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Review
.2010 Nov;30(11):1296-305.
doi: 10.1177/0333102410362929. Epub 2010 Mar 26.

5-HTTLPR polymorphism in the serotonin transporter gene and migraine: a systematic review and meta-analysis

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Review

5-HTTLPR polymorphism in the serotonin transporter gene and migraine: a systematic review and meta-analysis

Markus Schürks et al. Cephalalgia.2010 Nov.

Abstract

Background and methods: Data on the association between the SLC6A4 5-HTTLPR polymorphism and migraine are conflicting. We performed a systematic review and meta-analysis among studies published up to September 2009. For each study with genotype information, we calculated odds ratios (OR) and 95% confidence intervals (CI) assuming additive, dominant, and recessive genetic models. We then calculated pooled ORs and 95% CIs.

Results: Among the ten studies identified there was no overall association between the polymorphism and any migraine for Europeans or Asians. However, European women carrying the S allele had an increased risk for any migraine (dominant model: pooled OR=2.02; 95% CI 1.24-3.28). Results among Europeans further suggested an increased risk for migraine with aura among carriers of the S/S genotype (recessive model: pooled OR=1.41; 95% CI 0.83-2.40).

Conclusions: While our results indicate no overall association between the SLC6A4 5-HTTLPR polymorphism and migraine among Europeans and Asians, gender and migraine aura status may have modifying roles among Europeans.

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