Evidence map›Paper›PMID 33633187›Full record

ArticleScientific reports2021

Mitochondrial function and oxidative stress markers in higher-frequency episodic migraine.

Elena C Gross, Niveditha Putananickal, Anna-Lena Orsini, Deborah R Vogt, Peter S Sandor, Jean Schoenen, Dirk Fischer

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03132233 (Safety, Tolerability and Efficacy of Exogenous Ketone Bodies for Preventive Treatment of Migraine), which is not on this map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 2% 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.

NCT03132233 nacompletednot on this map

Safety, Tolerability and Efficacy of Exogenous Ketone Bodies for Preventive Treatment of Migraine: A Randomised, Placebo-controlled, Double-blind Study

TypeinterventionalSponsorUniversity Hospital, Basel, SwitzerlandRan2017 to 2020Enrolled42ConditionsMigraine, Episodic MigraineArmsBeta-hydroxybutyrate calcium and magnesium salt, placebo powder
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Effects of selected dietary supplements on migraine prophylaxis: A systematic review and dose-response meta-analysis of randomized controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Elena C GrossDivision of Paediatric Neurology, University Children's Hospital Basel (UKBB), University of Basel, Basel, Switzerland. elena.gross@oxfordalumni.org.
Niveditha PutananickalDivision of Paediatric Neurology, University Children's Hospital Basel (UKBB), University of Basel, Basel, Switzerland.
Anna-Lena OrsiniDivision of Paediatric Neurology, University Children's Hospital Basel (UKBB), University of Basel, Basel, Switzerland.
Deborah R VogtClinical Trail Unit (CTU), Department of Clinical Research, University Hospital Basel (USB), University of Basel, Basel, Switzerland.
Peter S SandorRehaClinic Group, Bad Zurzach, University of Zurich, Zurich, Switzerland.
Jean SchoenenHeadache Research Unit, Dept of Neurology-Citadelle Hospital., University of Liège, Liège, Belgium.
Dirk FischerDivision of Paediatric Neurology, University Children's Hospital Basel (UKBB), University of Basel, Basel, Switzerland.
University Children’s Hospital Basel · CHUniversity Hospital of Basel · CHUniversity of Basel · CHUniversity of Liège · BEUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increasing evidence points towards the role of mitochondrial functioning, energy metabolism, and oxidative stress in migraine. However not all previous research has been conclusive and some mitochondrial function/oxidative stress markers have not yet been examined. To this end, alpha-lipoic acid (ALA), total thiols, total plasma antioxidant capacity (TAC), lipid peroxide (PerOx), oxidised LDL (oxLDL), HbA1c and lactate were determined in the serum of 32 higher frequency episodic migraineurs (5-14 migraine days/ months, 19 with aura, 28 females) in this cross-sectional study. The majority of patients had abnormally low ALA and lactate levels (87.5% and 78.1%, respectively). 46.9% of the patients had abnormally high PerOx values, while for thiols and TAC over one third of patients had abnormally low values (31.2% and 37.5%, respectively). 21.9% of patients had abnormally low HbA1c and none had an HbA1c level above 5.6%. oxLDL was normal in all but one patient. This study provides further evidence for a role of oxidative stress and altered metabolism in migraine pathophysiology, which might represent a suitable therapeutic target. ALA, being too low in almost 90% of patients, might represent a potential biomarker for migraine. Further research is needed to replicate these results, in particular a comparison with a control group.This study is part of the trial registration: ClinicalTrials.gov: NCT03132233, registered on 27.04.2017, https://clinicaltrials.gov/ct2/show/NCT03132233 .

Indexed as

BiomarkersOxidative StressAdultAntioxidantsBlood GlucoseDisease SusceptibilityEnergy MetabolismFemaleHumansLipidsMaleMiddle AgedMigraine DisordersMitochondriaPrognosisSeverity of Illness IndexAntioxidantsBiomarkersBlood GlucoseLipids

Identifiers

PMID33633187
PMCPMC7907128
OpenAlexW3130079923

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.