| Literature DB >> 29464574 |
Anne Luise Haulund Vollesen1, Faisal Mohammad Amin1, Messoud Ashina2.
Abstract
Here, we review the role of pituitary adenylate cyclase-activating peptide-38 (PACAP38) in migraine pathophysiology and data implicating PAC1 receptor as a future drug target in migraine. Much remains to be fully elucidated about migraine pathophysiology, but recent attention has focused on signaling molecule PACAP38, a vasodilator able to induce migraine attacks in patients who experience migraine without aura. PACAP38, with marked and sustained effect, dilates extracerebral arteries but not the middle cerebral artery. The selective affinity of PACAP38 to the PAC1 receptor makes this receptor a highly interesting and potential novel target for migraine treatment. Efficacy of antagonism of this receptor should be investigated in randomized clinical trials.Entities:
Keywords: Human provocation models; Migraine; PAC1 receptor; PACAP38; Primary headaches; Vasoactive intestinal polypeptide
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Year: 2018 PMID: 29464574 PMCID: PMC5935633 DOI: 10.1007/s13311-017-0596-x
Source DB: PubMed Journal: Neurotherapeutics ISSN: 1878-7479 Impact factor: 7.620