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ABSTRACT: Objective
Our study aimed to evaluate the influence of methylenetetrahydrofolate reductase (MTHFR) polymorphism on the clinical features and therapeutic effects in patients with migraine.Methods
The data of 135 patients with migraine were collected from January 2021 to December 2021. The MTHFR C677T polymorphism was analyzed. The pain intensity was evaluated using a numerical rating scale (NRS) during treatment. The levels of folic acid, homocysteine (Hcy), vitamin B12, interleukin-2 (IL-2), IL-4, and ferritin, and changes of NRS were compared between folic acid and conventional treatment groups stratified by different genotypes of MTHFR in migraine patients.Results
The levels of Hcy and ferritin in male patients were higher than that in female patients (P < 0.05); Compared with CC and CT genotype groups, the TT genotype group showed significantly higher Hcy levels (P < 0.05) and lower folic acid levels (P < 0.05); In both folic acid and conventional treatment groups, a significant decrease in NRS score was observed in different genotypes post-treatment (P < 0.05). Patients with TT genotype in the folic acid treatment group showed better therapeutic efficacy than conventional treatment group (P < 0.05). There is no significant difference in the therapeutic efficacy in other genotypes between the two groups (P > 0.05).Conclusion
The MTHFR C677T genotyping may provide a new method to guide and optimize individualized medication for migraine patients.
SUBMITTER: Guo J
PROVIDER: S-EPMC9816401 | biostudies-literature | 2022
REPOSITORIES: biostudies-literature
Guo Jianhao J Hao Xing X Wang Rongrong R Lian Ke K Jiang Jun J Chen Na N Feng Zhiying Z Rao Yuefeng Y
Frontiers in neurology 20221223
<h4>Objective</h4>Our study aimed to evaluate the influence of methylenetetrahydrofolate reductase (<i>MTHFR</i>) polymorphism on the clinical features and therapeutic effects in patients with migraine.<h4>Methods</h4>The data of 135 patients with migraine were collected from January 2021 to December 2021. The <i>MTHFR</i> C677T polymorphism was analyzed. The pain intensity was evaluated using a numerical rating scale (NRS) during treatment. The levels of folic acid, homocysteine (Hcy), vitamin ...[more]