Headache and immunological/autoimmune disorders: a comprehensive review of available epidemiological evidence with insights on potential underlying mechanisms

Abstract Several lines of evidence support a role of the immune system in headache pathogenesis, with particular regard to migraine. Firstly, alterations in cytokine profile and in lymphocyte subsets have been reported in headache patients. Secondly, several genetic and environmental pathogenic fact...

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Autores principales: Leonardo Biscetti, Gioacchino De Vanna, Elena Cresta, Ilenia Corbelli, Lorenzo Gaetani, Letizia Cupini, Paolo Calabresi, Paola Sarchielli
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/1d77937e284841f9ae9fee0d62d0af8d
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spelling oai:doaj.org-article:1d77937e284841f9ae9fee0d62d0af8d2021-11-14T12:38:22ZHeadache and immunological/autoimmune disorders: a comprehensive review of available epidemiological evidence with insights on potential underlying mechanisms10.1186/s12974-021-02229-51742-2094https://doaj.org/article/1d77937e284841f9ae9fee0d62d0af8d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12974-021-02229-5https://doaj.org/toc/1742-2094Abstract Several lines of evidence support a role of the immune system in headache pathogenesis, with particular regard to migraine. Firstly, alterations in cytokine profile and in lymphocyte subsets have been reported in headache patients. Secondly, several genetic and environmental pathogenic factors seem to be frequently shared by headache and immunological/autoimmune diseases. Accordingly, immunological alterations in primary headaches, in particular in migraine, have been suggested to predispose some patients to the development of immunological and autoimmune diseases. On the other hand, pathogenic mechanisms underlying autoimmune disorders, in some cases, seem to favour the onset of headache. Therefore, an association between headache and immunological/autoimmune disorders has been thoroughly investigated in the last years. The knowledge of this possible association may have relevant implications in the clinical practice when deciding diagnostic and therapeutic approaches. The present review summarizes findings to date regarding the plausible relationship between headache and immunological/autoimmune disorders, starting from a description of immunological alteration of primary headaches, and moving onward to the evidence supporting a potential link between headache and each specific autoimmune/immunological disease.Leonardo BiscettiGioacchino De VannaElena CrestaIlenia CorbelliLorenzo GaetaniLetizia CupiniPaolo CalabresiPaola SarchielliBMCarticleHeadacheMigraineAutoimmune diseasesImmunological disordersNeuroinflammationImmune systemNeurology. Diseases of the nervous systemRC346-429ENJournal of Neuroinflammation, Vol 18, Iss 1, Pp 1-28 (2021)
institution DOAJ
collection DOAJ
language EN
topic Headache
Migraine
Autoimmune diseases
Immunological disorders
Neuroinflammation
Immune system
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Headache
Migraine
Autoimmune diseases
Immunological disorders
Neuroinflammation
Immune system
Neurology. Diseases of the nervous system
RC346-429
Leonardo Biscetti
Gioacchino De Vanna
Elena Cresta
Ilenia Corbelli
Lorenzo Gaetani
Letizia Cupini
Paolo Calabresi
Paola Sarchielli
Headache and immunological/autoimmune disorders: a comprehensive review of available epidemiological evidence with insights on potential underlying mechanisms
description Abstract Several lines of evidence support a role of the immune system in headache pathogenesis, with particular regard to migraine. Firstly, alterations in cytokine profile and in lymphocyte subsets have been reported in headache patients. Secondly, several genetic and environmental pathogenic factors seem to be frequently shared by headache and immunological/autoimmune diseases. Accordingly, immunological alterations in primary headaches, in particular in migraine, have been suggested to predispose some patients to the development of immunological and autoimmune diseases. On the other hand, pathogenic mechanisms underlying autoimmune disorders, in some cases, seem to favour the onset of headache. Therefore, an association between headache and immunological/autoimmune disorders has been thoroughly investigated in the last years. The knowledge of this possible association may have relevant implications in the clinical practice when deciding diagnostic and therapeutic approaches. The present review summarizes findings to date regarding the plausible relationship between headache and immunological/autoimmune disorders, starting from a description of immunological alteration of primary headaches, and moving onward to the evidence supporting a potential link between headache and each specific autoimmune/immunological disease.
format article
author Leonardo Biscetti
Gioacchino De Vanna
Elena Cresta
Ilenia Corbelli
Lorenzo Gaetani
Letizia Cupini
Paolo Calabresi
Paola Sarchielli
author_facet Leonardo Biscetti
Gioacchino De Vanna
Elena Cresta
Ilenia Corbelli
Lorenzo Gaetani
Letizia Cupini
Paolo Calabresi
Paola Sarchielli
author_sort Leonardo Biscetti
title Headache and immunological/autoimmune disorders: a comprehensive review of available epidemiological evidence with insights on potential underlying mechanisms
title_short Headache and immunological/autoimmune disorders: a comprehensive review of available epidemiological evidence with insights on potential underlying mechanisms
title_full Headache and immunological/autoimmune disorders: a comprehensive review of available epidemiological evidence with insights on potential underlying mechanisms
title_fullStr Headache and immunological/autoimmune disorders: a comprehensive review of available epidemiological evidence with insights on potential underlying mechanisms
title_full_unstemmed Headache and immunological/autoimmune disorders: a comprehensive review of available epidemiological evidence with insights on potential underlying mechanisms
title_sort headache and immunological/autoimmune disorders: a comprehensive review of available epidemiological evidence with insights on potential underlying mechanisms
publisher BMC
publishDate 2021
url https://doaj.org/article/1d77937e284841f9ae9fee0d62d0af8d
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