Evidence map›Paper›PMID 25347655›Full record

ArticlePlastic and reconstructive surgery2014

Electron microscopic and proteomic comparison of terminal branches of the trigeminal nerve in patients with and without migraine headaches.

Bahman Guyuron, Elizabeth Yohannes, Robert Miller, Harvey Chim, Deborah Reed, Mark R Chance

Abstract readComparative Study
In one paragraph

Article in Plastic and reconstructive surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The serum proteomic profile in patients with migraine.Frontiers in molecular neuroscience · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Bottom-Up Proteomics: Advancements in Sample Preparation.International journal of molecular sciences · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Peripheral Occipital Nerve Decompression Surgery in Migraine Headache.Plastic and reconstructive surgery. Global open · 2020
    Article
  13. Article
  14. Migraine Surgery.Plastic and reconstructive surgery. Global open · 2019
    Review
  15. Review
  16. Ion channelopathies and migraine pathogenesis.Molecular genetics and genomics : MGG · 2017
    Review
  17. Efficacy of (Pain reports · 2016
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Bahman GuyuronCleveland, Ohio From the Departments of Plastic Surgery, Neurosciences, and Neurology, the Center for Proteomics and Bioinformatics, and the American Migraine Center, Case Western Reserve University.
Elizabeth Yohannes
Robert Miller
Harvey Chim
Deborah Reed
Mark R Chance
Case Western Reserve University · US

Funding

TUMOR METABOLISM PROGRAMP30CA043703 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MARK R CHANCE · 1987 to 2026
$142.3M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Transdisciplinary Research on Energetics and CancerU54CA116867 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI BERGER, NATHAN A. · 2005 to 2010
$11.3M
Proteomics of Immune Restoration and Opioid Exposure in HIV DiseaseP20DA026133 · NIDA · CASE WESTERN RESERVE UNIVERSITY · PI CHANCE, MARK R · 2009 to 2011
$3.0M
NCATS NIH HHS UL1 TR000439NCI NIH HHS P30 CA043703NCI NIH HHS U54 CA116867NCRR NIH HHS UL1 RR024989NIDA NIH HHS P20 DA026133
6 · The paper itself

Abstract

backgroundThe purpose of this study was to compare the ultrastructural appearance and protein expression of the zygomaticotemporal branch of the trigeminal nerve in patients with and without migraine headaches.

methodsAfter confirmation of migraine headache diagnosis on 15 patients, a 5-mm segment of the zygomaticotemporal branch of the trigeminal nerve that is routinely removed during migraine surgery was compared to similarly sized nerve segments obtained from 15 control patients without a history of migraine headaches, who underwent an endoscopic forehead lift where this nerve is routinely transected. The segments were snap-frozen at -80°C for the downstream proteomics analysis. In addition, the cytoarchitectural differences of the nerve segments obtained from the 15 migraine and 15 control subjects were examined in detail under the electron microscope.

resultsAnalysis of liquid chromatography/tandem mass spectrometry data sets identified differentially expressed proteins and networks composed of highly connected molecular modules (p=10 and p=10) in patients with migraine headaches. The nerves from patients with migraine headaches had a linear organization, disrupted myelin sheaths and target axons, and discontinuous neurofilaments that were poorly registered with the discontinuous myelin sheaths, suggesting axonal abnormality.

conclusionsThis study offers electron microscopic and proteomic evidence of axonal abnormality and deregulation of the myelination process in patients with migraine headaches compared with controls, offering the first objective evidence to support the role of peripheral mechanisms in the migraine headache cascade and an explanation as to why the surgical treatment of migraine headaches is efficacious.

Indexed as

AdultCase-Control StudiesChromatography, LiquidFemaleHumansMaleMicroscopy, ElectronMiddle AgedMigraine DisordersProteomicsReference ValuesReproducibility of ResultsTandem Mass SpectrometryTrigeminal Nerve

Identifiers

PMID25347655
PMCPMC4465394
OpenAlexW2326795202

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.