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降钙素基因相关肽生物制剂的药理学综述及其在慢性疼痛治疗中的未来应用

A Pharmacological Review of Calcitonin Gene-Related Peptide Biologics and Future Use for Chronic Pain.

作者信息

Cooper David, Laidig William D, Sappington Alexandra, MacGregor Gordon

机构信息

Medicine, Alabama College of Osteopathic Medicine, Mobile, USA.

Emergency Medicine, Alabama College of Osteopathic Medicine, Mobile, USA.

出版信息

Cureus. 2023 Feb 17;15(2):e35109. doi: 10.7759/cureus.35109. eCollection 2023 Feb.

Abstract

Calcitonin gene-related peptide (CGRP) antagonist medications have become the mainstay of acute and chronic migraine management in the outpatient setting and look to become more widely utilized by clinicians once the medications become available in generic form. However, their role in practice has remained limited to the treatment of migraines despite the ubiquitous presence of the molecule throughout the body. The literature surrounding expansion of the utility of these medications is limited; however, there have been several promising publications, and further studies are in the process to quantify their utility in the treatment of other pain-related disorders. This is a qualitative review of the current literature surrounding CGRP, particularly in relation to the treatment of non-migraine pain conditions, and looks to suggest potential utility in the field of chronic pain.

摘要

降钙素基因相关肽(CGRP)拮抗剂药物已成为门诊急性和慢性偏头痛治疗的主要手段,一旦这些药物以通用形式上市,有望被临床医生更广泛地使用。然而,尽管该分子在全身普遍存在,但其在实际应用中的作用仍局限于偏头痛治疗。关于扩大这些药物用途的文献有限;不过,已有一些有前景的出版物,并且正在进行进一步研究以量化它们在治疗其他疼痛相关疾病中的效用。这是对当前围绕CGRP的文献进行的定性综述,特别是关于非偏头痛性疼痛病症的治疗,并旨在提示其在慢性疼痛领域的潜在效用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f627/10024944/168f7d41b1eb/cureus-0015-00000035109-i01.jpg

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