Abstract

BackgroundMigraine is a common neurological disorder which affects a large proportion of the population. The Norfolk Island population is a genetically isolated population and is an ideal discovery cohort for genetic variants involved in complex disease susceptibility given the reduced genetic and environmental heterogeneity. Given that the majority of proteins responsible for mitochondrial function are nuclear encoded, this study aimed to investigate the role of Nuclear Encoded Mitochondrial Protein (NEMP) genes in relation to migraine susceptibility.MethodsA gene‐centric association analysis of NEMP genes was undertaken in the most related individuals (n = 315) within the genetically isolated Norfolk Island population. The discovery phase included genes with three or more SNP associations (P < 0.005), which were investigated further in a replication phase using an unrelated migraine case–control cohort (544 patients and 584 controls).ResultsThe discovery phase of the study implicated SNPs in 5 NEMP genes to be associated with migraine susceptibility (P < 0.005). Replication analysis validated some of these implicated genes with SNPs in three NEMP genes shown to be associated with migraine in the replication cohort. These were CSNK1G3 (P = 0.00037), ELOVL6 (P = 0.00035) and SARDH (P = 0.00081), which are involved in phosphorylation, fatty acid metabolism, and oxidative demethylation, respectively.ConclusionHere we provide evidence that variation in NEMP genes is associated with migraine susceptibility. This study provides evidence for a link between mitochondrial function and migraine susceptibility.

Highlights

  • The mitochondria is the energy producing organelle present in all mammalian cells, occurring in numbers proportional to the energy requirements of each specific tissue

  • Replication analysis validated some of these implicated genes with SNPs in three Nuclear Encoded Mitochondrial Protein (NEMP) genes shown to be associated with migraine in the replication cohort

  • Here we provide evidence that variation in NEMP genes is associated with migraine susceptibility

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Summary

Introduction

The mitochondria is the energy producing organelle present in all mammalian cells, occurring in numbers proportional to the energy requirements of each specific tissue. Deleterious mutations with high rates of penetrance have devastating effects and cause a range of myopathies and encephalopathies including: Mitochondrial Encephalomyopathy; lactic acidosis and stroke like episodes (MELAS) (Prasad et al 2014), and Myoclonic Epilepsy with ragged red fibers (MERRF) (Wallace et al 1988). Symptoms of these diseases include severe migraine attacks which has led researchers to hypothesize that mitochondrial dysfunction may be linked to the more common subtypes of migraine (Stuart and Griffiths 2012). Given that the majority of proteins responsible for mitochondrial function are nuclear encoded, this study aimed to investigate the role of Nuclear Encoded Mitochondrial Protein (NEMP) genes in relation to migraine susceptibility

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