Platelet levels of dopamine are increased in migraine and cluster headache.
OBJECTIVE
To measure plasma and platelet levels of dopamine in patients with migraine with aura, migraine without aura, and cluster headache.


BACKGROUND
Clinical, genetic, and pharmacological evidences suggest that an abnormality of dopaminergic system plays a role in migraine pathogenesis. Direct evidence of an abnormal metabolism of dopamine in migraine, however, is lacking.


METHODS
Plasma and platelet levels of dopamine were measured in patients with migraine with aura or migraine without aura during headache-free periods and in patients with cluster headache during the remission and active periods, as compared with healthy control subjects, using a multichannel electrochemical high-performance liquid chromatography system.


RESULTS
Plasma levels of dopamine were not detectable with our methodology. Platelet levels of dopamine were higher in both types of migraine (migraine without aura = .20 +/- .17 ng/10(8) platelets; migraine with aura = .16 +/- .19 ng/10(8) platelets) than in control subjects (.10 +/- .11 ng/10(8) platelets), although in migraine with aura patients the difference was not significant. Patients with cluster headache showed the highest levels of platelet dopamine (.34 +/- .36 ng/10(8) platelets).


CONCLUSIONS
Our results support the hypothesis that the dopaminergic system is impaired in migraine and cluster headache and suggest that high platelet levels of dopamine may represent an abnormal biochemical phenotypic trait of these primary headaches.
D'Andrea
Giovanni
G
Headache Centre, Villa Margherita Hospital, Arcugnano, VI, Italy.
Granella
Franco
F
Perini
Francesco
F
Farruggio
Angelo
A
Leone
Massimo
M
Bussone
Gennaro
G
D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001792:Blood Platelets / Q000737:chemistry*; D002851:Chromatography, High Pressure Liquid; D003027:Cluster Headache / Q000097:blood*; D004298:Dopamine / Q000097:blood*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000097:blood*
D004298:Dopamine