Alleviation of migraine related pain and anxiety by inhibiting calcium-stimulating AC1-dependent CGRP in the insula of adult rats.

IF 7.3 1区 医学 Q1 CLINICAL NEUROLOGY Journal of Headache and Pain Pub Date : 2024-05-17 DOI:10.1186/s10194-024-01778-3
Yang Li, Chenhao Li, Qi-Yu Chen, Shun Hao, Jingrui Mao, Wenwen Zhang, Xun Han, Zhao Dong, Ruozhuo Liu, Wenjing Tang, Min Zhuo, Shengyuan Yu, Yinglu Liu
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Abstract

Background: Recent animal and clinical findings consistently highlight the critical role of calcitonin gene-related peptide (CGRP) in chronic migraine (CM) and related emotional responses. CGRP antibodies and receptor antagonists have been approved for CM treatment. However, the underlying CGRP-related signaling pathways in the pain-related cortex remain poorly understood.

Methods: The SD rats were used to establish the CM model by dural infusions of inflammatory soup. Periorbital mechanical thresholds were assessed using von-Frey filaments, and anxiety-like behaviors were observed via open field and elevated plus maze tests. Expression of c-Fos, CGRP and NMDA GluN2B receptors was detected using immunofluorescence and western blotting analyses. The excitatory synaptic transmission was detected by whole-cell patch-clamp recording. A human-used adenylate cyclase 1 (AC1) inhibitor, hNB001, was applied via insula stereotaxic and intraperitoneal injections in CM rats.

Results: The insular cortex (IC) was activated in the migraine model rats. Glutamate-mediated excitatory transmission and NMDA GluN2B receptors in the IC were potentiated. CGRP levels in the IC significantly increased during nociceptive and anxiety-like activities. Locally applied hNB001 in the IC or intraperitoneally alleviated periorbital mechanical thresholds and anxiety behaviors in migraine rats. Furthermore, CGRP expression in the IC decreased after the hNB001 application.

Conclusions: Our study indicated that AC1-dependent IC plasticity contributes to migraine and AC1 may be a promising target for treating migraine in the future.

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通过抑制成年大鼠脑岛的钙刺激 AC1 依赖性 CGRP,缓解偏头痛相关疼痛和焦虑。
背景:最近的动物和临床研究结果一致强调降钙素基因相关肽(CGRP)在慢性偏头痛(CM)和相关情绪反应中的关键作用。CGRP抗体和受体拮抗剂已被批准用于治疗CM。然而,人们对与疼痛相关的皮层中与 CGRP 相关的潜在信号通路仍然知之甚少:方法:用 SD 大鼠通过硬脑膜注射炎性汤剂建立 CM 模型。方法:用硬脑膜输注炎性汤剂建立SD大鼠CM模型,使用von-Frey丝评估眶周机械阈值,并通过开阔地和高架加迷宫试验观察焦虑样行为。通过免疫荧光和免疫印迹分析检测了c-Fos、CGRP和NMDA GluN2B受体的表达。兴奋性突触传递是通过全细胞膜片钳记录来检测的。通过对CM大鼠进行脑岛立体定向和腹腔注射,使用人类使用的腺苷酸环化酶1(AC1)抑制剂hNB001:结果:偏头痛模型大鼠的岛叶皮层(IC)被激活。结果:偏头痛模型大鼠的岛叶皮层(IC)被激活,谷氨酸介导的兴奋性传导和 IC 中的 NMDA GluN2B 受体被增强。在痛觉和焦虑样活动期间,IC 中的 CGRP 水平明显升高。局部应用 hNB001 于偏头痛大鼠的 IC 或腹腔,可减轻偏头痛大鼠眶周机械阈值和焦虑行为。此外,应用 hNB001 后,IC 中 CGRP 的表达量减少:我们的研究表明,AC1依赖性IC可塑性是偏头痛的原因之一,AC1可能是未来治疗偏头痛的一个有希望的靶点。
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来源期刊
Journal of Headache and Pain
Journal of Headache and Pain 医学-临床神经学
CiteScore
11.80
自引率
13.50%
发文量
143
审稿时长
6-12 weeks
期刊介绍: The Journal of Headache and Pain, a peer-reviewed open-access journal published under the BMC brand, a part of Springer Nature, is dedicated to researchers engaged in all facets of headache and related pain syndromes. It encompasses epidemiology, public health, basic science, translational medicine, clinical trials, and real-world data. With a multidisciplinary approach, The Journal of Headache and Pain addresses headache medicine and related pain syndromes across all medical disciplines. It particularly encourages submissions in clinical, translational, and basic science fields, focusing on pain management, genetics, neurology, and internal medicine. The journal publishes research articles, reviews, letters to the Editor, as well as consensus articles and guidelines, aimed at promoting best practices in managing patients with headaches and related pain.
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