Plasma pQTL and brain eQTL integration identifies PNKP as a therapeutic target and reveals mechanistic insights into migraine pathophysiology

Abstract Background Migraine is a prevalent neurological disorder affecting 14.1% of the global population. Despite advances in genetic research, further investigation is needed to identify therapeutic targets and better understand its mechanisms. In this study, we aimed to identify drug targets and...

Full description

Saved in:
Bibliographic Details
Main Authors: Jiafei Lou, Miaoqian Tu, Maosheng Xu, Zhijian Cao, Wenwen Song
Format: Article
Language:English
Published: BMC 2024-11-01
Series:The Journal of Headache and Pain
Subjects:
Online Access:https://doi.org/10.1186/s10194-024-01922-z
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850129393685364736
author Jiafei Lou
Miaoqian Tu
Maosheng Xu
Zhijian Cao
Wenwen Song
author_facet Jiafei Lou
Miaoqian Tu
Maosheng Xu
Zhijian Cao
Wenwen Song
author_sort Jiafei Lou
collection DOAJ
description Abstract Background Migraine is a prevalent neurological disorder affecting 14.1% of the global population. Despite advances in genetic research, further investigation is needed to identify therapeutic targets and better understand its mechanisms. In this study, we aimed to identify drug targets and explore the relationships between gene expression, protein levels, and migraine pathophysiology. Methods We utilized cis-pQTL data from deCODE Genetics, combined with migraine GWAS data from the GERA + UKB cohort as the discovery cohort and the FinnGen R10 cohort as the replication cohort. SMR and MR analyses identified migraine-associated protein loci. Brain eQTL data from GTEx v8 and BrainMeta v2 were used to explore causal relationships between gene expression, protein levels, and migraine risk. Mediation analysis assessed the role of metabolites, and PheWAS evaluated potential side effects. Results Four loci were identified: PNKP, MRVI1, CALCB, and INPP5B. PNKP and MRVI1 showed a high level of evidence and opposing effects at the gene and protein levels. PNKP gene expression in certain brain regions was protective against migraine, while its plasma protein levels were positively associated with migraine risk. MRVI1 showed protective effects at the protein level but had the opposite effect at the gene expression level. Mediation analysis revealed that the glutamate to pyruvate ratio and 3-CMPFP mediated PNKP’s effects on migraine. PheWAS indicated associations between PNKP and body composition traits, suggesting drug safety considerations. Conclusion PNKP and MRVI1 exhibit dual mechanisms of action at the gene and protein levels, potentially involving distinct mechanistic pathways. Among them, PNKP emerges as a promising drug target for migraine treatment, supported by multi-layered validation.
format Article
id doaj-art-afdbff69a3704a6ea9abb9f0c586134c
institution OA Journals
issn 1129-2377
language English
publishDate 2024-11-01
publisher BMC
record_format Article
series The Journal of Headache and Pain
spelling doaj-art-afdbff69a3704a6ea9abb9f0c586134c2025-08-20T02:33:00ZengBMCThe Journal of Headache and Pain1129-23772024-11-0125111510.1186/s10194-024-01922-zPlasma pQTL and brain eQTL integration identifies PNKP as a therapeutic target and reveals mechanistic insights into migraine pathophysiologyJiafei Lou0Miaoqian Tu1Maosheng Xu2Zhijian Cao3Wenwen Song4Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine)Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine)Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine)Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine)Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine)Abstract Background Migraine is a prevalent neurological disorder affecting 14.1% of the global population. Despite advances in genetic research, further investigation is needed to identify therapeutic targets and better understand its mechanisms. In this study, we aimed to identify drug targets and explore the relationships between gene expression, protein levels, and migraine pathophysiology. Methods We utilized cis-pQTL data from deCODE Genetics, combined with migraine GWAS data from the GERA + UKB cohort as the discovery cohort and the FinnGen R10 cohort as the replication cohort. SMR and MR analyses identified migraine-associated protein loci. Brain eQTL data from GTEx v8 and BrainMeta v2 were used to explore causal relationships between gene expression, protein levels, and migraine risk. Mediation analysis assessed the role of metabolites, and PheWAS evaluated potential side effects. Results Four loci were identified: PNKP, MRVI1, CALCB, and INPP5B. PNKP and MRVI1 showed a high level of evidence and opposing effects at the gene and protein levels. PNKP gene expression in certain brain regions was protective against migraine, while its plasma protein levels were positively associated with migraine risk. MRVI1 showed protective effects at the protein level but had the opposite effect at the gene expression level. Mediation analysis revealed that the glutamate to pyruvate ratio and 3-CMPFP mediated PNKP’s effects on migraine. PheWAS indicated associations between PNKP and body composition traits, suggesting drug safety considerations. Conclusion PNKP and MRVI1 exhibit dual mechanisms of action at the gene and protein levels, potentially involving distinct mechanistic pathways. Among them, PNKP emerges as a promising drug target for migraine treatment, supported by multi-layered validation.https://doi.org/10.1186/s10194-024-01922-zMigraineMendelian randomizationGene regulationProtein expressionMetabolic pathwaysDrug development
spellingShingle Jiafei Lou
Miaoqian Tu
Maosheng Xu
Zhijian Cao
Wenwen Song
Plasma pQTL and brain eQTL integration identifies PNKP as a therapeutic target and reveals mechanistic insights into migraine pathophysiology
The Journal of Headache and Pain
Migraine
Mendelian randomization
Gene regulation
Protein expression
Metabolic pathways
Drug development
title Plasma pQTL and brain eQTL integration identifies PNKP as a therapeutic target and reveals mechanistic insights into migraine pathophysiology
title_full Plasma pQTL and brain eQTL integration identifies PNKP as a therapeutic target and reveals mechanistic insights into migraine pathophysiology
title_fullStr Plasma pQTL and brain eQTL integration identifies PNKP as a therapeutic target and reveals mechanistic insights into migraine pathophysiology
title_full_unstemmed Plasma pQTL and brain eQTL integration identifies PNKP as a therapeutic target and reveals mechanistic insights into migraine pathophysiology
title_short Plasma pQTL and brain eQTL integration identifies PNKP as a therapeutic target and reveals mechanistic insights into migraine pathophysiology
title_sort plasma pqtl and brain eqtl integration identifies pnkp as a therapeutic target and reveals mechanistic insights into migraine pathophysiology
topic Migraine
Mendelian randomization
Gene regulation
Protein expression
Metabolic pathways
Drug development
url https://doi.org/10.1186/s10194-024-01922-z
work_keys_str_mv AT jiafeilou plasmapqtlandbraineqtlintegrationidentifiespnkpasatherapeutictargetandrevealsmechanisticinsightsintomigrainepathophysiology
AT miaoqiantu plasmapqtlandbraineqtlintegrationidentifiespnkpasatherapeutictargetandrevealsmechanisticinsightsintomigrainepathophysiology
AT maoshengxu plasmapqtlandbraineqtlintegrationidentifiespnkpasatherapeutictargetandrevealsmechanisticinsightsintomigrainepathophysiology
AT zhijiancao plasmapqtlandbraineqtlintegrationidentifiespnkpasatherapeutictargetandrevealsmechanisticinsightsintomigrainepathophysiology
AT wenwensong plasmapqtlandbraineqtlintegrationidentifiespnkpasatherapeutictargetandrevealsmechanisticinsightsintomigrainepathophysiology