Dataset Information

A neural mechanism for exacerbation of headache by light.

ABSTRACT: The perception of migraine headache, which is mediated by nociceptive signals transmitted from the cranial dura mater to the brain, is uniquely exacerbated by exposure to light. We found that exacerbation of migraine headache by light is prevalent among blind individuals who maintain non-image-forming photoregulation in the face of massive rod/cone degeneration. Using single-unit recording and neural tract tracing in the rat, we identified dura-sensitive neurons in the posterior thalamus whose activity was distinctly modulated by light and whose axons projected extensively across layers I-V of somatosensory, visual and associative cortices. The cell bodies and dendrites of such dura/light-sensitive neurons were apposed by axons originating from retinal ganglion cells (RGCs), predominantly from intrinsically photosensitive RGCs, the principle conduit of non-image-forming photoregulation. We propose that photoregulation of migraine headache is exerted by a non-image-forming retinal pathway that modulates the activity of dura-sensitive thalamocortical neurons.

SUBMITTER: Noseda R

PROVIDER: S-EPMC2818758 | biostudies-literature | 2010 Feb

REPOSITORIES: biostudies-literature

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A neural mechanism for exacerbation of headache by light.

Noseda Rodrigo R Kainz Vanessa V Jakubowski Moshe M Gooley Joshua J JJ Saper Clifford B CB Digre Kathleen K Burstein Rami R

Nature neuroscience 20100110 2

The perception of migraine headache, which is mediated by nociceptive signals transmitted from the cranial dura mater to the brain, is uniquely exacerbated by exposure to light. We found that exacerbation of migraine headache by light is prevalent among blind individuals who maintain non-image-forming photoregulation in the face of massive rod/cone degeneration. Using single-unit recording and neural tract tracing in the rat, we identified dura-sensitive neurons in the posterior thalamus whose a ...[more]

PMID: 20062053

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Project description:BackgroundMigraine-an episodic disorder characterized by severe headache that can lead to disability-affects over 1 billion people worldwide. Prior studies have found that short-term exposure to fine particulate matter (PM2.5), nitrogen dioxide (NO2), and ozone increases risk of migraine-related emergency department (ED) visits. Our objective was to characterize the association between long-term exposure to sources of harmful emissions and common air pollutants with both migraine headache and, among patients with migraine, headache severity.MethodsFrom the Sutter Health electronic health record database, we identified 89,575 prevalent migraine cases between 2014 and 2018 using a migraine probability algorithm (MPA) score and 270,564 frequency-matched controls. Sutter Health delivers care to 3.5 million patients annually in Northern California. Exposures included 2015 annual average block group-level PM2.5 and NO2 concentrations, inverse-distance weighted (IDW) methane emissions from 60 super-emitters located within 10 km of participant residence between 2016 and 2018, and IDW active oil and gas wells in 2015 within 10 km of each participant. We used logistic and negative binomial mixed models to evaluate the association between environmental exposures and (1) migraine case status; and (2) migraine severity (i.e., MPA score > 100, triptan prescriptions, neurology visits, urgent care migraine visits, and ED migraine visits per person-year). Models controlled for age, sex, race/ethnicity, Medicaid use, primary care visits, and block group-level population density and poverty.ResultsIn adjusted analyses, for each 5 ppb increase in NO2, we observed 2% increased odds of migraine case status (95% CI: 1.00, 1.05) and for each 100,000 kg/hour increase in IDW methane emissions, the odds of case status also increased (OR = 1.04, 95% CI: 1.00, 1.08). We found no association between PM2.5 or oil and gas wells and migraine case status. PM2.5 was linearly associated with neurology visits, migraine-specific urgent care visits, and MPA score > 100, but not triptans or ED visits. NO2 was associated with migraine-specific urgent care and ED visits, but not other severity measures. We observed limited or null associations between continuous measures of methane emissions and proximity to oil and gas wells and migraine severity.ConclusionsOur findings illustrate the potential role of long-term exposure to multiple ambient air pollutants for prevalent migraine and migraine severity.

Project description:Humans readily sort one another into multiple social categories from mere facial features. However, the facial features used to do so are not always clear-cut because they can be associated with opponent categories (e.g., feminine male face). Recently, computational models and behavioral studies have provided indirect evidence that categorizing such faces is accomplished through dynamic competition between parallel, coactivated social categories that resolve into a stable categorical percept. Using a novel paradigm combining fMRI with real-time hand tracking, the present study examined how the brain translates diverse social cues into categorical percepts. Participants (male and female) categorized faces varying in gender and racial typicality. When categorizing atypical faces, participants' hand movements were simultaneously attracted toward the unselected category response, indexing the degree to which such faces activated the opposite category in parallel. Multivoxel pattern analyses (MVPAs) provided evidence that such social category coactivation manifested in neural patterns of the right fusiform cortex. The extent to which the hand was simultaneously attracted to the opposite gender or race category response option corresponded to increased neural pattern similarity with the average pattern associated with that category, which in turn associated with stronger engagement of the dorsal anterior cingulate cortex. The findings point to a model of social categorization in which occasionally conflicting facial features are resolved through competition between coactivated ventral-temporal cortical representations with the assistance of conflict-monitoring regions. More broadly, the results offer a promising multimodal paradigm to investigate the neural basis of "hidden", temporarily active representations in the service of a broad range of cognitive processes.SIGNIFICANCE STATEMENT Individuals readily sort one another into social categories (e.g., sex, race), which have important consequences for a variety of interpersonal behaviors. However, individuals routinely encounter faces that contain diverse features associated with multiple categories (e.g., feminine male face). Using a novel paradigm combining neuroimaging with hand tracking, the present research sought to address how the brain comes to arrive at stable social categorizations from multiple social cues. The results provide evidence that opponent social categories coactivate in face-processing regions, which compete and may resolve into an eventual stable categorization with the assistance of conflict-monitoring regions. Therefore, the findings provide a neural mechanism through which the brain may translate inherently diverse social cues into coherent categorizations of other people.

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A neural mechanism for exacerbation of headache by light.

Publications

A neural mechanism for exacerbation of headache by light.

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