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Lund NLT, Westgate CSJ, Søborg MLK, Snoer AH, Jensen RH, Hansen TF, Petersen AS. Distinct Alterations of Inflammatory Biomarkers in Cluster Headache: A Case Control Study. Ann Neurol 2025. [PMID: 39981939 DOI: 10.1002/ana.27205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2024] [Revised: 01/21/2025] [Accepted: 01/22/2025] [Indexed: 02/22/2025]
Abstract
OBJECTIVE Investigate the immune system's role in cluster headache by analyzing cytokines in people with cluster headache and headache-free controls, and explore if certain cytokines could predict a specific phenotype. METHODS We measured 45 cytokines in adult participants from the Danish Cluster Headache Biobank in a prospective case-control setup. People with cluster headache were diagnosed according to the International Classification of Headache Disorders third-edition. Controls were matched for age and sex. RESULTS A total of 412 were analyzed deriving from 99 with chronic cluster headache, 108 with episodic cluster headache (ECH) in bout, 105 with ECH in remission, and 100 successfully matched controls. Compared with controls, 13 cytokines were altered for ECH in bout (p < 0.05), 3 in remission (p < 0.05), and 10 for chronic cluster headache (p < 0.05). Oncostatin m was significantly elevated in all 3 disease states compared with controls (p < 0.05). Overall, the investigated cytokines showed distinct patterns of alterations between chronic cluster headache and episodic cluster headache in bout and, interestingly, IL-1β was significantly associated with having chronic cluster headache rather than episodic in bout in a logistic regression model adjusting for potential confounders (p < 0.05). INTERPRETATION Findings show that the immune system is altered in all 3 states of cluster headache compared with controls. Oncostatin m was elevated, constituting a promising target for future studies. The distinct alterations between episodic and chronic cluster headache are striking and urges further research of the immune system in cluster headache to better understand its potential role in prediction of disease activity and treatment response. ANN NEUROL 2025.
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Affiliation(s)
- Nunu Laura Timotheussen Lund
- Danish Headache Center, Department of Neurology Rigshospitalet - Glostrup, University of Copenhagen, Glostrup, Denmark
| | - Connar Stanley James Westgate
- Danish Headache Center, Department of Neurology Rigshospitalet - Glostrup, University of Copenhagen, Glostrup, Denmark
- BRAWA, Translational Research Center, Rigshospitalet, Glostrup, Denmark
| | - Marie-Louise Kulas Søborg
- Danish Headache Center, Department of Neurology Rigshospitalet - Glostrup, University of Copenhagen, Glostrup, Denmark
| | | | - Rigmor Højland Jensen
- Danish Headache Center, Department of Neurology Rigshospitalet - Glostrup, University of Copenhagen, Glostrup, Denmark
| | - Thomas Folkman Hansen
- Danish Headache Center, Department of Neurology Rigshospitalet - Glostrup, University of Copenhagen, Glostrup, Denmark
- Neurogenomics group, Danish Headache Center, Translational Research Centre, Rigshospitalet Glostrup, Glostrup, Denmark
- Danish Multiple Sclerosis Center, Department of Neurology Rigshospitalet - Glostrup, Glostrup, Denmark
| | - Anja Sofie Petersen
- Danish Headache Center, Department of Neurology Rigshospitalet - Glostrup, University of Copenhagen, Glostrup, Denmark
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Asefifeyzabadi N, Nguyen T, Li H, Zhu K, Yang HY, Baniya P, Medina Lopez A, Gallegos A, Hsieh HC, Dechiraju H, Hernandez C, Schorger K, Recendez C, Tebyani M, Selberg J, Luo L, Muzzy E, Hsieh C, Barbee A, Orozco J, Alhamo MA, Levin M, Aslankoohi E, Gomez M, Zhao M, Teodorescu M, Isseroff RR, Rolandi M. A pro-reparative bioelectronic device for controlled delivery of ions and biomolecules. Wound Repair Regen 2024; 32:709-719. [PMID: 38794912 DOI: 10.1111/wrr.13191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 03/28/2024] [Accepted: 05/07/2024] [Indexed: 05/26/2024]
Abstract
Wound healing is a complex physiological process that requires precise control and modulation of many parameters. Therapeutic ion and biomolecule delivery has the capability to regulate the wound healing process beneficially. However, achieving controlled delivery through a compact device with the ability to deliver multiple therapeutic species can be a challenge. Bioelectronic devices have emerged as a promising approach for therapeutic delivery. Here, we present a pro-reparative bioelectronic device designed to deliver ions and biomolecules for wound healing applications. The device incorporates ion pumps for the targeted delivery of H+ and zolmitriptan to the wound site. In vivo studies using a mouse model further validated the device's potential for modulating the wound environment via H+ delivery that decreased M1/M2 macrophage ratios. Overall, this bioelectronic ion pump demonstrates potential for accelerating wound healing via targeted and controlled delivery of therapeutic agents to wounds. Continued optimization and development of this device could not only lead to significant advancements in tissue repair and wound healing strategies but also reveal new physiological information about the dynamic wound environment.
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Affiliation(s)
- Narges Asefifeyzabadi
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Tiffany Nguyen
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Houpu Li
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Kan Zhu
- Department of Ophthalmology, School of Medicine, University of California Davis, Davis, California, USA
| | - Hsin-Ya Yang
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
| | - Prabhat Baniya
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Andrea Medina Lopez
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
| | - Anthony Gallegos
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
| | - Hao-Chieh Hsieh
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Harika Dechiraju
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Cristian Hernandez
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Kaelan Schorger
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Cynthia Recendez
- Department of Ophthalmology, School of Medicine, University of California Davis, Davis, California, USA
| | - Maryam Tebyani
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - John Selberg
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Le Luo
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Elana Muzzy
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Cathleen Hsieh
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
- Department of Chemistry and Biochemistry, University of California Santa Cruz, California, Santa Cruz, USA
| | - Alexie Barbee
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Jonathan Orozco
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
- Department of Economics, University of California Santa Cruz, Santa Cruz, California, USA
| | - Moyasar A Alhamo
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
| | - Michael Levin
- Department of Biology, Tufts University, Medford, Massachusetts, USA
| | - Elham Aslankoohi
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Marcella Gomez
- Department of Applied Mathematics, University of California Santa Cruz, Santa Cruz, California, USA
| | - Min Zhao
- Department of Ophthalmology, School of Medicine, University of California Davis, Davis, California, USA
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
| | - Mircea Teodorescu
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
| | - Roslyn Rivkah Isseroff
- Department of Dermatology, School of Medicine, University of California Davis, Davis, California, USA
- Dermatology Section, VA Northern California Health Care System, Mather, California, USA
| | - Marco Rolandi
- Department of Electrical and Computer Engineering, University of California Santa Cruz, Santa Cruz, California, USA
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