Greco R, Mangione A S, Siani F, Blandini F, Vairetti M, Nappi G, Sandrini G, Buzzi M G, Tassorelli C
Laboratory of Neurophysiology of Integrative Autonomic Systems, Headache Science Centre, "C. Mondino" National Neurological Institute, Italy
Laboratory of Neurophysiology of Integrative Autonomic Systems, Headache Science Centre, "C. Mondino" National Neurological Institute, Italy.
Cephalalgia. 2014 Jul;34(8):594-604. doi: 10.1177/0333102413517776. Epub 2013 Dec 23.
The release of calcitonin gene-related peptide (CGRP) from trigeminal nerves plays a central role in the pathophysiology of migraine and clinical evidence shows an antimigraine effect for CGRP receptor antagonists. Systemic administration of nitroglycerin (NTG), a nitrovasodilator, consistently provokes spontaneous-like migraine attacks in migraine sufferers; in the rat, systemic NTG induces a condition of hyperalgesia, probably through the activation of cerebral/spinal structures involved in nociceptive transmission.
The aim of this article is to test the analgesic effect of the CGRP receptor antagonist MK-8825 in two animal models of pain that may be relevant for migraine: the tail flick test and the formalin test performed during NTG-induced hyperalgesia.
MK-8825 showed analgesic activity when administered alone at both the tail flick test and the formalin test. Furthermore, the CGRP antagonist proved effective in counteracting NTG-induced hyperalgesia in both tests. MK-8825 indeed reduced the nociceptive behavior when administered either simultaneously or prior to (30-60 minutes before) NTG.
These data suggest that MK-8825 may represent a potential therapeutic tool for the treatment of migraine.
三叉神经中降钙素基因相关肽(CGRP)的释放在偏头痛的病理生理学中起核心作用,临床证据显示CGRP受体拮抗剂具有抗偏头痛作用。硝基血管扩张剂硝酸甘油(NTG)的全身给药会持续诱发偏头痛患者出现类似自发的偏头痛发作;在大鼠中,全身给予NTG会诱发痛觉过敏状态,可能是通过激活参与伤害性感受传递的脑/脊髓结构来实现的。
本文的目的是在两种可能与偏头痛相关的疼痛动物模型中测试CGRP受体拮抗剂MK - 8825的镇痛作用:甩尾试验以及在NTG诱导的痛觉过敏期间进行的福尔马林试验。
在甩尾试验和福尔马林试验中,单独给予MK - 8825时均显示出镇痛活性。此外,在这两种试验中,CGRP拮抗剂均被证明可有效对抗NTG诱导的痛觉过敏。当与NTG同时给药或在NTG给药前(30 - 60分钟)给药时,MK - 8825确实降低了伤害性感受行为。
这些数据表明MK - 8825可能是治疗偏头痛的一种潜在治疗工具。