The PACAP receptor: a novel target for migraine treatment

    53 Citations (Scopus)

    Abstract

    The origin of migraine pain has not yet been clarified, but accumulating data point to neuropeptides present in the perivascular space of cranial vessels as important mediators of nociceptive input during migraine attacks. Pituitary adenylate cyclase-activating polypeptide (PACAP) is present in sensory trigeminal neurons and may modulate nociception at different levels of the nervous system. Human experimental studies have shown that PACAP-38 infusion induces marked dilatation of extracerebral vessels and delayed migraine-like attacks in migraine patients. PACAP selectively activates the PAC(1) receptor, which suggests a possible signaling pathway implicated in migraine pain. This review summarizes the current evidence supporting the involvement of PACAP in migraine pathophysiology and the PAC(1) receptor as a possible novel target for migraine treatment.
    Original languageEnglish
    JournalNeurotherapeutics
    Volume7
    Issue number2
    Pages (from-to)191-6
    Number of pages6
    ISSN1933-7213
    DOIs
    Publication statusPublished - 1 Apr 2010

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