Ávalos Prado Pablo, Landra-Willm Arnaud, Verkest Clément, Ribera Aurore, Chassot Anne-Amandine, Baron Anne, Sandoz Guillaume
Université Côte d'Azur, CNRS, INSERM, iBV, Nice, France.
Laboratories of Excellence, Ion Channel Science and Therapeutics, Nice, France.
iScience. 2021 Aug 8;24(9):102961. doi: 10.1016/j.isci.2021.102961. eCollection 2021 Sep 24.
Activation and sensitization of trigeminal ganglia (TG) sensory neurons, leading to the release of pro-inflammatory peptides such as calcitonin gene-related peptide (CGRP), are likely a key component in migraine-related headache induction. Reducing TG neuron excitability represents therefore an attractive alternative strategy to relieve migraine pain. Here by using pharmacology and genetic invalidation and , we demonstrate that activating TREK1 and TREK2 two-pore-domain potassium (K) channels inhibits TG neuronal firing sufficiently to fully reverse the migraine-like phenotype induced by NO-donors in rodents. Finally, targeting TREK is as efficient as treatment with CGRP antagonists, which represents one of the most effective migraine therapies. Altogether, our results demonstrate that inhibiting TG excitability by pharmacological activation of TREK channels should be considered as an alternative to the current migraine treatment.
三叉神经节(TG)感觉神经元的激活和致敏,导致降钙素基因相关肽(CGRP)等促炎肽的释放,可能是偏头痛相关头痛诱发的关键组成部分。因此,降低TG神经元兴奋性是缓解偏头痛疼痛的一种有吸引力的替代策略。在此,通过药理学和基因敲除方法,我们证明激活双孔结构域钾(K)通道TREK1和TREK2可充分抑制TG神经元放电,从而完全逆转由一氧化氮供体在啮齿动物中诱导的偏头痛样表型。最后,靶向TREK与使用CGRP拮抗剂治疗一样有效,CGRP拮抗剂是最有效的偏头痛治疗方法之一。总之,我们的结果表明,通过TREK通道的药理学激活来抑制TG兴奋性应被视为当前偏头痛治疗的一种替代方法。