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Dong B, Li X, Zhang L, Liang G, Zheng W, Gui L, Ji S, Tang Y, Li H, Li W, Yang R, Li Y, Peng A, Chen Y, Gong M, Chen L. Effects of patent foramen ovale in migraine: a metabolomics-based study. J Physiol 2025; 603:809-835. [PMID: 39838589 PMCID: PMC11826071 DOI: 10.1113/jp286772] [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: 04/18/2024] [Accepted: 01/03/2025] [Indexed: 01/23/2025] Open
Abstract
Patent foramen ovale (PFO), a cardiac anatomical anomaly inducing abnormal haemodynamics, leads to a paradoxical bypass of the pulmonary circulation. PFO closure might alleviate migraines; however, clinical evidence and basic experiments for the relationship are lacking. To explore the effect of PFO on migraine, 371 migraineurs finishing blood tests and contrast transthoracic echocardiography for the detection of PFO were prospectively included. Multivariate regression analysis revealed that PFO was independently associated with aura, and lower cystatin-C (cys-C) and calcium levels. Among them, patients with PFO who underwent percutaneous PFO closure were continuously followed up 1 year after the operation. The intensity of migraine was significantly relieved and the levels of cys-C and calcium increased after PFO closure. Untargeted and targeted metabolomics of plasma from migraineurs before and after PFO closure revealed that 5-HT and glutathione (GSH) metabolites were differentially expressed after PFO closure. The differential metabolites were then validated in the plasma and brain tissues of PFO mouse models by LC-MS/MS analysis. Desorption electrospray ionization mass imaging demonstrated that these metabolic alterations occurred mainly in the posterior cerebral cortex. Collectively, aura, cys-C and calcium could be biomarkers of migraineurs with PFO. PFO might have an impact on the posterior head associated with the regulation of 5-HT and GSH. PFO closure might relieve migraine by improving 5-HT clearance metabolism and ameliorating redox reactions. Our results may provide evidence for an indication of PFO closure in migraine and support the related potential mechanism. KEY POINTS: Aura, and levels of cystatin-C and calcium are biomarkers of migraineurs with a patent foramen ovale (PFO). The clearance of pulmonary metabolism of 5-HT and deoxygenated blood might be the reason for the improvement of migraine symptoms in patients with PFO. The posterior region of the brain is the main area responsible for PFO-induced migraine.
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Affiliation(s)
- Bosi Dong
- Department of NeurologyWest China Hospital, Sichuan UniversityChengduChina
| | - Xin Li
- Laboratory of Clinical Proteomics and Metabolomics, Institutes for Systems Genetics, Frontiers Science Center for Disease‐Related Molecular Network, National Clinical Research Center for GeriatricsWest China Hospital, Sichuan UniversityChengduChina
| | - Lu Zhang
- Laboratory of Clinical Proteomics and Metabolomics, Institutes for Systems Genetics, Frontiers Science Center for Disease‐Related Molecular Network, National Clinical Research Center for GeriatricsWest China Hospital, Sichuan UniversityChengduChina
- Core Facilities of West China HospitalWest China Hospital, Sichuan UniversityChengduChina
| | - Ge Liang
- Laboratory of Clinical Proteomics and Metabolomics, Institutes for Systems Genetics, Frontiers Science Center for Disease‐Related Molecular Network, National Clinical Research Center for GeriatricsWest China Hospital, Sichuan UniversityChengduChina
- Core Facilities of West China HospitalWest China Hospital, Sichuan UniversityChengduChina
| | - Wen Zheng
- Laboratory of Clinical Proteomics and Metabolomics, Institutes for Systems Genetics, Frontiers Science Center for Disease‐Related Molecular Network, National Clinical Research Center for GeriatricsWest China Hospital, Sichuan UniversityChengduChina
| | - Luolan Gui
- Laboratory of Clinical Proteomics and Metabolomics, Institutes for Systems Genetics, Frontiers Science Center for Disease‐Related Molecular Network, National Clinical Research Center for GeriatricsWest China Hospital, Sichuan UniversityChengduChina
| | - Shuming Ji
- Department of Clinical Research ManagementWest China Hospital, Sichuan UniversityChengduChina
| | - Yusha Tang
- Department of NeurologyWest China Hospital, Sichuan UniversityChengduChina
| | - Hua Li
- Department of NeurologyWest China Hospital, Sichuan UniversityChengduChina
| | - Wanling Li
- Department of NeurologyWest China Hospital, Sichuan UniversityChengduChina
| | - Ruiqi Yang
- Department of NeurologyWest China Hospital, Sichuan UniversityChengduChina
| | - Yajiao Li
- Department of CardiologyWest China Hospital, Sichuan UniversityChengduChina
| | - Anjiao Peng
- Department of NeurologyWest China Hospital, Sichuan UniversityChengduChina
| | - Yucheng Chen
- Department of CardiologyWest China Hospital, Sichuan UniversityChengduChina
| | - Meng Gong
- Laboratory of Clinical Proteomics and Metabolomics, Institutes for Systems Genetics, Frontiers Science Center for Disease‐Related Molecular Network, National Clinical Research Center for GeriatricsWest China Hospital, Sichuan UniversityChengduChina
| | - Lei Chen
- Department of NeurologyWest China Hospital, Sichuan UniversityChengduChina
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Li W, Hu X, Huang X. Long intergenic non-protein coding RNA 847 promotes laryngeal squamous cell carcinoma progression through the microRNA-181a-5p/zinc finger E-box binding homeobox 2 axis. Bioengineered 2022; 13:9987-10000. [PMID: 35435130 PMCID: PMC9161931 DOI: 10.1080/21655979.2022.2062531] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
The present study is targeted at investigating the effects of long intergenic non-protein coding RNA 847 (LINC00847) on the malignant biological behaviors of laryngeal squamous cell carcinoma (LSCC) cells, and the mechanisms. Quantitative real-time PCR and Western blotting were conducted for detecting the expressions of LINC00847, microRNA-181a-5p (miR-181a-5p) and zinc finger E-box binding homeobox 2 (ZEB2) in LSCC cell lines and tissue samples. BrdU, cell counting kit-8, scratch wound healing, Transwell and flow cytometry assays were utilized for detecting cell proliferation, migration, invasion, and cell cycle progression. Dual-luciferase reporter gene, RNA binding protein immunoprecipitation (RIP), and RNA pull-down assays were utilized to investigate the interaction among LINC00847, miR-181a-5p, and ZEB2. The subcellular location of LINC00847 was determined by RNA fluorescence in situ hybridization (RNA-FISH) assay. Tumor growth was evaluated using a xenograft model of nude mice. It was revealed that LINC00847 expression was increased in LSCC tissues, and its high expression was associated with lymph node metastasis and poor differentiation. LINC00847 was mainly located in the cytoplasm of LSCC cells, and LINC00847 overexpression promoted LSCC cell proliferation, migration, invasion, and accelerated the cell cycle progression while knocking down LINC00847 had the opposite effects in vitro and inhibited the tumor growth in vivo. LINC00847 directly targeted miR-181a-5p and negatively modulated miR-181a-5p expression. ZEB2 was a target gene of miR-181a-5p, and was positively and indirectly modulated by LINC00847. Our data suggest that LINC00847 promotes LSCC progression by regulating the miR-181a-5p/ZEB2 axis.
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Affiliation(s)
- Wei Li
- Department of Otolaryngology, Ezhou Central Hospital, Hubei, Ezhou Province, P.R. China
| | - Xionghui Hu
- Department of Otolaryngology, Tongxiang First People’s Hospital, Jiaxing, Zhejiang Province, P.R. China
| | - Xiaolin Huang
- Department of Otolaryngology, Ezhou Central Hospital, Hubei, Ezhou Province, P.R. China
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