Mechanistic intersections between migraine and major depressive disorder

Mechanistic intersections between migraine and major depressive disorder

Publication date: Jul 10, 2025

One slightly more moderately powered study in migraine patients identified increased bilateral amygdala volume in both patients with migraine alone or migraine with depression . In migraine, dopamine has been implicated as playing a role clinically, hormonally, and genetically across multiple phases of migraine, including interictal periods [142, 143]. As a prophylactic treatment for migraine, approximately 10% of topiramate-treated patients experience depression, and depression risk increases significantly in patients with a history of depression [103, 104]. In the case of migraine, chronic and repeated stress is thought to lower the sensitivity threshold to otherwise innocuous stimuli, triggering migraine attacks . In the case of migraine, elevated levels of CGRP is a target for treatments that abort and/or prevent migraine in some patients [40, 69]. Within the context of migraine, the LC-norepinephrine system appears to play an important role in trigeminal sensitization and migraine [222, 244]. Related studies strongly implicate adrenergic neural circuits, which play an important role in the development of depression as well as migraine (as discussed above) [242, 330, 331].

Concepts Keywords
Homeostasis Brain
Migraine Depression
Mri Depressive
Disorders
Increased
Mdd
Mechanisms
Migraine
Pacap
Pain
Regulation
Sensory
Serotonin
Shown
Stress

Semantics

Type Source Name
drug DRUGBANK Haloperidol
drug DRUGBANK Risperidone
drug DRUGBANK Tyramine
disease MESH causes
disease MESH hypersensitivity
disease MESH yawning
disease MESH pallor
disease MESH major depressive disorder
disease MESH migraine
drug DRUGBANK Dopamine
drug DRUGBANK Riboflavin
drug DRUGBANK Acetylcholine
disease MESH Migraine with aura
disease MESH depression
disease MESH Headache Disorders
disease MESH phonophobia
disease MESH Psychomotor agitation
disease MESH death
disease MESH suicide
drug DRUGBANK Calcium
drug DRUGBANK Nitric Oxide
disease MESH suicidal ideation
disease MESH confusion
disease MESH hallucinations
disease MESH double vision
disease MESH anxiety
disease MESH insomnia
disease MESH weight loss
disease MESH anorexia
disease MESH paresthesia
drug DRUGBANK Isoxaflutole
drug DRUGBANK gamma-Aminobutyric acid
disease MESH bipolar disorder
drug DRUGBANK Topiramate
drug DRUGBANK Tropicamide
drug DRUGBANK Paroxetine
drug DRUGBANK Pramipexole
drug DRUGBANK Bromocriptine
disease MESH mood disorders
disease MESH medication overuse headache
drug DRUGBANK Spinosad
drug DRUGBANK Neuropeptide Y
drug DRUGBANK Venlafaxine
drug DRUGBANK Amitriptyline
drug DRUGBANK Norepinephrine
pathway REACTOME Adrenoceptors
drug DRUGBANK Troleandomycin
drug DRUGBANK Huperzine B
disease MESH malformations
drug DRUGBANK L-Tryptophan
disease MESH tryptophan
drug DRUGBANK Nitroglycerin
disease MESH chronic pain
pathway REACTOME Dopamine receptors
drug DRUGBANK Acetylcysteine
pathway REACTOME Release
drug DRUGBANK Serotonin
drug DRUGBANK Tilmicosin
drug DRUGBANK Psilocybine
drug DRUGBANK Ketamine
disease MESH lifestyle
pathway KEGG Drug metabolism
drug DRUGBANK substance P
drug DRUGBANK Calcitonin gene-related peptide
pathway KEGG Ribosome
disease MESH aura
disease MESH psychiatric disorders
disease MESH neurological disorder
disease MESH comorbidity
disease MESH migraine without aura
disease MESH trigeminal neuralgia
disease MESH neuropathic pain
disease MESH adverse childhood experiences
disease MESH inflammation
pathway REACTOME Immune System
disease MESH emotional abuse
disease MESH depressive syndrome
drug DRUGBANK Hydrocortisone
drug DRUGBANK Sumatriptan
drug DRUGBANK Corticosterone
drug DRUGBANK Mifepristone
drug DRUGBANK Pirenzepine
pathway REACTOME Metabolism
pathway REACTOME Glycogen metabolism
drug DRUGBANK Corticotropin
drug DRUGBANK Progesterone

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