Department of Physiology, Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Department of Physiology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.
Cephalalgia. 2022 Nov;42(13):1375-1386. doi: 10.1177/03331024221114773. Epub 2022 Jul 21.
Calcitonin gene-related peptide release in trigeminovascular system is a pivotal component of neurogenic inflammation underlying migraine pathophysiology. Transient receptor potential channels and voltage-gated KCNQ/Kv7 potassium channels expressed throughout trigeminovascular system are important targets for modulation of calcitonin gene-related peptide release. We investigated the effects of certain transient receptor potential (TRP) channels the vanilloid 1 and 4 (TRPV1 and TRPV4), the ankyrin 1 (TRPA1), and metastatin type 8 (TRPM8), and voltage-gated potassium channel (Kv7) opener retigabine on calcitonin gene-related peptide release from peripheral (dura mater and trigeminal ganglion) and central (trigeminal nucleus caudalis) trigeminal components of rats.
The experiments were carried out using well-established in-vitro preparations (hemiskull, trigeminal ganglion and trigeminal nucleus caudalis) from male Wistar rats. Agonists and antagonists of TRPV1, TRPV4, TRPA1 and TRPM8 channels, and also retigabine were tested on the in-vitro release of calcitonin gene-related peptide. Calcitonin gene-related peptide concentrations were measured using enzyme-linked immunosorbent assay.
Agonists of these transient receptor potential channels induced calcitonin gene-related peptide release from hemiskull, trigeminal ganglion and trigeminal nucleus caudalis, respectively. The transient receptor potential channels-induced calcitonin gene-related peptide releases were blocked by their specific antagonists and reduced by retigabine. Retigabine also decreased basal calcitonin gene-related peptide releases in all preparations.
Our findings suggest that favorable antagonists of these transient receptor potential channels, or Kv7 channel opener retigabine may be effective in migraine therapy by inhibiting neurogenic inflammation that requires calcitonin gene-related peptide release.
降钙素基因相关肽在三叉血管系统中的释放是偏头痛病理生理学中神经源性炎症的关键组成部分。表达于整个三叉血管系统的瞬时受体电位通道和电压门控 KCNQ/Kv7 钾通道是调节降钙素基因相关肽释放的重要靶点。我们研究了某些瞬时受体电位(TRP)通道——香草素 1 和 4(TRPV1 和 TRPV4)、锚蛋白 1(TRPA1)和代谢素 8 型(TRPM8)以及电压门控钾通道(Kv7)开放剂瑞替加滨对大鼠外周(硬脑膜和三叉神经节)和中枢(三叉神经尾核)三叉神经成分中降钙素基因相关肽释放的影响。
使用来自雄性 Wistar 大鼠的成熟体外制备物(半颅骨、三叉神经节和三叉神经尾核)进行实验。TRPV1、TRPV4、TRPA1 和 TRPM8 通道的激动剂和拮抗剂以及瑞替加滨用于体外降钙素基因相关肽的释放。采用酶联免疫吸附试验测量降钙素基因相关肽的浓度。
这些瞬时受体电位通道的激动剂分别诱导半颅骨、三叉神经节和三叉神经尾核中降钙素基因相关肽的释放。瞬时受体电位通道诱导的降钙素基因相关肽释放被其特异性拮抗剂阻断,并被瑞替加滨减少。瑞替加滨还降低了所有制剂中的基础降钙素基因相关肽释放。
我们的发现表明,这些瞬时受体电位通道的有利拮抗剂或 Kv7 通道开放剂瑞替加滨可能通过抑制需要降钙素基因相关肽释放的神经源性炎症而对偏头痛治疗有效。