Department of Pharmacology, Therapeutics and Toxicology, Edificio V, Universidad Autónoma de Barcelona, Campus UAB - 08193 Bellaterra, Barcelona, Spain.
Institute of Physiology and Pathophysiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsstr. 17, D-91054 Erlangen, Germany.
Drug Discov Today. 2024 Apr;29(4):103941. doi: 10.1016/j.drudis.2024.103941. Epub 2024 Mar 5.
Calcitonin gene-related peptide (CGRP) and histamine plasma concentrations increase during migraine attacks. Both mediators are potent vasodilators, and they have been shown to reciprocally contribute to the release of each other in the trigeminovascular system, possibly driving migraine development. A high-histamine-content diet triggers migraine in patients who have histamine degradation deficiency owing to diaminooxidase (DAO) gene mutations. Therefore, studying functional links between exogenous histamine and CGRP seems promising for the understanding of diet-induced migraine generation. Notably, there is a lack of knowledge about the interplay of the enteric nervous system and the spinal/trigeminal somatosensory system with regard to CGRP and histamine. Based on background evidence, we propose that a functional interconnection between exogenous histamine and CGRP contributes to migraine development.
降钙素基因相关肽(CGRP)和组胺的血浆浓度在偏头痛发作期间增加。这两种介质都是有效的血管扩张剂,它们已经被证明在三叉血管系统中相互促进彼此的释放,可能导致偏头痛的发生。由于二胺氧化酶(DAO)基因突变,高组胺含量的饮食会引发组胺降解缺陷的患者偏头痛。因此,研究外源性组胺和 CGRP 之间的功能联系对于理解饮食诱导的偏头痛发生似乎很有前途。值得注意的是,对于 CGRP 和组胺,肠道神经系统与脊髓/三叉感觉系统之间的相互作用知之甚少。基于背景证据,我们提出外源性组胺和 CGRP 之间的功能相互联系有助于偏头痛的发展。