Plasma with Added Protease Inhibitors Improves Alpha- and Beta-CGRP Measurement Compared to Serum: Towards a Reliable Biomarker for Chronic Migraine
Fecha de publicación:
Autores de IDIVAL
Unidades
Abstract
The neuropeptide calcitonin gene-related peptide (CGRP), especially alpha-CGRP, is central in migraine pathophysiology. Although CGRP is a therapeutic target and potential biomarker, inconsistencies in measurement procedures need to be further studied for reliable results. This study aims to analyze factors influencing plasma CGRP measurement. Chronic migraine (CM) patients were recruited in our Headache Unit. Blood samples were collected before and during treatment with CGRP monoclonal antibodies, processed and stored. Levels of CGRP were measured with isoform-specific enzyme-linked immunosorbent assay (ELISA) tests. Statistical tests were used to assess concentration changes and group differences. The addition of protease inhibitors (PIs) to plasma samples significantly increased alpha-CGRP level detection, with a smaller effect on beta-CGRP. No correlation was found between the alpha- and beta-CGRP levels in plasma. The plasma-PI samples showed higher CGRP concentrations than in serum. The alpha-CGRP levels decreased during treatment while the beta-CGRP levels remained stable. alpha-CGRP and age correlated negatively, but no sex-related differences were observed either for alpha- or beta-CGRP. PI improved CGRP detection in plasma. The alpha-CGRP levels, which were influenced by age, decreased with specific treatment, suggesting its potential role as a biomarker. In contrast, beta-CGRP remained stable, suggesting independent regulation of both isoforms.
Datos de la publicación
- ISSN/ISSNe:
- 1661-6596, 1422-0067
- Tipo:
- Article
- Páginas:
- -
- DOI:
- 10.3390/ijms26209958
- PubMed:
- 41155252
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES MDPI
Documentos
- No hay documentos
Filiaciones
Keywords
- CGRP; migraine; protease inhibitors; biomarker; plasma; serum
Campos de Estudio
Proyectos asociados
Especificidad y sensibilidad de los niveles de CGRP: análisis a fondo de su estado en migraña, otras cefaleas primarias y secundarias y en enfermedades inflamatorias sistémicas
Investigador Principal: Julio Pascual Gómez
PI20/01358 . INSTITUTO DE SALUD CARLOS III. . 2021
Cita
de la Guerra L, Gárate G, Madera J, Pérez S, Pascual M, González V, Pascual J, Martín MMS. Plasma with Added Protease Inhibitors Improves Alpha- and Beta-CGRP Measurement Compared to Serum: Towards a Reliable Biomarker for Chronic Migraine. Int. J. Mol. Sci. 2025. 26. (20):9958. IF:4,900. (1).
Actividad Investigadora