Evidence map›Paper›PMID 37884687›Full record

ArticleNature genetics2023

Rare variants with large effects provide functional insights into the pathology of migraine subtypes, with and without aura.

Gyda Bjornsdottir, Mona A Chalmer, Lilja Stefansdottir, Astros Th Skuladottir, Gudmundur Einarsson, Margret Andresdottir, Doruk Beyter, Egil Ferkingstad, Solveig Gretarsdottir, Bjarni V Halldorsson and 56 more

Open access · hybridAbstract read
In one paragraph

Article in Nature genetics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
11.6field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Mechanisms of intracellular pH gating and local anesthetic inhibition of the two-pore domain KProceedings of the National Academy of Sciences of the United States of America · 2026
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  15. International journal of molecular sciences · 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

66 authors at 20 institutions in 4 countries.

Gyda Bjornsdottir *deCODE Genetics/Amgen, Inc., Reykjavik, Iceland. gyda.bjornsdottir@decode.is.ORCID 0000-0002-8100-0306
Mona A Chalmer *Danish Headache Center, Department of Neurology, Copenhagen University Hospital, Rigshospitalet-Glostrup, Copenhagen, Denmark.ORCID 0000-0003-4609-1895
Lilja StefansdottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Astros Th SkuladottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-5048-0933
Gudmundur EinarssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-1326-2339
Margret AndresdottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Doruk BeyterdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Egil FerkingstaddeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0001-8090-7988
Solveig GretarsdottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-2616-7269
Bjarni V HalldorssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0003-0756-0767
Gisli H HalldorssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0001-7067-9862
Anna HelgadottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-1806-2467
Hannes HelgasondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Grimur Hjorleifsson EldjarndeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-9580-6685
Adalbjorg JonasdottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Aslaug JonasdottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Ingileif JonsdottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0001-8339-150X
Kirk U KnowltonIntermountain Heart Institute, Salt Lake City, UT, USA.
Lincoln D NadauldIntermountain Healthcare, Saint George, UT, USA.
Sigrun H LunddeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-3806-2296
Olafur Th MagnussondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Pall MelsteddeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Kristjan H S MooredeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-9579-4362
Asmundur OddssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-4606-5163
Pall I OlasondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Asgeir SigurdssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Olafur A StefanssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-9663-3018
Jona SaemundsdottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Gardar SveinbjornssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0003-2429-9468
Vinicius TragantedeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-8223-8957
Unnur UnnsteinsdottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
G Bragi WaltersdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-5415-6487
Florian ZinkdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Linn RødevandNORMENT, Centre for Mental Disorders Research, Division of Mental Health and Addiction, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Ole A AndreassenNORMENT, Centre for Mental Disorders Research, Division of Mental Health and Addiction, Oslo University Hospital, and Institute of Clinical Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0002-4461-3568
Jannicke IglandDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Rolv T LieDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.ORCID 0000-0001-6287-4051
Jan HaavikDepartment of Biomedicine, University of Bergen, Bergen, Norway.ORCID 0000-0001-7865-2808
Karina BanasikNovo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-2489-2499
Søren BrunakNovo Nordisk Foundation Center for Protein Research, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-0316-5866
Maria DidriksenDepartment of Clinical Immunology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-4856-496X
Mie T BruunDepartment of Clinical Immunology, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-8819-5388
Christian ErikstrupDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0001-6551-6647
Lisette J A KogelmanDanish Headache Center, Department of Neurology, Copenhagen University Hospital, Rigshospitalet-Glostrup, Copenhagen, Denmark.ORCID 0000-0001-9782-7810
Kaspar R NielsenDepartment of Clinical Immunology, Aalborg University Hospital, Aalborg, Denmark.
Erik SørensenDepartment of Clinical Immunology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Ole B PedersenDepartment of Clinical Immunology, Zealand University Hospital, Køge, Denmark.ORCID 0000-0003-2312-5976
Henrik UllumStatens Serum Institut, Copenhagen, Denmark.
DBDS Genetic Consortium
Gisli MassondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Unnur ThorsteinsdottirdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Jes OlesenDanish Headache Center, Department of Neurology, Copenhagen University Hospital, Rigshospitalet-Glostrup, Copenhagen, Denmark.ORCID 0000-0002-6712-2702
Petur LudvigssonDepartment of Pediatrics, Landspitali University Hostpital, Reykjavik, Iceland.
Olafur ThorarensenDepartment of Pediatrics, Landspitali University Hostpital, Reykjavik, Iceland.
Anna BjornsdottirHeilsuklasinn Clinic, Reykjavik, Iceland.
Gudrun R SigurdardottirLaeknasetrid Clinic, Reykjavik, Iceland.
Olafur A SveinssonLaeknasetrid Clinic, Reykjavik, Iceland.
Sisse R OstrowskiDepartment of Clinical Immunology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0001-5288-3851
Hilma HolmdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-9517-6636
Daniel F GudbjartssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0002-5222-9857
Gudmar ThorleifssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0003-4623-9087
Patrick SulemdeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.ORCID 0000-0001-7123-6123
Hreinn StefanssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Thorgeir E ThorgeirssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland.
Thomas F HansenDanish Headache Center, Department of Neurology, Copenhagen University Hospital, Rigshospitalet-Glostrup, Copenhagen, Denmark.ORCID 0000-0001-6703-7762
Kari StefanssondeCODE Genetics/Amgen, Inc., Reykjavik, Iceland. kari.stefansson@decode.is.ORCID 0000-0003-1676-864X
deCODE Genetics (Iceland) · ISCopenhagen University Hospital · DKUniversity of Copenhagen · DKAarhus University Hospital · DKStatens Serum Institut · DKAalborg University · DKDanish Cancer Society · DKNational University Hospital of Iceland · ISOdense University Hospital · DKOslo University Hospital · NOReykjavík University · ISZealand University Hospital Køge · DKAalborg University Hospital · DKAarhus University · DKHaukeland University Hospital · NOIntermountain Healthcare · USIntermountain Medical Center · USNorwegian Institute of Public Health · NOWestern Norway University of Applied Sciences · NOZealand University Hospital · DK

Funding

LIMBIC &MEDULLARY MECH. IN COCAINE-RELATED SUDDEN DEATHR01DA006227 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI MASH, DEBORAH C. · 1990 to 2012
$3.7M
Methods for high-resolution analysis of genetic effects on gene expressionR01MH101814 · NIMH · UNIVERSITY OF GENEVA · PI BUSTAMANTE, CARLOS DANIEL, DERMITZAKIS, EMMANOUIL · 2013 to 2016
$2.3M
Harnessing GTEx to Create Transcriptome Knowledge and Inform Disease BiologyR01MH101820 · NIMH · UNIVERSITY OF CHICAGO · PI COX, NANCY J, NICOLAE, DAN LIVIU · 2013 to 2015
$2.3M
Identification and validation of cell specific eQTLs by Bayesian modelingR01MH101822 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BROWN, CHRISTOPHER DAVID, ENGELHARDT, BARBARA · 2013 to 2016
$1.9M
Genetic Regulation of Gene Expression and its Impact on Phenotypes - SupplementR01MH101782 · NIMH · STANFORD UNIVERSITY · PI SABATTI, CHIARA · 2013 to 2016
$1.3M
MODELING THE EFFECTS OF STRUCTURAL VARIATION IN GTEX DATA AND MENDELIAN DISEASER01MH101810 · NIMH · WASHINGTON UNIVERSITY · PI CONRAD, DONALD F. · 2013 to 2016
$1.3M
Systems approaches to link tissue-specific expression to diseaseR01MH101819 · NIMH · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI NOBEL, ANDREW B, WRIGHT, FRED A. · 2013 to 2015
$1.3M
Statistical analysis of gene expression quantitative trait loci (eQTL)R01MH101825 · NIMH · UNIVERSITY OF CHICAGO · PI STEPHENS, MATTHEW · 2013 to 2015
$1.1M
Statistical analysis of gene expression quantitative trait loci (eQTL)R01MH090951 · NIMH · UNIVERSITY OF CHICAGO · PI PRITCHARD, JONATHAN K · 2010 to 2012
$873k
Methods for high-resolution analysis of genetic effects on gene expressionR01MH090941 · NIMH · UNIVERSITY OF GENEVA · PI DERMITZAKIS, EMMANOUIL, GUIGO, RODERIC · 2010 to 2012
$863k
FACILITATING GTEx, DISEASE, AND GxE ANALYSES VIA FAST EXPRESSION (e)QTL MAPPINGR01MH090936 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NOBEL, ANDREW B, RUSYN, IVAN · 2010 to 2012
$847k
Using the Transcriptome for SNP and Gene AnnotationR01MH090937 · NIMH · UNIVERSITY OF CHICAGO · PI COX, NANCY J, NICOLAE, DAN LIVIU · 2010 to 2012
$825k
CCR NIH HHS HHSN261200800001CNCI NIH HHS HHSN261200800001ENHLBI NIH HHS HHSN268201000029CNIDA NIH HHS R01 DA006227NIMH NIH HHS R01 MH090936NIMH NIH HHS R01 MH090937NIMH NIH HHS R01 MH090941NIMH NIH HHS R01 MH090948NIMH NIH HHS R01 MH090951NIMH NIH HHS R01 MH101782NIMH NIH HHS R01 MH101810NIMH NIH HHS R01 MH101814NIMH NIH HHS R01 MH101819NIMH NIH HHS R01 MH101820NIMH NIH HHS R01 MH101822NIMH NIH HHS R01 MH101825
6 · The paper itself

Abstract

Migraine is a complex neurovascular disease with a range of severity and symptoms, yet mostly studied as one phenotype in genome-wide association studies (GWAS). Here we combine large GWAS datasets from six European populations to study the main migraine subtypes, migraine with aura (MA) and migraine without aura (MO). We identified four new MA-associated variants (in PRRT2, PALMD, ABO and LRRK2) and classified 13 MO-associated variants. Rare variants with large effects highlight three genes. A rare frameshift variant in brain-expressed PRRT2 confers large risk of MA and epilepsy, but not MO. A burden test of rare loss-of-function variants in SCN11A, encoding a neuron-expressed sodium channel with a key role in pain sensation, shows strong protection against migraine. Finally, a rare variant with cis-regulatory effects on KCNK5 confers large protection against migraine and brain aneurysms. Our findings offer new insights with therapeutic potential into the complex biology of migraine and its subtypes.

Indexed as

EpilepsyMigraine DisordersMigraine with AuraGenome-Wide Association StudyHumansPhenotype

Identifiers

PMID37884687
PMCPMC10632135
OpenAlexW4387955535

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Read underepoch 390

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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.