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Interictal plasma urotensin-II concentrations in migraine and tension-type headache: a case–control biomarker study

F. Balgetir, Muhammed Burak Er, Sait Albayrak, Emrah Aytaç, B. Üstündağ, Murat Gönen

Journal of Laboratory Medicine, 2026

33 participants

Abstract

Abstract Objectives As our understanding of the pathophysiology of migraine continues to improve, so too do targeted treatments. It is now known that vasoactive neuropeptides, including calcitonin gene-related peptide (CGRP), play a role in migraine pathophysiology and CGRP antagonists are utilized in treatment. Urotensin II (U-II) represents the most potent vasoconstrictor peptide and research into its association with migraine remains scarce. The current study endeavors to elucidate the biochemical mechanisms which underpin migraine pathophysiology. Methods The study comprised patients suffering from migraine and tension-type headache alongside a healthy control group. The control group was selected from healthy volunteers of matching gender and age. In the interictal period, plasma samples were collected from patients with migraine and tension-type headache. The study compared plasma U-II levels of 33 migraine patients, 30 tension-type headache patients, and the control group. Results Plasma U-II levels were significantly higher in the migraine group compared to both the tension-type headache group and the control group. Furthermore, plasma U-II levels were slightly higher in the tension-type headache group than in the control group, however, a statistically significant difference was not observed. Conclusions These preliminary findings suggest that U-II may be involved in migraine pathophysiology. Higher interictal plasma U-II levels in the migraine group support further…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 33 participants or records.

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