Burgos-Vega Carolina C, Ahn David Dong-Uk, Bischoff Christina, Wang Weiya, Horne Dan, Wang Judy, Gavva Narender, Dussor Gregory
Department of Pharmacology, University of Arizona, USA.
Amgen Inc., USA.
Cephalalgia. 2016 Feb;36(2):185-93. doi: 10.1177/0333102415584313. Epub 2015 May 5.
Migraine headache is a neurological disorder affecting millions worldwide. However, little is known about the mechanisms contributing to migraine. Recent genome-wide association studies have found single nucleotide polymorphisms in the gene encoding transient receptor potential channel M8. Transient receptor potential channel M8 is generally known as a cold receptor but it has been implicated in pain signaling and may play a role in migraine pain.
In order to investigate whether transient receptor potential channel M8 may contribute to the pain of migraine, the transient receptor potential channel M8 activator icilin was applied to the dura mater using a rat behavioral model of headache. Cutaneous allodynia was measured for 5 hours using Von Frey filaments.
Dural application of icilin produced cutaneous facial and hind paw allodynia that was attenuated by systemic pretreatment with the transient receptor potential channel M8-selective antagonist AMG1161 (10 mg/kg p.o.). Further, the anti-migraine agent sumatriptan (0.6 mg/kg s.c.) or the non-selective NOS inhibitor L-NAME (20 mg/kg i.p.) also attenuated allodynia when given as a pretreatment.
These data indicate that transient receptor potential channel M8 activation in the meninges produces behaviors in rats that are consistent with migraine and that are sensitive to pharmacological mechanisms known to have efficacy for migraine in humans. The findings suggest that activation of meningeal transient receptor potential channel M8 may contribute to the pain of migraine.
偏头痛是一种影响全球数百万人的神经系统疾病。然而,对于导致偏头痛的机制知之甚少。最近的全基因组关联研究发现,编码瞬时受体电位通道M8的基因存在单核苷酸多态性。瞬时受体电位通道M8通常被认为是一种冷感受器,但它与疼痛信号传导有关,可能在偏头痛疼痛中起作用。
为了研究瞬时受体电位通道M8是否可能导致偏头痛疼痛,使用大鼠头痛行为模型将瞬时受体电位通道M8激活剂艾西利定应用于硬脑膜。使用von Frey细丝测量5小时的皮肤痛觉过敏。
硬脑膜应用艾西利定产生面部和后爪皮肤痛觉过敏,全身预先用瞬时受体电位通道M8选择性拮抗剂AMG1161(10mg/kg口服)预处理可减轻这种过敏。此外,抗偏头痛药物舒马曲坦(0.6mg/kg皮下注射)或非选择性一氧化氮合酶抑制剂L-NAME(20mg/kg腹腔注射)作为预处理时也可减轻痛觉过敏。
这些数据表明,脑膜中瞬时受体电位通道M8的激活在大鼠中产生的行为与偏头痛一致,并且对已知对人类偏头痛有效的药理机制敏感。研究结果表明,脑膜瞬时受体电位通道M8的激活可能导致偏头痛疼痛。