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Association between migraine and ACE gene (insertion/deletion) polymorphism: the BioBIM study

    Raffaele Palmirotta

    Interinstitutional Multidisciplinary BioBank (BioBIM), Department of Advanced Biotechnologies & Bioimaging, IRCCS San Raffaele Pisana, Rome, Italy

    Authors contributed equally

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    ,
    Piero Barbanti

    Headache & Pain Unit, Department of Neurological, Motor & Sensorial Sciences, IRCCS San Raffaele Pisana, Via Della Pisana 235, Rome 00163, Italy

    Authors contributed equally

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    ,
    Giorgia Ludovici

    Interinstitutional Multidisciplinary BioBank (BioBIM), Department of Advanced Biotechnologies & Bioimaging, IRCCS San Raffaele Pisana, Rome, Italy

    ,
    Maria Laura De Marchis

    Interinstitutional Multidisciplinary BioBank (BioBIM), Department of Advanced Biotechnologies & Bioimaging, IRCCS San Raffaele Pisana, Rome, Italy

    ,
    Cristiano Ialongo

    Department of Internal Medicine, University of Rome ‘Tor Vergata’, Medicine & Surgery, Via Montpellier, 1, Rome 00133, Italy

    ,
    Gabriella Egeo

    Headache & Pain Unit, Department of Neurological, Motor & Sensorial Sciences, IRCCS San Raffaele Pisana, Via Della Pisana 235, Rome 00163, Italy

    ,
    Cinzia Aurilia

    Headache & Pain Unit, Department of Neurological, Motor & Sensorial Sciences, IRCCS San Raffaele Pisana, Via Della Pisana 235, Rome 00163, Italy

    ,
    Luisa Fofi

    Headache & Pain Unit, Department of Neurological, Motor & Sensorial Sciences, IRCCS San Raffaele Pisana, Via Della Pisana 235, Rome 00163, Italy

    ,
    Pasquale Abete

    Department of Translational Medical Sciences, University of Naples Federico II, Napoli 80131, Italy

    ,
    Antonella Spila

    Interinstitutional Multidisciplinary BioBank (BioBIM), Department of Advanced Biotechnologies & Bioimaging, IRCCS San Raffaele Pisana, Rome, Italy

    ,
    Patrizia Ferroni

    Interinstitutional Multidisciplinary BioBank (BioBIM), Department of Advanced Biotechnologies & Bioimaging, IRCCS San Raffaele Pisana, Rome, Italy

    ,
    David Della-Morte

    * Author for correspondence

    Department of Systems Medicine, University of Rome ‘Tor Vergata’, Medicine & Surgery, Via Montpellier, 1, Rome 00133, Italy.

    &
    Fiorella Guadagni

    Interinstitutional Multidisciplinary BioBank (BioBIM), Department of Advanced Biotechnologies & Bioimaging, IRCCS San Raffaele Pisana, Rome, Italy

    Published Online:https://doi.org/10.2217/pgs.13.186

    Aim: In the present case–control study, we investigated the correlation between the common ACE insertion/deletion (I/D) polymorphism and migraine. Materials & methods: Genotyping of the ACE I/D variant was performed in 502 Caucasian patients with migraine and 323 age-, sex- and race/ethnicity-matched healthy controls. We investigated associations between ACE genetic variants and sociodemographic and/or clinical features of migraineurs. Results: We found a significant association between ACE insertion/insertion (I/I) polymorphism and lower use of pharmacological prophylaxis in migraine patients with aura and in those with chronic migraine. Moreover, ACE I/I polymorphism was significantly more common in migraine patients with aura who had a negative family history of migraine. Conclusion: Our data suggest that although the ACE I/D polymorphism is not a direct risk factor for migraine, the ACE I/I genotype may influence the clinical feature of this disease being associated with reduced use of prophylactic agents in patients with migraine with aura and in those with chronic migraine.

    Original submitted 5 June 2013; Revision submitted 16 September 2013

    Papers of special note have been highlighted as: ▪ of interest ▪▪ of considerable interest

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