» Articles » PMID: 31815209

New Discoveries in Migraine Mechanisms and Therapeutic Targets

Overview
Date 2019 Dec 10
PMID 31815209
Citations 9
Authors
Affiliations
Soon will be listed here.
Abstract

Migraine is among the most common and most disabling disorders worldwide, yet its underlying pathophysiology is among the most poorly understood. New information continues to emerge on mechanisms within the central and peripheral nervous systems that may contribute to migraine attacks. Additionally, new therapeutics have recently become available and along with much needed relief for many patients, these drugs provide insight into the disorder based on their mechanism of action. This review will cover new findings within the last several years that add to the understanding of migraine pathophysiology, including those related to the vasculature, calcitonin gene-related peptide (CGRP), and mechanisms within the cortex and meninges that may contribute to attacks. Discussion will also cover recent findings on novel therapeutic targets, several of which continue to show promise in new preclinical studies, including acid-sensing ion channels (ASICs) and the delta-opioid receptor (DOR).

Citing Articles

The mechanism and potential therapeutic target of piezo channels in pain.

Xu Y, Wang Y, Mei S, Hu J, Wu L, Xu L Front Pain Res (Lausanne). 2024; 5:1452389.

PMID: 39398533 PMC: 11466900. DOI: 10.3389/fpain.2024.1452389.


Migraine and Its Treatment from the Medicinal Chemistry Perspective.

Pehlivanlar E, Carradori S, Simsek R ACS Pharmacol Transl Sci. 2024; 7(4):951-966.

PMID: 38633587 PMC: 11020076. DOI: 10.1021/acsptsci.3c00370.


CGRP-targeted medication in chronic migraine - systematic review.

Oliveira R, Gil-Gouveia R, Puledda F J Headache Pain. 2024; 25(1):51.

PMID: 38575868 PMC: 10996229. DOI: 10.1186/s10194-024-01753-y.


TMEM100, a regulator of TRPV1-TRPA1 interaction, contributes to temporomandibular disorder pain.

Wang P, Zhang Q, Dias F, Suttle A, Dong X, Chen Y Front Mol Neurosci. 2023; 16:1160206.

PMID: 37033371 PMC: 10077888. DOI: 10.3389/fnmol.2023.1160206.


CGRP physiology, pharmacology, and therapeutic targets: migraine and beyond.

Russo A, Hay D Physiol Rev. 2022; 103(2):1565-1644.

PMID: 36454715 PMC: 9988538. DOI: 10.1152/physrev.00059.2021.


References
1.
Zhao J, Levy D . Dissociation between CSD-Evoked Metabolic Perturbations and Meningeal Afferent Activation and Sensitization: Implications for Mechanisms of Migraine Headache Onset. J Neurosci. 2018; 38(22):5053-5066. PMC: 6705945. DOI: 10.1523/JNEUROSCI.0115-18.2018. View

2.
Meylakh N, Marciszewski K, Di Pietro F, Macefield V, Macey P, Henderson L . Deep in the brain: Changes in subcortical function immediately preceding a migraine attack. Hum Brain Mapp. 2018; 39(6):2651-2663. PMC: 6866635. DOI: 10.1002/hbm.24030. View

3.
Gormley P, Anttila V, Winsvold B, Palta P, Esko T, Pers T . Meta-analysis of 375,000 individuals identifies 38 susceptibility loci for migraine. Nat Genet. 2016; 48(8):856-66. PMC: 5331903. DOI: 10.1038/ng.3598. View

4.
Filiz A, Tepe N, Eftekhari S, Boran H, Dilekoz E, Edvinsson L . CGRP receptor antagonist MK-8825 attenuates cortical spreading depression induced pain behavior. Cephalalgia. 2017; 39(3):354-365. DOI: 10.1177/0333102417735845. View

5.
Hougaard A, Amin F, Christensen C, Younis S, Wolfram F, Cramer S . Increased brainstem perfusion, but no blood-brain barrier disruption, during attacks of migraine with aura. Brain. 2017; 140(6):1633-1642. DOI: 10.1093/brain/awx089. View