2012.85
Hirano K, Takashima S, Dougu N, Taguchi Y, Nukui T, Konishi H, Toyoda S, Kitajima I, Tanaka K (2012) Study of hemostatic biomarkers in acute ischemic stroke by clinical subtype. J Stroke Cerebrovasc Dis: Off J Natl Stroke Assoc 21:404–410. doi:10.1016/j.jstrokecerebrovasdis.2011.08.013
Kurth T, Ridker PM, Buring JE (2008) Migraine and biomarkers of cardiovascular disease in women. Cephalalgia: Int J Headache 28:49–56. doi:10.1111/j.1468-2982.2007.01467.x
Shin T (2013) The pleiotropic effects of galectin-3 in neuroinflammation: a review. Acta Histochem. doi:10.1016/j.acthis.2012.11.010
Fernandez GC, Ilarregui JM, Rubel CJ, Toscano MA, Gomez SA, Beigier Bompadre M, Isturiz MA, Rabinovich GA, Palermo MS (2005) Galectin-3 and soluble fibrinogen act in concert to modulate neutrophil activation and survival: involvement of alternative MAPK pathways. Glycobiology 15:519–527. doi:10.1093/glycob/cwi026
Olesen J (2005) The international classification of headache disorders, 2nd edition: application to practice. Funct Neurol 20:61–68
Takagi H, Manabe H, Kawai N, Goto S, Umemoto T (2009) Plasma fibrinogen and d-dimer concentrations are associated with the presence of abdominal aortic aneurysm: a systematic review and meta-analysis. Eur J Vasc Endovasc Surg: Off J Eur Soc Vasc Surg 38:273–277. doi:10.1016/j.ejvs.2009.05.013
de Almeida VV, Silva-Herdade A, Calado A, Rosario HS, Saldanha C (2012) Fibrinogen modulates leukocyte recruitment in vivo during the acute inflammatory response. Clin Hemorheol Microcirc. doi:10.3233/CH-121660
Davalos D, Akassoglou K (2012) Fibrinogen as a key regulator of inflammation in disease. Semin Immunopathol 34:43–62. doi:10.1007/s00281-011-0290-8
Farrell DH (2012) gamma’ Fibrinogen as a novel marker of thrombotic disease. Clin Chem Lab Med: CCLM/FESCC 50:1903–1909. doi:10.1515/cclm-2012-0005
Rudnicka AR, Mt-Isa S, Meade TW (2006) Associations of plasma fibrinogen and factor VII clotting activity with coronary heart disease and stroke: prospective cohort study from the screening phase of the Thrombosis Prevention Trial. J Thromb Haemostasis : JTH 4:2405–2410. doi:10.1111/j.1538-7836.2006.02221.x
Wannamethee SG, Whincup PH, Lennon L, Rumley A, Lowe GD (2012) Fibrin d-dimer, tissue-type plasminogen activator, von Willebrand factor, and risk of incident stroke in older men. Stroke J Cerebral Circ 43:1206–1211. doi:10.1161/STROKEAHA.111.636373
Tripodi A (2011) d-Dimer testing in laboratory practice. Clin Chem 57:1256–1262. doi:10.1373/clinchem.2011.166249
Zhou D, Yang PY, Zhou B, Rui YC (2007) Fibrin d-dimer fragments enhance inflammatory responses in macrophages: role in advancing atherosclerosis. Clin Exp Pharmacol Physiol 34:185–190. doi:10.1111/j.1440-1681.2007.04570.x
Bianchi A, Pitari G, Amenta V, Giuliano F, Gallina M, Costa R, Ferlito S (1996) Endothelial, haemostatic and haemorheological modifications in migraineurs. Artery 22:93–100
Yilmaz N, Aydin O, Yegin A, Tiltak A, Eren E (2011) Increased levels of total oxidant status and decreased activity of arylesterase in migraineurs. Clin Biochem 44:832–837. doi:10.1016/j.clinbiochem.2011.04.015
Walkowiak B, Kozubski W, Prusinski A, Cierniewski CS (1989) The increased contents of beta-thromboglobulin and fibrinogen in migraine platelets indicate an abnormality in thrombopoiesis. Headache 29:257
Wesley UV, Vemuganti R, Ayvaci ER, Dempsey RJ (2013) Galectin-3 enhances angiogenic and migratory potential of microglial cells via modulation of integrin linked kinase signaling. Brain Res 1496:1–9. doi:10.1016/j.brainres.2012.12.008
Satoh K, Niwa M, Binh NH, Nakashima M, Kobayashi K, Takamatsu M, Hara A (2011) Increase of galectin-3 expression in microglia by hyperthermia in delayed neuronal death of hippocampal CA1 following transient forebrain ischemia. Neurosci Lett 504:199–203. doi:10.1016/j.neulet.2011.09.015
Doverhag C, Hedtjarn M, Poirier F, Mallard C, Hagberg H, Karlsson A, Savman K (2010) Galectin-3 contributes to neonatal hypoxic-ischemic brain injury. Neurobiol Dis 38:36–46. doi:10.1016/j.nbd.2009.12.024
Yan YP, Lang BT, Vemuganti R, Dempsey RJ (2009) Galectin-3 mediates post-ischemic tissue remodeling. Brain Res 1288:116–124. doi:10.1016/j.brainres.2009.06.073
Jeon SB, Yoon HJ, Chang CY, Koh HS, Jeon SH, Park EJ (2010) Galectin-3 exerts cytokine-like regulatory actions through the JAK-STAT pathway. J Immunol 185:7037–7046. doi:10.4049/jimmunol.1000154
Williamson DJ, Hargreaves RJ (2001) Neurogenic inflammation in the context of migraine. Microsc Res Tech 53:167–178. doi:10.1002/jemt.1081
Chen HY, Sharma BB, Yu L, Zuberi R, Weng IC, Kawakami Y, Kawakami T, Hsu DK, Liu FT (2006) Role of galectin-3 in mast cell functions: galectin-3-deficient mast cells exhibit impaired mediator release and defective JNK expression. J Immunol 177:4991–4997
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Yucel, Y., Tanriverdi, H., Arıkanoglu, A. et al. Increased fibrinogen, d-dimer and galectin-3 levels in patients with migraine. Neurol Sci 35, 545–549 (2014). https://doi.org/10.1007/s10072-013-1542-2
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DOI: https://doi.org/10.1007/s10072-013-1542-2