Knyihár-Csillik E, Tajti J, Samsam M, Sáry G, Slezák S, Vécsei L
Department of Clinical Neurology, Albert Szent-Györgyi University Medical School, Szeged, Hungary.
J Neurosci Res. 1997 Jun 1;48(5):449-64.
The supratentorial cerebral dura of the albino rat is equipped with a rich sensory innervation including nociceptive axons and their terminals, which display intense calcitonin gene-related peptide (CGRP) immunoreactivity both in the connective tissue and around blood vessels. Stereotactic electrical stimulation of the trigeminal (Gasserian) ganglion, regarded as an experimental migraine model, induces marked increase and disintegration of club-like perivascular CGRP-immunopositive nerve endings in the dura. Intravenous administration of sumatriptan, prior to electrical stimulation, prevents disintegration of perivascular terminals and induces accumulation of CGRP in terminal and preterminal portions of peripheral sensory axons. Consequently, immunopositive terminals and varicosities increase in size; accumulation of axoplasmic organelles results in a "hollow" appearance of many varicosities. Since sumatriptan exerts its anti-migraine effect by virtue of its agonist action on 5-HT1D receptors, we suggest that sumatriptan prevents the release of CGRP from dural perivascular terminals by an action at 5-HT1D receptors. In the caudal trigeminal nucleus electrical stimulation of the trigeminal ganglion induces, in interneurons, increased expression of the oncoprotein c-fos which is not prevented by intravenous application of sumatriptan. Disparate findings regarding this effect are partly due to the fact that sumatriptan very poorly passes the blood-brain barrier and partly to different experimental paradigms used by different authors.
白化大鼠幕上脑硬膜配备有丰富的感觉神经支配,包括伤害性轴突及其终末,它们在结缔组织和血管周围均显示出强烈的降钙素基因相关肽(CGRP)免疫反应性。将三叉神经(半月神经节)节的立体定向电刺激视为实验性偏头痛模型,其可诱导硬膜中棒状血管周围CGRP免疫阳性神经终末显著增加并解体。在电刺激前静脉注射舒马曲坦,可防止血管周围终末解体,并诱导CGRP在外周感觉轴突的终末和终末前部积聚。因此,免疫阳性终末和曲张体体积增大;轴浆细胞器的积聚导致许多曲张体呈现“中空”外观。由于舒马曲坦通过对5-HT1D受体的激动作用发挥其抗偏头痛效应,我们认为舒马曲坦通过作用于5-HT1D受体来阻止CGRP从硬膜血管周围终末释放。在三叉神经节的电刺激在三叉神经尾侧核的中间神经元中诱导癌蛋白c-fos的表达增加,而静脉注射舒马曲坦并不能阻止这种增加。关于这种效应的不同发现部分是由于舒马曲坦很难通过血脑屏障,部分是由于不同作者使用的不同实验范式。