Abstract
Studies of migraine with aura (MA) have shown familial aggregation of the disorder, which cannot be explained by simple mendelian inheritance. The interest in a genetic basis for the disorder has increased after identification of three genetic loci for familial hemiplegic migraine (FHM), which is a rare subtype of MA with autosomal dominant inheritance. Both genetic and environmental factors seem to be important in the expression of MA. To elucidate the molecular pathogenesis of MA, knowledge of the relative role of genetic and environmental factors is essential. Twin studies are a classic way to analyse this. We applied structural equation modelling on MA with twin data obtained from a population based twin register in order to evaluate the effects of genes and environment. The correlation in liability of MA was 0.68 in monozygotic (MZ) and 0.22 in dizygotic (DZ) twin pairs, indicating a high degree of genetic determination in the total variance of liability. The best fitting model combined additive genetic effects and environmental effects that were not shared by the twins. The estimate of heritability was 0.65 and similar in males and females. Keywords: migraine with aura; inheritance; twins; structural equation modelling
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- Gardner K., Barmada M. M., Ptacek L. J., Hoffman E. P. A new locus for hemiplegic migraine maps to chromosome 1q31. Neurology. 1997 Nov;49(5):1231–1238. doi: 10.1212/wnl.49.5.1231. [DOI] [PubMed] [Google Scholar]
- Hopper J. L. Variance components for statistical genetics: applications in medical research to characteristics related to human diseases and health. Stat Methods Med Res. 1993;2(3):199–223. doi: 10.1177/096228029300200302. [DOI] [PubMed] [Google Scholar]
- Joutel A., Bousser M. G., Biousse V., Labauge P., Chabriat H., Nibbio A., Maciazek J., Meyer B., Bach M. A., Weissenbach J. A gene for familial hemiplegic migraine maps to chromosome 19. Nat Genet. 1993 Sep;5(1):40–45. doi: 10.1038/ng0993-40. [DOI] [PubMed] [Google Scholar]
- Ophoff R. A., Terwindt G. M., Vergouwe M. N., van Eijk R., Oefner P. J., Hoffman S. M., Lamerdin J. E., Mohrenweiser H. W., Bulman D. E., Ferrari M. Familial hemiplegic migraine and episodic ataxia type-2 are caused by mutations in the Ca2+ channel gene CACNL1A4. Cell. 1996 Nov 1;87(3):543–552. doi: 10.1016/s0092-8674(00)81373-2. [DOI] [PubMed] [Google Scholar]
- Rasmussen B. K., Olesen J. Migraine with aura and migraine without aura: an epidemiological study. Cephalalgia. 1992 Aug;12(4):221–186. doi: 10.1046/j.1468-2982.1992.1204221.x. [DOI] [PubMed] [Google Scholar]
- Russell M. B., Iselius L., Olesen J. Inheritance of migraine investigated by complex segregation analysis. Hum Genet. 1995 Dec;96(6):726–730. doi: 10.1007/BF00210307. [DOI] [PubMed] [Google Scholar]
- Russell M. B., Olesen J. Increased familial risk and evidence of genetic factor in migraine. BMJ. 1995 Aug 26;311(7004):541–544. doi: 10.1136/bmj.311.7004.541. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Russell M. B., Rasmussen B. K., Thorvaldsen P., Olesen J. Prevalence and sex-ratio of the subtypes of migraine. Int J Epidemiol. 1995 Jun;24(3):612–618. doi: 10.1093/ije/24.3.612. [DOI] [PubMed] [Google Scholar]
- Stewart W. F., Linet M. S., Celentano D. D., Van Natta M., Ziegler D. Age- and sex-specific incidence rates of migraine with and without visual aura. Am J Epidemiol. 1991 Nov 15;134(10):1111–1120. doi: 10.1093/oxfordjournals.aje.a116014. [DOI] [PubMed] [Google Scholar]
- Stewart W. F., Staffa J., Lipton R. B., Ottman R. Familial risk of migraine: a population-based study. Ann Neurol. 1997 Feb;41(2):166–172. doi: 10.1002/ana.410410207. [DOI] [PubMed] [Google Scholar]
- Ulrich V., Russell M. B., Ostergaard S., Olesen J. Analysis of 31 families with an apparently autosomal-dominant transmission of migraine with aura in the nuclear family. Am J Med Genet. 1997 Jul 25;74(4):395–397. doi: 10.1002/(sici)1096-8628(19970725)74:4<395::aid-ajmg10>3.0.co;2-d. [DOI] [PubMed] [Google Scholar]