Evidence map›Paper›PMID 38658853›Full record

ReviewThe journal of headache and pain2024

Female-selective mechanisms promoting migraine.

Shagun Singh, Caroline M Kopruszinski, Moe Watanabe, David W Dodick, Edita Navratilova, Frank Porreca

Open access · goldAbstract readReview
In one paragraph

Review in The journal of headache and pain, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
12.3field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. The pPVTThe journal of headache and pain · 2026
    Article
  8. Sex and gender-related differences in neurological diseases: current challenges and recommendations for clinical practice.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Chronification of migraine sensitizes to CGRP in male and female mice.Cephalalgia : an international journal of headache · 2025
    Article
  20. Sexual Dimorphism in Migraine. Focus on Mitochondria.Current pain and headache reports · 2025
    Review
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

6 authors at 2 institutions in 1 country.

Shagun Singh *Banner - University Medicine Sunrise Primary Care, Tucson, AZ, 85750, USA.
Caroline M Kopruszinski *Department of Pharmacology, College of Medicine, University of Arizona, Tucson, AZ, 85724, USA.
Moe WatanabeDepartment of Pharmacology, College of Medicine, University of Arizona, Tucson, AZ, 85724, USA.
David W DodickDepartment of Neurology, Mayo Clinic, Phoenix, AZ, USA.
Edita NavratilovaDepartment of Pharmacology, College of Medicine, University of Arizona, Tucson, AZ, 85724, USA.
Frank PorrecaDepartment of Pharmacology, College of Medicine, University of Arizona, Tucson, AZ, 85724, USA. frankp@arizona.edu.
University of Arizona · USMayo Clinic Hospital · US

Funding

National Institute for Health Care Management Foundation R01NS1295
6 · The paper itself

Abstract

Sexual dimorphism has been revealed for many neurological disorders including chronic pain. Prelicinal studies and post-mortem analyses from male and female human donors reveal sexual dimorphism of nociceptors at transcript, protein and functional levels suggesting different mechanisms that may promote pain in men and women. Migraine is a common female-prevalent neurological disorder that is characterized by painful and debilitating headache. Prolactin is a neurohormone that circulates at higher levels in females and that has been implicated clinically in migraine. Prolactin sensitizes sensory neurons from female mice, non-human primates and humans revealing a female-selective pain mechanism that is conserved evolutionarily and likely translationally relevant. Prolactin produces female-selective migraine-like pain behaviors in rodents and enhances the release of calcitonin gene-related peptide (CGRP), a neurotransmitter that is causal in promoting migraine in many patients. CGRP, like prolactin, produces female-selective migraine-like pain behaviors. Consistent with these observations, publicly available clinical data indicate that small molecule CGRP-receptor antagonists are preferentially effective in treatment of acute migraine therapy in women. Collectively, these observations support the conclusion of qualitative sex differences promoting migraine pain providing the opportunity to tailor therapies based on patient sex for improved outcomes. Additionally, patient sex should be considered in design of clinical trials for migraine as well as for pain and reassessment of past trials may be warranted.

Indexed as

Calcitonin Gene-Related PeptideMigraine DisordersProlactinSex CharacteristicsAnimalsFemaleHumansMaleCalcitonin Gene-Related PeptideProlactinCalcitonin gene related peptideGepantsMigraineNociceptorPainProlactinSexual dimorphism

Identifiers

PMID38658853
PMCPMC11040950
OpenAlexW4395075778

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.