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Erschienen in: Neurological Sciences 7/2022

03.02.2022 | Original Article

Artificial intelligence analysis to explore synchronize exercise, cobalamin, and magnesium as new actors to therapeutic of migraine symptoms: a randomized, placebo-controlled trial

verfasst von: Hanie Matin, Farzaneh Taghian, Ahmad Chitsaz

Erschienen in: Neurological Sciences | Ausgabe 7/2022

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Abstract

Introduction

Migraine is recognized as a complex neurological disorder that has imposed a social burden. We assessed the signaling pathways and molecular mechanisms based on the in silico analysis and predicted drug candidates by the biomedicine approach. Moreover, we evaluated high-intensity interval training and vitamin B12 + magnesium on women’s migraine attacks and inflammatory status.

Methods

This study computed differential gene expression in migraine syndrome and the dimension network parameters visualized by software. Moreover, we proposed the functional mechanism and binding energy of essential micronutrients on macromolecules based on drug discovery. In this clinical trial, 60 cases were randomized to four groups, including applied high-intensity interval training (HIIT), cases consumed supplementation vitamin B12 and magnesium (Supp), cases applied high-intensity interval training, and consumed supplementation (HIIT + Supp), and migraine cases for 2 months. Serum levels of calcitonin gene-related peptide (CGRP) were measured at baseline and at the end of the study. In addition, migraine disability assessment score (MIDAS), frequency, intensity, and duration were recorded before and during interventions.

Results

In silico study revealed the association between inflammation signaling pathways and pathogenesis of migraine attacks as a remarkable pathomechanism in this disorder. Furthermore, serum concentrations of CGRP were significantly declined in the HIIT + Supp compared with other groups. In addition, MIDAS, frequency, intensity, and duration were reduced in the HIIT + Supp group compared with the other groups.

Conclusion

We found that the synergistic effects of cobalamin and magnesium followed by regular exercise could silence the inflammation signaling pathway, and a combination of HIIT + Supp could ameliorate migraine pain.

Trial registration

This study was registered in the Iranian Registry of Clinical Trials; IRCT code: IRCT20170510033909N12. Approval Data: 2021/06/02.
Literatur
1.
Zurück zum Zitat Lipton R, Schwedt T, Friedman B. GBD 2015 Disease and injury incidence and prevalence collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2017 Jan 5; 388 (10053): 1545–602. Lipton R, Schwedt T, Friedman B. GBD 2015 Disease and injury incidence and prevalence collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2017 Jan 5; 388 (10053): 1545–602.
2.
Zurück zum Zitat Sadeghian H, Karimzadeh F, Jafarian M (2013) Mechanisms involved in pathophysiology of different types of migraines. The Neuroscience Journal of Shefaye Khatam 1(4):50–54CrossRef Sadeghian H, Karimzadeh F, Jafarian M (2013) Mechanisms involved in pathophysiology of different types of migraines. The Neuroscience Journal of Shefaye Khatam 1(4):50–54CrossRef
3.
Zurück zum Zitat Victor T, Hu X, Campbell J, Buse D, Lipton R (2010) Migraine prevalence by age and sex in the United States: a life-span study. Cephalalgia 30(9):1065–1072PubMedCrossRef Victor T, Hu X, Campbell J, Buse D, Lipton R (2010) Migraine prevalence by age and sex in the United States: a life-span study. Cephalalgia 30(9):1065–1072PubMedCrossRef
4.
Zurück zum Zitat de Rijk P, Resseguier N, Donnet A. Headache characteristics and clinical features of elderly migraine patients. Headache: The Journal of Head and Face Pain. 2018;58(4):525–33. de Rijk P, Resseguier N, Donnet A. Headache characteristics and clinical features of elderly migraine patients. Headache: The Journal of Head and Face Pain. 2018;58(4):525–33.
5.
Zurück zum Zitat Wijeratne T, Tang HM, Crewther D, Crewther S (2019) Prevalence of migraine in the elderly: a narrated review. Neuroepidemiology 52(1–2):104–110PubMedCrossRef Wijeratne T, Tang HM, Crewther D, Crewther S (2019) Prevalence of migraine in the elderly: a narrated review. Neuroepidemiology 52(1–2):104–110PubMedCrossRef
6.
Zurück zum Zitat Haan J, Hollander J, Ferrari MD (2007) Migraine in the elderly: a review. Cephalalgia 27(2):97–106PubMedCrossRef Haan J, Hollander J, Ferrari MD (2007) Migraine in the elderly: a review. Cephalalgia 27(2):97–106PubMedCrossRef
7.
Zurück zum Zitat Stauffer VL, Turner I, Kemmer P, Kielbasa W, Day K, Port M et al (2020) Effect of age on pharmacokinetics, efficacy, and safety of galcanezumab treatment in adult patients with migraine: results from six phase 2 and phase 3 randomized clinical trials. J Headache Pain 21(1):1–14CrossRef Stauffer VL, Turner I, Kemmer P, Kielbasa W, Day K, Port M et al (2020) Effect of age on pharmacokinetics, efficacy, and safety of galcanezumab treatment in adult patients with migraine: results from six phase 2 and phase 3 randomized clinical trials. J Headache Pain 21(1):1–14CrossRef
8.
Zurück zum Zitat Steiner TJ, Stovner LJ, Vos T, Jensen R, Katsarava Z. Migraine is first cause of disability in under 50s: will health politicians now take notice? : Springer; 2018. Steiner TJ, Stovner LJ, Vos T, Jensen R, Katsarava Z. Migraine is first cause of disability in under 50s: will health politicians now take notice? : Springer; 2018.
9.
Zurück zum Zitat Amin FM, Aristeidou S, Baraldi C, Czapinska-Ciepiela EK, Ariadni DD, Di Lenola D et al (2018) The association between migraine and physical exercise. J Headache Pain 19(1):1–9CrossRef Amin FM, Aristeidou S, Baraldi C, Czapinska-Ciepiela EK, Ariadni DD, Di Lenola D et al (2018) The association between migraine and physical exercise. J Headache Pain 19(1):1–9CrossRef
10.
Zurück zum Zitat Bernstein C, Burstein R (2012) Sensitization of the trigeminovascular pathway: perspective and implications to migraine pathophysiology. J Clin Neurol 8(2):89–99PubMedPubMedCentralCrossRef Bernstein C, Burstein R (2012) Sensitization of the trigeminovascular pathway: perspective and implications to migraine pathophysiology. J Clin Neurol 8(2):89–99PubMedPubMedCentralCrossRef
11.
Zurück zum Zitat Dresler T, Caratozzolo S, Guldolf K, Huhn J-I, Loiacono C, Niiberg-Pikksööt T et al (2019) Understanding the nature of psychiatric comorbidity in migraine: a systematic review focused on interactions and treatment implications. J Headache Pain 20(1):51PubMedPubMedCentralCrossRef Dresler T, Caratozzolo S, Guldolf K, Huhn J-I, Loiacono C, Niiberg-Pikksööt T et al (2019) Understanding the nature of psychiatric comorbidity in migraine: a systematic review focused on interactions and treatment implications. J Headache Pain 20(1):51PubMedPubMedCentralCrossRef
12.
Zurück zum Zitat Lambru G, Benemei S, Andreou AP, Luciani M, Serafini G, van den Brink AM et al (2021) Position paper on post-traumatic headache: the relationship between head trauma, stress disorder, and migraine. Pain Ther 10(1):1–13PubMedCrossRef Lambru G, Benemei S, Andreou AP, Luciani M, Serafini G, van den Brink AM et al (2021) Position paper on post-traumatic headache: the relationship between head trauma, stress disorder, and migraine. Pain Ther 10(1):1–13PubMedCrossRef
13.
Zurück zum Zitat Goadsby PJ, Holland PR, Martins-Oliveira M, Hoffmann J, Schankin C, Akerman S. Pathophysiology of migraine: a disorder of sensory processing. Physiological reviews. 2017. Goadsby PJ, Holland PR, Martins-Oliveira M, Hoffmann J, Schankin C, Akerman S. Pathophysiology of migraine: a disorder of sensory processing. Physiological reviews. 2017.
14.
Zurück zum Zitat Edvinsson L, Haanes KA, Warfvinge K (2019) Does inflammation have a role in migraine? Nat Rev Neurol 15(8):483–490PubMedCrossRef Edvinsson L, Haanes KA, Warfvinge K (2019) Does inflammation have a role in migraine? Nat Rev Neurol 15(8):483–490PubMedCrossRef
15.
Zurück zum Zitat Moore EL, Salvatore CA (2012) Targeting a family B GPCR/RAMP receptor complex: CGRP receptor antagonists and migraine. Br J Pharmacol 166(1):66–78PubMedPubMedCentralCrossRef Moore EL, Salvatore CA (2012) Targeting a family B GPCR/RAMP receptor complex: CGRP receptor antagonists and migraine. Br J Pharmacol 166(1):66–78PubMedPubMedCentralCrossRef
16.
Zurück zum Zitat Ashina M, Terwindt GM, Al-Karagholi MA-M, De Boer I, Lee MJ, Hay DL, et al. Migraine: disease characterisation, biomarkers, and precision medicine. The Lancet. 2021. Ashina M, Terwindt GM, Al-Karagholi MA-M, De Boer I, Lee MJ, Hay DL, et al. Migraine: disease characterisation, biomarkers, and precision medicine. The Lancet. 2021.
17.
Zurück zum Zitat Antonaci F, Ghiotto N, Wu S, Pucci E, Costa A (2016) Recent advances in migraine therapy. Springerplus 5(1):1–14CrossRef Antonaci F, Ghiotto N, Wu S, Pucci E, Costa A (2016) Recent advances in migraine therapy. Springerplus 5(1):1–14CrossRef
19.
Zurück zum Zitat Persico A, Verdecchia M, Pinzone V, Guidetti V (2015) Migraine genetics: current findings and future lines of research. Neurogenetics 16(2):77–95PubMedCrossRef Persico A, Verdecchia M, Pinzone V, Guidetti V (2015) Migraine genetics: current findings and future lines of research. Neurogenetics 16(2):77–95PubMedCrossRef
20.
Zurück zum Zitat Napoli R, Guardasole V, Zarra E, Matarazzo M, D’anna C, Sacca F et al (2009) Vascular smooth muscle cell dysfunction in patients with migraine. Neurology 72(24):2111–2114PubMedCrossRef Napoli R, Guardasole V, Zarra E, Matarazzo M, D’anna C, Sacca F et al (2009) Vascular smooth muscle cell dysfunction in patients with migraine. Neurology 72(24):2111–2114PubMedCrossRef
21.
Zurück zum Zitat Peterlin BL (2009) The role of the adipocytokines adiponectin and leptin in migraine. J Am Osteopath Assoc 109(6):314–317PubMed Peterlin BL (2009) The role of the adipocytokines adiponectin and leptin in migraine. J Am Osteopath Assoc 109(6):314–317PubMed
22.
Zurück zum Zitat Bianchi A, Salomone S, Caraci F, Pizza V, Bernardini R, D Amato CC. Role of magnesium, coenzyme Q~ 1~ 0, riboflavin, and vitamin B~ 1~ 2 in migraine prophylaxis. Vitamins and hormones. 2004;69:297–312. Bianchi A, Salomone S, Caraci F, Pizza V, Bernardini R, D Amato CC. Role of magnesium, coenzyme Q~ 1~ 0, riboflavin, and vitamin B~ 1~ 2 in migraine prophylaxis. Vitamins and hormones. 2004;69:297–312.
23.
Zurück zum Zitat Togha M, Razeghi Jahromi S, Ghorbani Z, Martami F, Seifishahpar M. Serum vitamin B12 and methylmalonic acid status in migraineurs: a case-control study. Headache: The Journal of Head and Face Pain. 2019;59(9):1492–503. Togha M, Razeghi Jahromi S, Ghorbani Z, Martami F, Seifishahpar M. Serum vitamin B12 and methylmalonic acid status in migraineurs: a case-control study. Headache: The Journal of Head and Face Pain. 2019;59(9):1492–503.
24.
Zurück zum Zitat Rosenberg L, Butler N, Seng EK (2018) Health behaviors in episodic migraine: why behavior change matters. Curr Pain Headache Rep 22(10):1–6CrossRef Rosenberg L, Butler N, Seng EK (2018) Health behaviors in episodic migraine: why behavior change matters. Curr Pain Headache Rep 22(10):1–6CrossRef
25.
Zurück zum Zitat Daenen L, Varkey E, Kellmann M, Nijs J (2015) Exercise, not to exercise, or how to exercise in patients with chronic pain? Applying science to practice. Clin J Pain 31(2):108–114PubMedCrossRef Daenen L, Varkey E, Kellmann M, Nijs J (2015) Exercise, not to exercise, or how to exercise in patients with chronic pain? Applying science to practice. Clin J Pain 31(2):108–114PubMedCrossRef
26.
Zurück zum Zitat Häuser W, Klose P, Langhorst J, Moradi B, Steinbach M, Schiltenwolf M et al (2010) Efficacy of different types of aerobic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomised controlled trials. Arthritis Res Ther 12(3):1–14CrossRef Häuser W, Klose P, Langhorst J, Moradi B, Steinbach M, Schiltenwolf M et al (2010) Efficacy of different types of aerobic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomised controlled trials. Arthritis Res Ther 12(3):1–14CrossRef
27.
Zurück zum Zitat Irby MB, Bond DS, Lipton RB, Nicklas B, Houle TT, Penzien DB. Aerobic exercise for reducing migraine burden: mechanisms, markers, and models of change processes. Headache: The Journal of Head and Face Pain. 2016;56(2):357–69. Irby MB, Bond DS, Lipton RB, Nicklas B, Houle TT, Penzien DB. Aerobic exercise for reducing migraine burden: mechanisms, markers, and models of change processes. Headache: The Journal of Head and Face Pain. 2016;56(2):357–69.
28.
Zurück zum Zitat Clough E, Barrett T (2016) The gene expression omnibus database. Springer, Statistical genomics, pp 93–110 Clough E, Barrett T (2016) The gene expression omnibus database. Springer, Statistical genomics, pp 93–110
29.
Zurück zum Zitat Szklarczyk D, Gable AL, Nastou KC, Lyon D, Kirsch R, Pyysalo S et al (2021) The STRING database in 2021: customizable protein–protein networks, and functional characterization of user-uploaded gene/measurement sets. Nucleic Acids Res 49(D1):D605–D612PubMedCrossRef Szklarczyk D, Gable AL, Nastou KC, Lyon D, Kirsch R, Pyysalo S et al (2021) The STRING database in 2021: customizable protein–protein networks, and functional characterization of user-uploaded gene/measurement sets. Nucleic Acids Res 49(D1):D605–D612PubMedCrossRef
30.
Zurück zum Zitat Shannon P, Markiel A, Ozier O, Baliga NS, Wang JT, Ramage D et al (2003) Cytoscape: a software environment for integrated models of biomolecular interaction networks. Genome Res 13(11):2498–2504PubMedPubMedCentralCrossRef Shannon P, Markiel A, Ozier O, Baliga NS, Wang JT, Ramage D et al (2003) Cytoscape: a software environment for integrated models of biomolecular interaction networks. Genome Res 13(11):2498–2504PubMedPubMedCentralCrossRef
31.
Zurück zum Zitat Xie Z, Bailey A, Kuleshov MV, Clarke DJ, Evangelista JE, Jenkins SL, et al. Gene set knowledge discovery with Enrichr. Current protocols. 2021;1(3):e90. Xie Z, Bailey A, Kuleshov MV, Clarke DJ, Evangelista JE, Jenkins SL, et al. Gene set knowledge discovery with Enrichr. Current protocols. 2021;1(3):e90.
32.
Zurück zum Zitat Kanehisa M, Furumichi M, Tanabe M, Sato Y, Morishima K (2017) KEGG: new perspectives on genomes, pathways, diseases and drugs. Nucleic Acids Res 45(D1):D353–D361PubMedCrossRef Kanehisa M, Furumichi M, Tanabe M, Sato Y, Morishima K (2017) KEGG: new perspectives on genomes, pathways, diseases and drugs. Nucleic Acids Res 45(D1):D353–D361PubMedCrossRef
33.
Zurück zum Zitat Jiao X, Sherman BT, Huang DW, Stephens R, Baseler MW, Lane HC et al (2012) DAVID-WS: a stateful web service to facilitate gene/protein list analysis. Bioinformatics 28(13):1805–1806PubMedPubMedCentralCrossRef Jiao X, Sherman BT, Huang DW, Stephens R, Baseler MW, Lane HC et al (2012) DAVID-WS: a stateful web service to facilitate gene/protein list analysis. Bioinformatics 28(13):1805–1806PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat Jassal B, Matthews L, Viteri G, Gong C, Lorente P, Fabregat A et al (2020) The reactome pathway knowledgebase. Nucleic Acids Res 48(D1):D498–D503PubMed Jassal B, Matthews L, Viteri G, Gong C, Lorente P, Fabregat A et al (2020) The reactome pathway knowledgebase. Nucleic Acids Res 48(D1):D498–D503PubMed
35.
Zurück zum Zitat Burley SK, Bhikadiya C, Bi C, Bittrich S, Chen L, Crichlow GV et al (2021) RCSB Protein Data Bank: powerful new tools for exploring 3D structures of biological macromolecules for basic and applied research and education in fundamental biology, biomedicine, biotechnology, bioengineering and energy sciences. Nucleic Acids Res 49(D1):D437–D451PubMedCrossRef Burley SK, Bhikadiya C, Bi C, Bittrich S, Chen L, Crichlow GV et al (2021) RCSB Protein Data Bank: powerful new tools for exploring 3D structures of biological macromolecules for basic and applied research and education in fundamental biology, biomedicine, biotechnology, bioengineering and energy sciences. Nucleic Acids Res 49(D1):D437–D451PubMedCrossRef
36.
Zurück zum Zitat Bhachoo J, Beuming T. Investigating protein–peptide interactions using the Schrödinger computational suite. Modeling peptide-protein interactions. 2017:235–54. Bhachoo J, Beuming T. Investigating protein–peptide interactions using the Schrödinger computational suite. Modeling peptide-protein interactions. 2017:235–54.
37.
Zurück zum Zitat Dallakyan S, Olson AJ (2015) Small-molecule library screening by docking with PyRx. Springer, Chemical biology, pp 243–250 Dallakyan S, Olson AJ (2015) Small-molecule library screening by docking with PyRx. Springer, Chemical biology, pp 243–250
38.
Zurück zum Zitat Mosaddeghi P, Eslami M, Farahmandnejad M, Akhavein M, Ranjbarfarrokhi R, Khorraminejad-Shirazi M et al (2021) A systems pharmacology approach to identify the autophagy-inducing effects of Traditional Persian medicinal plants. Sci Rep 11(1):1–15 Mosaddeghi P, Eslami M, Farahmandnejad M, Akhavein M, Ranjbarfarrokhi R, Khorraminejad-Shirazi M et al (2021) A systems pharmacology approach to identify the autophagy-inducing effects of Traditional Persian medicinal plants. Sci Rep 11(1):1–15
39.
Zurück zum Zitat Akbar W, Khosa NA (2021) The MIDAS score after memantine in patients with migraine at a tertiary care Hospital. Pakistan Journal of Neurological Sciences (PJNS) 16(1):26–29 Akbar W, Khosa NA (2021) The MIDAS score after memantine in patients with migraine at a tertiary care Hospital. Pakistan Journal of Neurological Sciences (PJNS) 16(1):26–29
40.
Zurück zum Zitat Krøll LS, Hammarlund CS, Linde M, Gard G, Jensen RH. The effects of aerobic exercise for persons with migraine and co-existing tension-type headache and neck pain. A randomized, controlled, clinical trial. Cephalalgia. 2018;38(12):1805–16. Krøll LS, Hammarlund CS, Linde M, Gard G, Jensen RH. The effects of aerobic exercise for persons with migraine and co-existing tension-type headache and neck pain. A randomized, controlled, clinical trial. Cephalalgia. 2018;38(12):1805–16.
41.
Zurück zum Zitat Borg G. Perceived exertion as an indicator of somatic stress. Scandinavian journal of rehabilitation medicine. 1970. Borg G. Perceived exertion as an indicator of somatic stress. Scandinavian journal of rehabilitation medicine. 1970.
42.
Zurück zum Zitat Varkey E, Cider Å, Carlsson J, Linde M. A study to evaluate the feasibility of an aerobic exercise program in patients with migraine. Headache: The Journal of Head and Face Pain. 2009;49(4):563–70. Varkey E, Cider Å, Carlsson J, Linde M. A study to evaluate the feasibility of an aerobic exercise program in patients with migraine. Headache: The Journal of Head and Face Pain. 2009;49(4):563–70.
43.
Zurück zum Zitat Åstrand P-O, Ryhming I (1954) A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during submaximal work. J Appl Physiol 7(2):218–221PubMedCrossRef Åstrand P-O, Ryhming I (1954) A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during submaximal work. J Appl Physiol 7(2):218–221PubMedCrossRef
44.
Zurück zum Zitat Sutherland HG, Maher BH, Rodriguez-Acevedo AJ, Haupt LM, Griffiths LR. cG 2014 American headache society. Headache: The Journal of Head and Face Pain.54(7):1184–93. Sutherland HG, Maher BH, Rodriguez-Acevedo AJ, Haupt LM, Griffiths LR. cG 2014 American headache society. Headache: The Journal of Head and Face Pain.54(7):1184–93.
45.
Zurück zum Zitat Levy D (2012) Endogenous mechanisms underlying the activation and sensitization of meningeal nociceptors: the role of immuno-vascular interactions and cortical spreading depression. Curr Pain Headache Rep 16(3):270–277PubMedCrossRef Levy D (2012) Endogenous mechanisms underlying the activation and sensitization of meningeal nociceptors: the role of immuno-vascular interactions and cortical spreading depression. Curr Pain Headache Rep 16(3):270–277PubMedCrossRef
46.
Zurück zum Zitat Brain S, Williams T, Tippins J, Morris H, MacIntyre I (1985) Calcitonin gene-related peptide is a potent vasodilator. Nature 313(5997):54–56PubMedCrossRef Brain S, Williams T, Tippins J, Morris H, MacIntyre I (1985) Calcitonin gene-related peptide is a potent vasodilator. Nature 313(5997):54–56PubMedCrossRef
47.
Zurück zum Zitat Hewitt DJ, Aurora SK, Dodick DW, Goadsby PJ, Ge Y, Bachman R et al (2011) Randomized controlled trial of the CGRP receptor antagonist MK-3207 in the acute treatment of migraine. Cephalalgia 31(6):712–722PubMedCrossRef Hewitt DJ, Aurora SK, Dodick DW, Goadsby PJ, Ge Y, Bachman R et al (2011) Randomized controlled trial of the CGRP receptor antagonist MK-3207 in the acute treatment of migraine. Cephalalgia 31(6):712–722PubMedCrossRef
48.
Zurück zum Zitat Edvinsson L, Haanes KA, Warfvinge K, Krause DN (2018) CGRP as the target of new migraine therapies—successful translation from bench to clinic. Nat Rev Neurol 14(6):338–350PubMedCrossRef Edvinsson L, Haanes KA, Warfvinge K, Krause DN (2018) CGRP as the target of new migraine therapies—successful translation from bench to clinic. Nat Rev Neurol 14(6):338–350PubMedCrossRef
49.
Zurück zum Zitat Johnson KW, Bolay H (2006) Neurogenic inflammatory mechanisms: Lippincott. Williams & Wilkins, PA, USA Johnson KW, Bolay H (2006) Neurogenic inflammatory mechanisms: Lippincott. Williams & Wilkins, PA, USA
50.
Zurück zum Zitat Asiedu MN, Dussor G, Price TJ. Targeting AMPK for the alleviation of pathological pain. AMP-activated Protein Kinase. 2016:257–85. Asiedu MN, Dussor G, Price TJ. Targeting AMPK for the alleviation of pathological pain. AMP-activated Protein Kinase. 2016:257–85.
51.
Zurück zum Zitat Zhao Y, Yang Z (2018) Effect of Wnt signaling pathway on pathogenesis and intervention of neuropathic pain. Exp Ther Med 16(4):3082–3088PubMedPubMedCentral Zhao Y, Yang Z (2018) Effect of Wnt signaling pathway on pathogenesis and intervention of neuropathic pain. Exp Ther Med 16(4):3082–3088PubMedPubMedCentral
52.
Zurück zum Zitat Jia H-b, Jin Y, Ji Q, Hu Y-f, Zhou Z-q, Xu J-g, et al. Effects of recombinant human erythropoietin on neuropathic pain and cerebral expressions of cytokines and nuclear factor-kappa B. Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 2009;56(8):597–603. Jia H-b, Jin Y, Ji Q, Hu Y-f, Zhou Z-q, Xu J-g, et al. Effects of recombinant human erythropoietin on neuropathic pain and cerebral expressions of cytokines and nuclear factor-kappa B. Canadian Journal of Anesthesia/Journal canadien d'anesthésie. 2009;56(8):597–603.
53.
Zurück zum Zitat Liu YY, Jiao ZY, Li W, Tian Q (2017) PI3K/AKT signaling pathway activation in a rat model of migraine. Mol Med Rep 16(4):4849–4854PubMedCrossRef Liu YY, Jiao ZY, Li W, Tian Q (2017) PI3K/AKT signaling pathway activation in a rat model of migraine. Mol Med Rep 16(4):4849–4854PubMedCrossRef
54.
Zurück zum Zitat Welch K, Ramadan NM (1995) Mitochondria, magnesium and migraine. J Neurol Sci 134(1–2):9–14PubMedCrossRef Welch K, Ramadan NM (1995) Mitochondria, magnesium and migraine. J Neurol Sci 134(1–2):9–14PubMedCrossRef
55.
Zurück zum Zitat Mauskop A, Altura BM (1998) Role of magnesium in the pathogenesis and treatment of migraines. Clin Neurosci 5(1):24–27PubMed Mauskop A, Altura BM (1998) Role of magnesium in the pathogenesis and treatment of migraines. Clin Neurosci 5(1):24–27PubMed
56.
Zurück zum Zitat Taghian F, Esteki Ghashghaei F, Badami R, Ghashghaei SE (2011) Comparison the effect of one session submaximal exercise on plasma levels of IL6 and TNF-a in obese and non-obese women. ARYA atherosclerosis 6(4):153PubMedPubMedCentral Taghian F, Esteki Ghashghaei F, Badami R, Ghashghaei SE (2011) Comparison the effect of one session submaximal exercise on plasma levels of IL6 and TNF-a in obese and non-obese women. ARYA atherosclerosis 6(4):153PubMedPubMedCentral
57.
Zurück zum Zitat Hagen K, Wisløff U, Ellingsen Ø, Stovner LJ, Linde M (2016) Headache and peak oxygen uptake: the HUNT3 study. Cephalalgia 36(5):437–444PubMedCrossRef Hagen K, Wisløff U, Ellingsen Ø, Stovner LJ, Linde M (2016) Headache and peak oxygen uptake: the HUNT3 study. Cephalalgia 36(5):437–444PubMedCrossRef
58.
Zurück zum Zitat Prejbisz A, Postuła M, Cybulska I, Dobrucki T, Kabat M, Pęczkowska M et al (2003) The role of biochemical tests and clinical symptoms in differential diagnosis of primary aldosteronism. Kardiologia Polska (Polish Heart Journal) 58(1):22–26 Prejbisz A, Postuła M, Cybulska I, Dobrucki T, Kabat M, Pęczkowska M et al (2003) The role of biochemical tests and clinical symptoms in differential diagnosis of primary aldosteronism. Kardiologia Polska (Polish Heart Journal) 58(1):22–26
59.
Zurück zum Zitat Lipton RB, Munjal S, Buse DC, Alam A, Fanning KM, Reed ML, et al. Unmet acute treatment needs from the 2017 migraine in america symptoms and treatment study. Headache: The Journal of Head and Face Pain. 2019;59(8):1310–23. Lipton RB, Munjal S, Buse DC, Alam A, Fanning KM, Reed ML, et al. Unmet acute treatment needs from the 2017 migraine in america symptoms and treatment study. Headache: The Journal of Head and Face Pain. 2019;59(8):1310–23.
Metadaten
Titel
Artificial intelligence analysis to explore synchronize exercise, cobalamin, and magnesium as new actors to therapeutic of migraine symptoms: a randomized, placebo-controlled trial
verfasst von
Hanie Matin
Farzaneh Taghian
Ahmad Chitsaz
Publikationsdatum
03.02.2022
Verlag
Springer International Publishing
Erschienen in
Neurological Sciences / Ausgabe 7/2022
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-021-05843-6

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