Frimpong-Manson Kofi, Ortiz Yuma T, McMahon Lance R, Wilkerson Jenny L
Department of Pharmaceutical Sciences, Texas Tech University Health Sciences Center, Amarillo, TX, United States.
Front Mol Neurosci. 2024 Feb 28;17:1355281. doi: 10.3389/fnmol.2024.1355281. eCollection 2024.
The individual and global burden of migraine is of such significance that there are accelerated efforts to develop new therapies. New migraine therapeutics are needed to address the current deficiencies that exist in the efficacy and adherence rate of approved anti-migraine medications. The recent discovery of the calcitonin gene related peptide as an add-on to the role of serotonin has markedly increased the range of new treatment options for acute and chronic migraine. Despite this, tackling the complexity of migraine disorders requires a complete understanding of its pathophysiology. Preclinical animal models can shed light on disease-related pathophysiology, including migraine. Indeed, the use of animal models has been instrumental in developing many therapeutics. However, an animal model is limited by the predictive and face validity of that model, and this extends to preclinical migraine models. In this review, a summary of the current understanding of the pathophysiology of migraine is given from both a preclinical and clinical perspective, and an emphasis is placed on the animal models of migraine. We will discuss the strengths and pitfalls of common preclinical migraine models as well as experimental research areas to explore further.
偏头痛的个体负担和全球负担非常重大,以至于加快了开发新疗法的努力。需要新的偏头痛治疗方法来解决已批准的抗偏头痛药物在疗效和依从率方面存在的当前不足。降钙素基因相关肽作为血清素作用的补充物的最新发现,显著增加了急性和慢性偏头痛新治疗选择的范围。尽管如此,应对偏头痛疾病的复杂性需要对其病理生理学有全面的了解。临床前动物模型可以揭示与疾病相关的病理生理学,包括偏头痛。事实上,动物模型的使用在开发许多治疗方法中发挥了重要作用。然而,动物模型受到该模型的预测有效性和表面效度的限制,这也适用于临床前偏头痛模型。在本综述中,从临床前和临床角度对偏头痛病理生理学的当前理解进行了总结,并重点介绍了偏头痛的动物模型。我们将讨论常见临床前偏头痛模型的优点和缺陷以及需要进一步探索的实验研究领域。