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  1. Article ; Online: Comment on "Plasma calcitonin gene-related peptide and nerve growth factor as headache and pain biomarkers in recently deployed soldiers with and without a recent concussion".

    Gárate, Gabriel / Pascual, Julio

    Headache

    2024  Volume 64, Issue 1, Page(s) 119–120

    MeSH term(s) Humans ; Calcitonin Gene-Related Peptide/metabolism ; Military Personnel ; Headache/diagnosis ; Headache/etiology ; Headache/metabolism ; Pain ; Brain Concussion/complications ; Brain Concussion/diagnosis ; Nerve Growth Factors ; Biomarkers
    Chemical Substances Calcitonin Gene-Related Peptide (JHB2QIZ69Z) ; Nerve Growth Factors ; Biomarkers
    Language English
    Publishing date 2024-01-18
    Publishing country United States
    Document type Letter
    ZDB-ID 410130-3
    ISSN 1526-4610 ; 0017-8748
    ISSN (online) 1526-4610
    ISSN 0017-8748
    DOI 10.1111/head.14657
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Untangling the mess of CGRP levels as a migraine biomarker: an in-depth literature review and analysis of our experimental experience.

    Gárate, Gabriel / Pascual, Julio / Pascual-Mato, Marta / Madera, Jorge / Martín, María Muñoz-San / González-Quintanilla, Vicente

    The journal of headache and pain

    2024  Volume 25, Issue 1, Page(s) 69

    Abstract: Background: Calcitonin gene-related peptide (CGRP) is the most promising candidate to become the first migraine biomarker. However, literature shows clashing results and suggests a methodological source for such discrepancies. We aimed to investigate ... ...

    Abstract Background: Calcitonin gene-related peptide (CGRP) is the most promising candidate to become the first migraine biomarker. However, literature shows clashing results and suggests a methodological source for such discrepancies. We aimed to investigate some of these methodological factors to evaluate the actual role of CGRP as biomarker.
    Methods: Previous to the experimental part, we performed a literature review of articles measuring CGRP in migraine patients. Using our 399 bio-bank sera samples, we performed a series of experiments to test the validity of different ELISA kits employed, time of sample processing, long-term storage, sampling in rest or after moderate exercise. Analysis of in-house data was performed to analyse average levels of the peptide and the effect of sex and age.
    Results: Literature review shows the high variability in terms of study design, determination methods, results and conclusions obtained by studies including CGRP determinations in migraine patients. CGRP measurements depends on the method and specific kit employed, also on the isoform detected, showing completely different ranges of concentrations. Alpha-CGRP and beta-CGRP had median with IQR levels of 37.5 (28.2-54.4) and 4.6 (2.4-6.4)pg/mL, respectively. CGRP content is preserved in serum within the 24 first hours when samples are stored at 4°C after clotting and immediate centrifugation. Storages at -80°C of more than 6 months result in a decrease in CGRP levels. Moderate exercise prior to blood extraction does not modulate the concentration of the peptide. Age positively correlates with beta-CGRP content and men have higher alpha-CGRP levels than women.
    Conclusions: We present valuable information for CGRP measurements in serum. ELISA kit suitability should be tested prior to the experiments. Alpha and beta-CGRP levels should be analysed separately as they can show different behaviours even within the same condition. Samples can be processed in a 24-h window if they have been kept in 4°C and should not be stored for more than 6 months at -80°C before assayed. Patients do not need to rest before the blood extraction unless they have performed a high-endurance exercise. For comparative studies, sex and age should be accounted for as these parameters can impact CGRP concentrations.
    MeSH term(s) Humans ; Migraine Disorders/blood ; Migraine Disorders/diagnosis ; Calcitonin Gene-Related Peptide/blood ; Biomarkers/blood ; Male ; Female ; Adult ; Middle Aged ; Enzyme-Linked Immunosorbent Assay
    Chemical Substances Calcitonin Gene-Related Peptide (JHB2QIZ69Z) ; Biomarkers
    Language English
    Publishing date 2024-04-29
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2036768-5
    ISSN 1129-2377 ; 1129-2369
    ISSN (online) 1129-2377
    ISSN 1129-2369
    DOI 10.1186/s10194-024-01769-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Increase in CGRP levels in a case of hemicrania continua normalizes after a successful response to galcanezumab.

    Gárate, Gabriel / Pereda, Sara Pérez / González-Quintanilla, Vicente / Madera, Jorge / Pascual, Julio

    Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

    2022  Volume 43, Issue 7, Page(s) 4581–4582

    MeSH term(s) Antibodies, Monoclonal, Humanized/therapeutic use ; Calcitonin Gene-Related Peptide ; Headache ; Humans ; Indomethacin
    Chemical Substances Antibodies, Monoclonal, Humanized ; galcanezumab (55KHL3P693) ; Calcitonin Gene-Related Peptide (JHB2QIZ69Z) ; Indomethacin (XXE1CET956)
    Language English
    Publishing date 2022-04-14
    Publishing country Italy
    Document type Case Reports ; Letter ; Comment
    ZDB-ID 2016546-8
    ISSN 1590-3478 ; 1590-1874
    ISSN (online) 1590-3478
    ISSN 1590-1874
    DOI 10.1007/s10072-022-06063-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Serum alpha-CGRP levels are increased in COVID-19 patients with headache indicating an activation of the trigeminal system.

    Gárate, Gabriel / Toriello, María / González-Quintanilla, Vicente / Pérez-Pereda, Sara / Madera, Jorge / Pascual, Marta / Olmos, José Manuel / Pascual, Julio

    BMC neurology

    2023  Volume 23, Issue 1, Page(s) 109

    Abstract: Background: Headache is among the most frequent symptoms of acute COVID-19 infection. Its mechanisms remain obscure, but due to its migraine-like characteristics, the activation of the trigeminal system could account for its underlying pathophysiology.!# ...

    Abstract Background: Headache is among the most frequent symptoms of acute COVID-19 infection. Its mechanisms remain obscure, but due to its migraine-like characteristics, the activation of the trigeminal system could account for its underlying pathophysiology.
    Methods: Our aim was to compare the serum levels of CGRP, as a theoretical marker of trigemino-vascular activation, in 25 COVID-19 inpatients with lung involvement experiencing headache, against 15 COVID-19 inpatients without headache and with those of 25 matched healthy controls with no headache history.
    Results: Morning serum alpha-CGRP levels, as measured by ELISA (Abbexa, UK), were increased in COVID-19 patients with headache (55.2±34.3 pg/mL) vs. controls (33.9±14.0 pg/mL) (p < 0.01). Alpha-CGRP levels in COVID-19 patients without headache were also significantly increased (43.3 ± 12.8 pg/mL; p = 0.05) versus healthy controls, but were numerically lower (-28.2%; p = 0.36) as compared to COVID-19 patients with headache.
    Conclusion: CGRP levels are increased in COVID-19 patients experiencing headache in the acute phase of this disease, which could explain why headache frequently occurs in COVID-19 and strongly supports a role for trigeminal activation in the pathophysiology of headache in this viral infection.
    MeSH term(s) Humans ; Calcitonin Gene-Related Peptide ; COVID-19 ; Headache ; Migraine Disorders ; Inpatients
    Chemical Substances Calcitonin Gene-Related Peptide (JHB2QIZ69Z)
    Language English
    Publishing date 2023-03-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2041347-6
    ISSN 1471-2377 ; 1471-2377
    ISSN (online) 1471-2377
    ISSN 1471-2377
    DOI 10.1186/s12883-023-03156-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Serum Alpha and Beta-CGRP Levels in Chronic Migraine Patients Before and After Monoclonal Antibodies Against CGRP or its Receptor.

    Gárate, Gabriel / González-Quintanilla, Vicente / González, Andrea / Pascual, Marta / Pérez-Pereda, Sara / Madera, Jorge / Pascual, Julio

    Annals of neurology

    2023  Volume 94, Issue 2, Page(s) 285–294

    Abstract: Objective: The objective of this study was to analyze the evolution of alpha and beta-CGRP circulating levels throughout CGRP monoclonal antibodies (mAbs) treatment in patients with chronic migraine (CM).: Methods: We recruited patients with CM ... ...

    Abstract Objective: The objective of this study was to analyze the evolution of alpha and beta-CGRP circulating levels throughout CGRP monoclonal antibodies (mAbs) treatment in patients with chronic migraine (CM).
    Methods: We recruited patients with CM beginning mAbs along with sex and age paired healthy controls (HCs). Blood was extracted before, 2 weeks (M0.5) and 3 months (M3) after the first dose of mAbs, always in free-migraine periods, and once for HCs. Alpha and beta-CGRP serum levels were measured using enzyme-linked immunosorbent assays (ELISAs) specific for each isoform.
    Results: Baseline alpha-CGRP levels were significantly elevated in 103 patients with CM (median = 50.3, 95% confidence interval [CI] = 40.5-57.0 pg/ml) compared to 78 HCs (median = 37.5, 95% CI = 33.9-45.0 pg/ml; 95% CI of differences = 2.85-17.08 pg/ml) and significantly decreased (n = 96) over the course of mAb treatment (M0.5: median = 40.4, 95% CI = 35.6-48.2 pg/ml; and M3: median = 40.9, 95% CI = 36.3-45.9 pg/ml). Absolute decrease of alpha-CGRP throughout the treatment positively correlated with the decrease in MMDs. Negative modulation of alpha-CGRP significantly associated with positive scores at the Patient Global Impression of Change scale and with analgesic overuse reversal. Beta-CGRP did not differ at baseline between patients with CM (median = 4.2, 95% CI = 3.0-4.8 pg/ml) and HCs (median = 4.4, 95% CI = 3.4-5.6 pg/ml; -1.09 to 0.60) nor was modulated by mAb treatment (n = 96; M0.5: median = 4.5, 95% CI = 3.5-5.2 pg/ml; and M3: median = 4.6, 95% CI = 3.7-5.2 pg/ml).
    Interpretation: Treatment with mAbs, regardless of its target, is able to progressively normalize basally increased alpha-CGRP levels in CM and this effect correlates with efficacy measures, which supports a role of this neuropeptide as the first CM biomarker. ANN NEUROL 2023;94:285-294.
    MeSH term(s) Humans ; Calcitonin Gene-Related Peptide ; Antibodies, Monoclonal/therapeutic use ; Migraine Disorders ; Biomarkers
    Chemical Substances Calcitonin Gene-Related Peptide (JHB2QIZ69Z) ; Antibodies, Monoclonal ; Biomarkers
    Language English
    Publishing date 2023-04-21
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80362-5
    ISSN 1531-8249 ; 0364-5134
    ISSN (online) 1531-8249
    ISSN 0364-5134
    DOI 10.1002/ana.26658
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Increased prevalence of migraine in women with inflammatory bowel disease: A cross-sectional study.

    Pascual-Mato, Marta / Gárate, Gabriel / de Prado-Tejerina, Carlota / García, María José / Castro, Beatriz / González-Quintanilla, Vicente / Madera, Jorge / Crespo, Javier / Pascual, Julio / Rivero, Monserrat

    Cephalalgia : an international journal of headache

    2024  Volume 44, Issue 3, Page(s) 3331024241233979

    Abstract: Background: Some studies have suggested an association between migraine and inflammatory bowel disease. We determined migraine prevalence in a cohort of patients with inflammatory bowel disease.: Methods: Patients with inflammatory bowel disease aged ...

    Abstract Background: Some studies have suggested an association between migraine and inflammatory bowel disease. We determined migraine prevalence in a cohort of patients with inflammatory bowel disease.
    Methods: Patients with inflammatory bowel disease aged 18-65 years were interviewed using an
    Results: We interviewed 283 patients with inflammatory bowel disease. Of these, 176 (62.2%) had headache. Fifty-nine (20.8%; 95% CI 16.3-26.0%) met migraine criteria either definite (n = 33; 11.7%; 95% CI 8.2-16.0%) or probable (n = 26; 9.2%; 95% CI 6.1-13.2). When divided by gender, 12 men (9.6%; 95% CI 5.1-16.2%) and 47 women (29.8%; 95% CI 22.8-37.5%) met migraine criteria. The prevalence of migraine was increased in inflammatory bowel disease patients from the current cohort (20.8%) versus that reported for our general population for the same age group (12.6%; p < 0.0001). These differences remained significant in female inflammatory bowel disease patients (29.8% versus 17.2% in our general population; p < 0.0001), but not in males (9.6% in inflammatory bowel disease vs 8.0%; p = 0.30). Seventeen patients with inflammatory bowel disease (6.0%; 95% CI 3.54-9.44%) fulfilled chronic migraine criteria. There were no differences in migraine prevalence by inflammatory bowel disease subtypes.
    Conclusion: Migraine prevalence, including chronic migraine, seems to be increased in patients with inflammatory bowel disease. The fact that this association was stronger for women suggests an influence of sex-related factors.
    MeSH term(s) Male ; Humans ; Female ; Cross-Sectional Studies ; Prevalence ; Migraine Disorders/epidemiology ; Headache/epidemiology ; Inflammatory Bowel Diseases/complications ; Inflammatory Bowel Diseases/epidemiology
    Language English
    Publishing date 2024-03-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 604567-4
    ISSN 1468-2982 ; 0333-1024
    ISSN (online) 1468-2982
    ISSN 0333-1024
    DOI 10.1177/03331024241233979
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Increase in Serum Calcitonin Gene-Related Peptide β (CGRPβ) Levels in COVID-19 Patients with Diarrhea: An Underlying Mechanism?

    Gárate, Gabriel / Pascual, Marta / Olmos, José Manuel / Fariñas, Carmen / Rivero, Monserrat / Crespo, Javier / Pascual, Julio

    Digestive diseases and sciences

    2022  Volume 67, Issue 12, Page(s) 5712–5713

    MeSH term(s) Humans ; Calcitonin Gene-Related Peptide ; COVID-19 ; Diarrhea
    Chemical Substances Calcitonin Gene-Related Peptide (JHB2QIZ69Z)
    Language English
    Publishing date 2022-03-19
    Publishing country United States
    Document type Letter
    ZDB-ID 304250-9
    ISSN 1573-2568 ; 0163-2116
    ISSN (online) 1573-2568
    ISSN 0163-2116
    DOI 10.1007/s10620-022-07473-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Serum Calcitonin Gene-Related Peptide α and β Levels are Increased in COVID-19 Inpatients.

    Gárate, Gabriel / Pascual, Marta / Rivero, Montserrat / Toriello, María / Pérez-Pereda, Sara / González-Quintanilla, Vicente / Madera, Jorge / Gutiérrez-Cuadra, Manuel / Fariñas, María Del Carmen / Hernández, José Luis / Olmos, José Manuel / Pascual, Julio

    Archives of medical research

    2022  Volume 54, Issue 1, Page(s) 56–63

    Abstract: Background: Vasoactive peptides play an important role in a wide range of physiological and pathological conditions. Due to its known functions, the calcitonin gene-related peptide (CGRP) has been suggested as a possible modulator of the hyperimmune ... ...

    Abstract Background: Vasoactive peptides play an important role in a wide range of physiological and pathological conditions. Due to its known functions, the calcitonin gene-related peptide (CGRP) has been suggested as a possible modulator of the hyperimmune response in COVID-19 and thus, blocking its action may lessen the pulmonary effects of COVID-19.
    Aim of the study: To compare the circulating levels of CGRPα and CGRPβ in healthy controls compared to hospitalized COVID-19 patients. The study also analyzed how different comorbidities and treatments may affect these concentrations in cases of COVID-19 infection with pulmonary involvement METHODS: Serum samples were collected from the antecubital vein of 51 control subjects (mean age = 55 ± 14 years; range = 26-77; 56.9% female) and 52 patients hospitalized with COVID-19 infection (mean age = 55 ± 13; range = 23-77; 55.8% female) from December 2020 to May 2021. Enzyme-linked immunosorbent assays (ELISAs) were used for CGRPα (Abbexa, UK) and CGRPβ (CUSABIO, China) measurements. Comorbidities, symptoms, and treatments of infection were listed.
    Results: The results showed that the serum levels of both isoforms of CGRP were significantly higher in patients with COVID-19 (α: 57.9 ± 35.8 pg/mL; β: 6.1 ± 2.6 pg/mL) compared to controls (α: 41.8 ± 25.4 pg/mL; β: 4.5 ± 2.4 pg/mL) (p <0.01). Also, the presence of arterial hypertension (HT), obesity, or corticosteroid treatment significantly alter the serum concentration of CGRPα in the subgroups compared to controls.
    Conclusion: The elevated serum CGRP levels found in our COVID-19 group compared to controls may suggest that CGRP plays a role in the pathophysiology of the disease, more specifically, in the cytokine storm and in the pulmonary involvement. Future studies should focus on the source of this CGRP elevation.
    MeSH term(s) Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Calcitonin Gene-Related Peptide/physiology ; China ; COVID-19 ; Hypertension ; Inpatients ; Young Adult
    Chemical Substances Calcitonin Gene-Related Peptide (JHB2QIZ69Z)
    Language English
    Publishing date 2022-12-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1156844-6
    ISSN 1873-5487 ; 0188-4409 ; 0188-0128
    ISSN (online) 1873-5487
    ISSN 0188-4409 ; 0188-0128
    DOI 10.1016/j.arcmed.2022.12.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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