皮质星形胶质细胞激活引发脑膜伤害感受和偏头痛样疼痛。
Cortical astrocyte activation triggers meningeal nociception and migraine-like pain.
作者信息
Bree Dara, Zhao Jun, Stratton Jennifer, Levy Dan
机构信息
Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
出版信息
Pain. 2025 Jul 30. doi: 10.1097/j.pain.0000000000003737.
Cortical astrocytes were implicated in migraine attacks involving cortical spreading depolarizations and related aura symptoms. However, whether the activation of cortical astrocytes is sufficient to generate migraine headaches is unknown. We investigated the role of cortical astrocytes in migraine pain triggering using a DREADD-based chemogenetic approach to activate visual cortex astrocytes, assessing its effect on the responses of meningeal nociceptors, the development of migraine-like behaviors, and their dependence on peripheral CGRP signaling. In a rat model, activating cortical astrocytes was sufficient to induce prolonged ongoing discharge and mechanical sensitization of meningeal nociceptors. Cortical astrocytic activation also generated cephalic mechanical pain hypersensitivity, reduced exploratory behavior, and anxiety-like behaviors linked to migraine headaches. Blocking CGRP signaling with a monoclonal antibody suppressed astrocyte-driven meningeal nociceptor discharge and alleviated migraine-related behaviors. We propose that augmented activation of visual cortex astrocytes during cortical hyperexcitability events in migraine attacks with and without aura is sufficient to trigger meningeal nociception and the ensuing migraine pain. Our findings could aid the development of novel effective migraine treatments.
皮质星形胶质细胞与涉及皮质扩散性去极化及相关先兆症状的偏头痛发作有关。然而,皮质星形胶质细胞的激活是否足以引发偏头痛性头痛尚不清楚。我们使用基于DREADD的化学遗传学方法激活视觉皮质星形胶质细胞,研究皮质星形胶质细胞在偏头痛疼痛触发中的作用,评估其对脑膜伤害感受器反应、偏头痛样行为发展的影响,以及它们对外周降钙素基因相关肽(CGRP)信号传导的依赖性。在大鼠模型中,激活皮质星形胶质细胞足以诱导脑膜伤害感受器的持续放电延长和机械敏感性增加。皮质星形胶质细胞激活还会产生头部机械性疼痛超敏反应、减少探索行为以及与偏头痛性头痛相关的焦虑样行为。用单克隆抗体阻断CGRP信号传导可抑制星形胶质细胞驱动的脑膜伤害感受器放电,并减轻与偏头痛相关的行为。我们提出,在伴有或不伴有先兆的偏头痛发作中,皮质兴奋性过高事件期间视觉皮质星形胶质细胞的增强激活足以引发脑膜伤害感受和随之而来的偏头痛疼痛。我们的研究结果有助于开发新的有效偏头痛治疗方法。
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