Vermeer Lydia M M, Gregory Eugene, Winter Michelle K, McCarson Kenneth E, Berman Nancy E J
Anatomy and Cell Biology, The University of Kansas Medical Center, Kansas City, KS 66160, USA.
Kansas Intellectual and Developmental Disabilities Research Center, The University of Kansas Medical Center, Kansas City, KS 66160, USA.
Exp Neurol. 2015 Jan;263:8-16. doi: 10.1016/j.expneurol.2014.09.011. Epub 2014 Sep 28.
Migraine is one of the most common neurological disorders, leading to more than 1% of total disability reported and over 68 million visits to emergency rooms or physician's offices each year in the United States. Three times as many women as men have migraine, and while the mechanism behind this is not well understood, 17β-estradiol (estradiol) has been implicated to play a role. Studies have demonstrated that exposure to estrogen can lead to activation of inflammatory pathways, changes in sodium gated channel activity, as well as enhanced vasodilation and allodynia. Estradiol receptors are found in trigeminal nociceptors, which are involved in signaling during a migraine attack. The purpose of this study was to investigate the role of estradiol in migraine pathogenesis utilizing a multibehavioral model of migraine in rat. Animals were surgically implanted with a cannula system to induce migraine and behavior was assessed following exposure to a proestrus level of estradiol for total locomotor activity, light and noise sensitivity, evoked grooming patterns, and enhanced acoustic startle response. Results demonstrated decreased locomotor activity, increased light and noise sensitivity, altered facial grooming indicative of allodynia and enhanced acoustic startle. Further examination of tissue samples revealed increased expression of genes associated with inflammation and vasodilation. Overall, this study demonstrates exacerbation of migraine-like behaviors following exposure to estradiol and helps further explain the underlying mechanisms behind sex differences found in this common neurological disorder.
偏头痛是最常见的神经系统疾病之一,在美国,它导致的残疾占总残疾报告的1%以上,每年有超过6800万人次前往急诊室或医生办公室就诊。患偏头痛的女性人数是男性的三倍,虽然其背后的机制尚未完全了解,但17β-雌二醇(雌二醇)被认为发挥了作用。研究表明,接触雌激素会导致炎症途径的激活、钠门控通道活性的变化,以及血管舒张和异常性疼痛的增强。在三叉神经伤害感受器中发现了雌二醇受体,这些感受器在偏头痛发作时参与信号传导。本研究的目的是利用大鼠偏头痛的多行为模型,研究雌二醇在偏头痛发病机制中的作用。通过手术给动物植入插管系统以诱发偏头痛,并在给予发情前期水平的雌二醇后,评估动物在总运动活动、对光和噪音的敏感性、诱发的梳理模式以及增强的听觉惊吓反应方面的行为。结果表明,运动活动减少、对光和噪音的敏感性增加、面部梳理改变表明存在异常性疼痛,以及听觉惊吓增强。对组织样本的进一步检查发现,与炎症和血管舒张相关的基因表达增加。总体而言,本研究表明接触雌二醇后偏头痛样行为会加剧,并有助于进一步解释这种常见神经系统疾病中性别差异背后的潜在机制。