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犬尿氨酸代谢物与偏头痛:实验研究与治疗展望。

Kynurenine metabolites and migraine: experimental studies and therapeutic perspectives.

机构信息

Department of Neurology, Albert Szent-Györgyi Clinical Centre, University of Szeged, Szeged, Hungary.

出版信息

Curr Neuropharmacol. 2011 Jun;9(2):376-87. doi: 10.2174/157015911795596621.

Abstract

Migraine is one of the commonest neurological disorders. Despite intensive research, its exact pathomechanism is still not fully understood and effective therapy is not always available. One of the key molecules involved in migraine is glutamate, whose receptors are found on the first-, second- and third-order trigeminal neurones and are also present in the migraine generators, including the dorsal raphe nucleus, nucleus raphe magnus, locus coeruleus and periaqueductal grey matter. Glutamate receptors are important in cortical spreading depression, which may be the electrophysiological correlate of migraine aura. The kynurenine metabolites, endogenous tryptophan metabolites, include kynurenic acid (KYNA), which exerts a blocking effect on ionotropic glutamate and α7-nicotinic acetylcholine receptors. Thus, KYNA and its derivatives may act as modulators at various levels of the pathomechanism of migraine. They can give rise to antinociceptive effects at the periphery, in the trigeminal nucleus caudalis, and may also act on migraine generators and cortical spreading depression. The experimental data suggest that KYNA or its derivatives might offer a novel approach to migraine therapy.

摘要

偏头痛是最常见的神经紊乱之一。尽管进行了深入研究,但偏头痛的确切发病机制仍未完全了解,有效治疗方法也并非总是有效。参与偏头痛的关键分子之一是谷氨酸,其受体存在于第一、第二和第三级三叉神经神经元上,也存在于偏头痛发生源中,包括中缝背核、中缝大核、蓝斑和中脑导水管周围灰质。谷氨酸受体在皮质扩散性抑制中很重要,皮质扩散性抑制可能是偏头痛先兆的电生理学相关物。色氨酸代谢物中的犬尿氨酸代谢物包括(KYNA),它对离子型谷氨酸和α7-烟碱型乙酰胆碱受体具有阻断作用。因此,KYNA 及其衍生物可能在偏头痛发病机制的各个水平上作为调节剂发挥作用。它们在外周、三叉神经尾核产生镇痛作用,也可能作用于偏头痛发生源和皮质扩散性抑制。实验数据表明,KYNA 或其衍生物可能为偏头痛治疗提供新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/198c/3131728/61255275c6fa/CN-9-376_F1.jpg

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