Department of Neurology, the First Medical Center, Chinese PLA General Hospital, Beijing, China.
Medical School of Chinese PLA, Beijing, China.
J Headache Pain. 2023 Sep 5;24(1):122. doi: 10.1186/s10194-023-01646-6.
Migraine, a complex brain disorder, is regarded as a possible clinical manifestation of brain energy dysfunction. The trigeminovascular system is considered the basis for the pathogenesis of migraine, hence we depicted the proteomics profiling of key regions in this system, then focusing on protein alterations related to mitochondrial function. The aim of this study is to illustrate the role of mitochondria in migraine.
A mouse model of chronic migraine (CM) was established by repeated nitroglycerin (NTG) stimulation and evaluated by von-Frey filaments, a hot plate and a light-dark box. Differentially expressed proteins (DEPs) in some subcortical brain regions of the trigeminovascular system were screened through liquid chromatography-tandem mass spectrometry (LC‒MS/MS) to analyse the specificity of key signaling pathways in different brain regions. And then mitochondrial function, structure and dynamics were determined by qPCR, ELISA, and transmission electron microscope (TEM). Finally, the effect of mitochondrial intervention-Urolithin A (UA) on CM was investigated.
Repeated NTG injection triggered photophobia, periorbital and hind paw allodynia in mice. The proteomics profiling of CM model showed that 529, 109, 163, 152 and 419 DEPs were identified in the thalamus, hypothalamus, periaqueductal grey (PAG), trigeminal ganglion (TG) and trigeminocervical complex (TCC), respectively. The most significant changes in the brain region-specific pathways pointed to thalamic mitochondrial impairment. NTG induced mitochondrial structural disruption, dysfunction and homeostatic dysregulation, which could be partially attenuated by UA intervention.
Our findings highlight the involvement of mitochondrial damage in the thalamus in central sensitization of CM, which provides evidence of possible metabolic mechanisms in migraine pathophysiology.
偏头痛是一种复杂的脑部疾病,被认为是大脑能量功能障碍的一种可能的临床表现。三叉血管系统被认为是偏头痛发病机制的基础,因此我们描绘了该系统关键区域的蛋白质组学特征图谱,然后重点关注与线粒体功能相关的蛋白质变化。本研究旨在阐明线粒体在偏头痛中的作用。
通过重复给予硝化甘油(NTG)刺激建立慢性偏头痛(CM)小鼠模型,并通过von-Frey 细丝、热板和明暗箱进行评估。通过液相色谱-串联质谱(LC-MS/MS)筛选三叉血管系统一些皮质下脑区的差异表达蛋白(DEPs),以分析不同脑区关键信号通路的特异性。然后通过 qPCR、ELISA 和透射电子显微镜(TEM)测定线粒体功能、结构和动力学。最后,研究了线粒体干预物质——尿石素 A(UA)对 CM 的影响。
重复 NTG 注射可引发小鼠畏光、眶周和后爪痛觉过敏。CM 模型的蛋白质组学分析显示,在丘脑、下丘脑、中脑导水管周围灰质(PAG)、三叉神经节(TG)和三叉神经根颈复合体(TCC)中分别鉴定出 529、109、163、152 和 419 个 DEPs。脑区特异性通路中最显著的变化指向丘脑线粒体损伤。NTG 诱导了线粒体结构破坏、功能障碍和内稳态失调,UA 干预可部分减轻这些变化。
我们的研究结果强调了线粒体损伤在 CM 中丘脑中枢敏化中的作用,为偏头痛病理生理学中的可能代谢机制提供了证据。