Bhatia Vandana, Vikram Vir, Rattan Aditya, Chandel Anjali, Ashawat M S
CT University, Ludhiana, Punjab, India.
Department of Pharmaceutics, Laureate Institute of Pharmacy, Kathog, Kangra, India.
Inflammopharmacology. 2025 Jul 16. doi: 10.1007/s10787-025-01848-1.
Migraine is among the most frequently observed neurovascular malady affecting almost 1 billion people globally and is defined by frequent episodes of headache, accompanying neurological problems, and a markedly reduced standard of health. Migraine pathogenesis is directly linked to the CGRP (Calcitonin-gene-related-peptide), a strong vasodilating protein entangled in the exchange of nociceptor signals, and the cyclo-oxygenase (COX) enzymes, influencing inflammatory responses which aggravate migraine manifestations. Although COX inhibiting drugs as well as CGRP receptor blockers have therapeutical advantages when administered independently, however, they also have drawbacks, such as insufficient effectiveness or side effects, highlighting the necessity of synergistic approaches. In this regard, SYMBRAVO is a unique combinatorial pharmacological approach that aims to combine the advantages of COX-2 suppression and CGRP regulation. We have explored the molecular basis, pharmacological interaction, and clinical effectiveness of SYMBRAVO in this study, with a focus on how it can improve effectiveness, reduce adverse reactions and overcome barriers to single drug therapy. The results support a paradigm change towards integrated migraine therapy strategies that emphasize controlled, multi-pathway regulation.
偏头痛是最常见的神经血管疾病之一,全球近10亿人受其影响,其特征为频繁发作的头痛、伴随的神经问题以及健康水平显著下降。偏头痛的发病机制与降钙素基因相关肽(CGRP,一种参与伤害感受器信号传递的强效血管舒张蛋白)以及环氧化酶(COX)直接相关,COX酶会影响炎症反应,进而加重偏头痛症状。尽管COX抑制药物和CGRP受体阻滞剂单独使用时都具有治疗优势,但它们也存在缺点,如疗效不足或有副作用,这凸显了协同治疗方法的必要性。在这方面,SYMBRAVO是一种独特的联合药理学方法,旨在结合COX-2抑制和CGRP调节的优势。在本研究中,我们探讨了SYMBRAVO的分子基础、药理相互作用和临床疗效,重点关注其如何提高疗效、减少不良反应并克服单一药物治疗的障碍。研究结果支持了向强调可控、多途径调节的综合偏头痛治疗策略的范式转变。