Körtési Tamás, Tuka Bernadett, Tajti János, Bagoly Teréz, Fülöp Ferenc, Helyes Zsuzsanna, Vécsei László
Faculty of Medicine, Department of Neurology, Albert Szent-Györgyi Clinical Center, University of Szeged, Szeged, Hungary.
MTA-SZTE Neuroscience Research Group, University of Szeged, Szeged, Hungary.
Front Neurol. 2018 Jan 16;8:745. doi: 10.3389/fneur.2017.00745. eCollection 2017.
Migraine is a primary headache of imprecisely known mechanism, but activation of the trigeminovascular system (TS) appears to be essential during the attack. Intensive research has recently focused on pituitary adenylate cyclase-activating polypeptide (PACAP) and the kynurenine systems as potential pathogenic factors.
We investigated the link between these important mediators and the effects of kynurenic acid (KYNA) and its synthetic analog (KYNA-a) on PACAP expression in the rat trigeminal nucleus caudalis (TNC) in a TS stimulation model related to migraine mechanisms.
Adult male Sprague-Dawley rats were pretreated with KYNA, KYNA-a, the NMDA receptor antagonist MK-801, or saline (vehicle). Next, the trigeminal ganglion (TRG) was electrically stimulated, the animals were transcardially perfused following 180 min, and the TNC was removed. In the TNC samples, 38 amino acid form of PACAP (PACAP)-like radioimmunoactivity was measured by radioimmunoassay, the relative optical density of preproPACAP was assessed by Western blot analysis, and PACAP mRNA was detected by real-time PCR.
Electrical TRG stimulation resulted in significant increases of PACAP-LI, preproPACAP, and PACAP mRNA in the TNC. These increases were prevented by the pretreatments with KYNA, KYNA-a, and MK-801. This is the first study to provide evidence for a direct link between PACAP and the kynurenine system during TS activation.
偏头痛是一种发病机制尚不明确的原发性头痛,但在发作期间三叉神经血管系统(TS)的激活似乎至关重要。最近,深入研究聚焦于垂体腺苷酸环化酶激活多肽(PACAP)和犬尿氨酸系统作为潜在致病因素。
在与偏头痛机制相关的TS刺激模型中,我们研究了这些重要介质之间的联系以及犬尿喹啉酸(KYNA)及其合成类似物(KYNA-a)对大鼠三叉神经尾核(TNC)中PACAP表达的影响。
成年雄性Sprague-Dawley大鼠分别用KYNA、KYNA-a、NMDA受体拮抗剂MK-801或生理盐水(溶剂)进行预处理。接下来,电刺激三叉神经节(TRG),180分钟后经心脏灌注动物,然后取出TNC。在TNC样本中,通过放射免疫分析法测定38个氨基酸形式的PACAP(PACAP)样放射免疫活性,通过蛋白质印迹分析评估前PACAP原的相对光密度,并通过实时PCR检测PACAP mRNA。
电刺激TRG导致TNC中PACAP-LI、前PACAP原和PACAP mRNA显著增加。用KYNA、KYNA-a和MK-801预处理可阻止这些增加。这是第一项为TS激活期间PACAP与犬尿氨酸系统之间的直接联系提供证据的研究。