Calcitonin gene-related peptide (CGRP): a new target for migraine.

Calcitonin gene-related peptide (CGRP): a new target for migraine.
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DOI:
10.1146/annurev-pharmtox-010814-124701
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发表时间:
2015
影响因子:
12.5
通讯作者:
Russo AF
Russo AF
中科院分区:
医学1区
文献类型:
--
作者:
Russo AF

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偏头痛是一种神经系统疾病,表现为与感觉知觉改变相关的使人衰弱的头痛。神经肽降钙素基因相关肽(CGRP)现在被牢固地确立为偏头痛的关键参与者。在过去十年中进行的临床试验已经证明CGRP受体拮抗剂对于治疗偏头痛是有效的,并且受体和CGRP的抗体目前正在研究中。尽管在临床竞技场取得了这些进展,但CGRP触发偏头痛的机制仍不确定。本文综述了CGRP在外周和中枢神经系统多层次增强感觉输入敏感性的机制。CGRP作用的上位性和表观遗传调节因子的未来研究有望进一步阐明CGRP在偏头痛中的作用。总之,靶向CGRP代表了偏头痛的一种可接近的治疗策略。
Migraine is a neurological disorder that manifests as a debilitating headache associated with altered sensory perception. The neuropeptide calcitonin gene-related peptide (CGRP) is now firmly established as a key player in migraine. Clinical trials carried out during the past decade have proved that CGRP receptor antagonists are effective for treating migraine, and antibodies to the receptor and CGRP are currently under investigation. Despite this progress in the clinical arena, the mechanisms by which CGRP triggers migraine remain uncertain. This review discusses mechanisms whereby CGRP enhances sensitivity to sensory input at multiple levels in both the periphery and central nervous system. Future studies on epistatic and epigenetic regulators of CGRP actions are expected to shed further light on CGRP actions in migraine. In conclusion, targeting CGRP represents an approachable therapeutic strategy for migraine.
DOI: 10.3988/jcn.2012.8.2.89
发表时间: 2012-06
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