Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mol Neurobiol. 2023 Jul;60(7):3911-3934. doi: 10.1007/s12035-023-03300-3. Epub 2023 Mar 30.
Migraine is a complicated neurological disorder affecting 6% of men and 18% of women worldwide. Various mechanisms, including neuroinflammation, oxidative stress, altered mitochondrial function, neurotransmitter disturbances, cortical hyperexcitability, genetic factors, and endocrine system problems, are responsible for migraine. However, these mechanisms have not completely delineated the pathophysiology behind migraine, and they should be further studied. The brain microenvironment comprises neurons, glial cells, and vascular structures with complex interactions. Disruption of the brain microenvironment is the main culprit behind various neurological disorders. Neuron-glia crosstalk contributes to hyperalgesia in migraine. In the brain, microenvironment and related peripheral regulatory circuits, microglia, astrocytes, and satellite cells are necessary for proper function. These are the most important cells that could induce migraine headaches by disturbing the balance of the neurotransmitters in the nervous system. Neuroinflammation and oxidative stress are the prominent reactions glial cells drive during migraine. Understanding the role of cellular and molecular components of the brain microenvironment on the major neurotransmitters engaged in migraine pathophysiology facilitates the development of new therapeutic approaches with higher effectiveness for migraine headaches. Investigating the role of the brain microenvironment and neuroinflammation in migraine may help decipher its pathophysiology and provide an opportunity to develop novel therapeutic approaches for its management. This review aims to discuss the neuron-glia interactions in the brain microenvironment during migraine and their potential role as a therapeutic target for the treatment of migraine.
偏头痛是一种复杂的神经系统疾病,影响全球 6%的男性和 18%的女性。各种机制,包括神经炎症、氧化应激、线粒体功能改变、神经递质紊乱、皮质过度兴奋、遗传因素和内分泌系统问题,都与偏头痛有关。然而,这些机制并没有完全阐明偏头痛背后的病理生理学,需要进一步研究。大脑微环境由神经元、神经胶质细胞和血管结构组成,它们之间存在着复杂的相互作用。大脑微环境的破坏是各种神经紊乱的主要罪魁祸首。神经元-神经胶质细胞相互作用导致偏头痛中的痛觉过敏。在大脑中,微环境及其相关的外周调节回路、小胶质细胞、星形胶质细胞和卫星细胞对于正常功能是必要的。这些是最重要的细胞,它们可以通过扰乱神经系统中神经递质的平衡来引起偏头痛。神经炎症和氧化应激是神经胶质细胞在偏头痛期间驱动的显著反应。了解大脑微环境的细胞和分子成分在偏头痛病理生理学中主要神经递质的作用有助于开发针对偏头痛的新的、更有效的治疗方法。研究大脑微环境和神经炎症在偏头痛中的作用可能有助于揭示其病理生理学,并为其管理提供开发新的治疗方法的机会。本综述旨在讨论偏头痛期间大脑微环境中的神经元-神经胶质相互作用及其作为治疗偏头痛的治疗靶点的潜在作用。
Mol Neurobiol. 2023-7
Neurochem Res. 2022-4
Neuroscience. 2024-11-12
Int J Mol Sci. 2023-8-8
Curr Neuropharmacol. 2023
Nat Rev Neurol. 2019-7-1
J Headache Pain. 2019-4-3
Head Face Med. 2024-12-5
Front Neurol. 2024-5-6
Front Pain Res (Lausanne). 2024-4-19
Front Mol Neurosci. 2023-6-30
Aging Dis. 2024-5-7
J Headache Pain. 2022-9-30
J Headache Pain. 2022-1-26
Transl Neurosci. 2021-12-9
Front Pharmacol. 2021-11-10