PACAP

PACAP
  • 文章类型: Journal Article
    B1类G蛋白偶联受体(GPCRs)是临床相关药物靶标的重要家族,难以通过高通量筛选和动物模型进行研究。这里,我们设计了PAClight1P78A,一种基于B1类GPCR(人类PAC1受体,hmPAC1R)具有高动态范围(ΔF/F0=1100%),优异的配体选择性,和快速活化动力学(τON=1.15s)。为了展示该工具在体外应用的实用性,我们彻底表征和比较了它的表达,PAClight1P78A转染和稳定表达细胞之间的亮度和性能。证明其在动物模型中的用途,我们显示了强大的表达和荧光反应的外源配体应用离体和体内小鼠,以及斑马鱼幼虫。因此,这种基于GPCR的新型传感器可用于生命科学领域的广泛应用,为基础研究和药物开发工作提供了动力。
    Class-B1 G-protein-coupled receptors (GPCRs) are an important family of clinically relevant drug targets that remain difficult to investigate via high-throughput screening and in animal models. Here, we engineered PAClight1P78A, a novel genetically encoded sensor based on a class-B1 GPCR (the human PAC1 receptor, hmPAC1R) endowed with high dynamic range (ΔF/F0 = 1100%), excellent ligand selectivity, and rapid activation kinetics (τON = 1.15 s). To showcase the utility of this tool for in vitro applications, we thoroughly characterized and compared its expression, brightness and performance between PAClight1P78A-transfected and stably expressing cells. Demonstrating its use in animal models, we show robust expression and fluorescence responses upon exogenous ligand application ex vivo and in vivo in mice, as well as in living zebrafish larvae. Thus, the new GPCR-based sensor can be used for a wide range of applications across the life sciences empowering both basic research and drug development efforts.
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  • 文章类型: Journal Article
    肌动蛋白调节蛋白的行为和存在是各种临床疾病的特征。这些蛋白质的变化显著影响细胞骨架和再生过程潜在的病理变化。垂体腺苷酸环化酶激活多肽(PACAP),一种在神经系统和内分泌器官中丰富的细胞保护神经肽,通过影响肌动蛋白在神经元分化和迁移中起关键作用。本研究旨在阐明PACAP作为肌动蛋白调节多肽的作用。它对肌动蛋白丝形成的影响,以及潜在的监管机制。我们检查了PACAP27,PACAP38和PACAP6-38,通过荧光光谱法和稳态各向异性测量了它们与肌动蛋白单体的结合。使用官能聚合测试来跟踪荧光强度随时间的变化。与PACAP27不同,PACAP38和PACAP6-38显着降低了Alexa488标记的肌动蛋白单体的荧光发射,并增加了其各向异性,显示几乎相同的解离平衡常数。PACAP27显示与球状肌动蛋白(G-肌动蛋白)的弱结合,而PACAP38和PACAP6-38表现出强烈的相互作用。PACAP27不影响肌动蛋白聚合,但PACAP38和PACAP6-38加速肌动蛋白掺入动力学。荧光猝灭实验证实了PACAP结合后的结构变化;然而,所有研究的PACAP片段表现出相同的效果。我们的发现表明,PACAP38和PACAP6-38与G-肌动蛋白强烈结合,并显着影响肌动蛋白的聚合。需要进一步的研究来充分理解这些相互作用的生物学意义。
    The behavior and presence of actin-regulating proteins are characteristic of various clinical diseases. Changes in these proteins significantly impact the cytoskeletal and regenerative processes underlying pathological changes. Pituitary adenylate cyclase-activating polypeptide (PACAP), a cytoprotective neuropeptide abundant in the nervous system and endocrine organs, plays a key role in neuron differentiation and migration by influencing actin. This study aims to elucidate the role of PACAP as an actin-regulating polypeptide, its effect on actin filament formation, and the underlying regulatory mechanisms. We examined PACAP27, PACAP38, and PACAP6-38, measuring their binding to actin monomers via fluorescence spectroscopy and steady-state anisotropy. Functional polymerization tests were used to track changes in fluorescent intensity over time. Unlike PACAP27, PACAP38 and PACAP6-38 significantly reduced the fluorescence emission of Alexa488-labeled actin monomers and increased their anisotropy, showing nearly identical dissociation equilibrium constants. PACAP27 showed weak binding to globular actin (G-actin), while PACAP38 and PACAP6-38 exhibited robust interactions. PACAP27 did not affect actin polymerization, but PACAP38 and PACAP6-38 accelerated actin incorporation kinetics. Fluorescence quenching experiments confirmed structural changes upon PACAP binding; however, all studied PACAP fragments exhibited the same effect. Our findings indicate that PACAP38 and PACAP6-38 strongly bind to G-actin and significantly influence actin polymerization. Further studies are needed to fully understand the biological significance of these interactions.
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  • 文章类型: Journal Article
    背景:垂体腺苷酸环化酶激活肽(PACAP)是一种在偏头痛病理生理学中起关键作用的神经肽,被认为是一种有前途的新的偏头痛药物靶点。尽管静脉注射PACAP会引发偏头痛发作,最近一项使用PACAP抑制抗体的II期试验显示了预防偏头痛的功效,单独靶向PACAP受体PAC1没有成功。本研究调查了三种PACAP受体(PAC1,VPAC1和VPAC2)在诱导小鼠偏头痛相关超敏反应中的作用。
    方法:反复注射PACAP38可诱发Hindpaw超敏反应。在三种敲除(KO)小鼠品系中使用vonFrey细丝定量触觉敏感性反应,每个都缺乏PACAP受体之一(Ntotal=160)。此外,体外线肌电图用于评估颈动脉的血管活性,通过qPCR检测PACAP受体的基因表达。
    结果:PACAP38在WT对照中诱导超敏反应(p<0.01),其在VPAC1和VPAC2KO小鼠中降低(p<0.05)。相比之下,PAC1KO小鼠显示与WT对照相似的应答(p>0.05)。Myograph实验支持这些发现,表明VPAC1和VPAC2KO小鼠的血管活性降低。我们在KO小鼠中未发现未修饰的PACAP受体上调。
    结论:这项研究评估了偏头痛小鼠模型中所有三种PACAP受体,并提示VPAC受体在偏头痛病理生理学中的重要作用。PAC1KO小鼠缺乏超敏反应性降低,提示其他PACAP受体或代偿机制的参与。结果表明,仅靶向单个PACAP受体可能不是有效的偏头痛治疗方法。
    BACKGROUND: Pituitary adenylate cyclase-activating peptide (PACAP) is a neuropeptide pivotal in migraine pathophysiology and is considered a promising new migraine drug target. Although intravenous PACAP triggers migraine attacks and a recent phase II trial with a PACAP-inhibiting antibody showed efficacy in migraine prevention, targeting the PACAP receptor PAC1 alone has been unsuccessful. The present study investigated the role of three PACAP receptors (PAC1, VPAC1 and VPAC2) in inducing migraine-relevant hypersensitivity in mice.
    METHODS: Hindpaw hypersensitivity was induced by repeated PACAP38 injections. Tactile sensitivity responses were quantified using von Frey filaments in three knockout (KO) mouse strains, each lacking one of the PACAP-receptors (Ntotal = 160). Additionally, ex vivo wire myography was used to assess vasoactivity of the carotid artery, and gene expression of PACAP receptors was examined by qPCR.
    RESULTS: PACAP38 induced hypersensitivity in WT controls (p < 0.01) that was diminished in VPAC1 and VPAC2 KO mice (p < 0.05). In contrast, PAC1 KO mice showed similar responses to WT controls (p > 0.05). Myograph experiments supported these findings showing diminished vasoactivity in VPAC1 and VPAC2 KO mice. We found no upregulation of the non-modified PACAP receptors in KO mice.
    CONCLUSIONS: This study assessed all three PACAP receptors in a migraine mouse model and suggests a significant role of VPAC receptors in migraine pathophysiology. The lack of hypersensitivity reduction in PAC1 KO mice suggests the involvement of other PACAP receptors or compensatory mechanisms. The results indicate that targeting only individual PACAP receptors may not be an effective migraine treatment.
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  • 文章类型: Journal Article
    在COVID-19严重疾病期间,SARS-CoV-2感染与不受控制的炎症反应有关,其中单核细胞是导致急性呼吸窘迫综合征的促炎介质的主要来源之一。来自不同细胞的细胞外囊泡(EV)在SARS-CoV-2感染过程中发挥重要作用,但目前尚没有描述来自原代人单核细胞源性巨噬细胞(MDM)的EV参与这种感染调节的研究.这里,我们描述了用神经肽VIP和PACAP刺激的MDM释放的EV对SARS-CoV-2感染的单核细胞的影响。通过从在血清减少的条件下培养24小时的细胞中收集的培养基的差速离心来分离MDM衍生的EV。基于形态特性,我们区分了MDM-EV的两个亚群,即大型电动汽车(LEV)和小型电动汽车(SEV)。我们发现用神经肽刺激的MDM衍生的EV抑制单核细胞中SARS-CoV-2RNA的合成/复制,保护这些细胞免受病毒诱导的细胞病变作用,并减少促炎介质的产生。此外,VIP和PACAP处理的MDM衍生的EV可预防SARS-CoV-2诱导的NF-κB激活。总的来说,我们的研究结果表明,MDM-EV具有免疫调节特性,这些特性可能有助于SARS-CoV-2感染的单核细胞的抗病毒和抗炎反应,并扩大了我们对EV在COVID-19发病过程中的作用的认识.
    Infection by SARS-CoV-2 is associated with uncontrolled inflammatory response during COVID-19 severe disease, in which monocytes are one of the main sources of pro-inflammatory mediators leading to acute respiratory distress syndrome. Extracellular vesicles (EVs) from different cells play important roles during SARS-CoV-2 infection, but investigations describing the involvement of EVs from primary human monocyte-derived macrophages (MDM) on the regulation of this infection are not available. Here, we describe the effects of EVs released by MDM stimulated with the neuropeptides VIP and PACAP on SARS-CoV-2-infected monocytes. MDM-derived EVs were isolated by differential centrifugation of medium collected from cells cultured for 24 h in serum-reduced conditions. Based on morphological properties, we distinguished two subpopulations of MDM-EVs, namely large (LEV) and small EVs (SEV). We found that MDM-derived EVs stimulated with the neuropeptides inhibited SARS-CoV-2 RNA synthesis/replication in monocytes, protected these cells from virus-induced cytopathic effects and reduced the production of pro-inflammatory mediators. In addition, EVs derived from VIP- and PACAP-treated MDM prevented the SARS-CoV-2-induced NF-κB activation. Overall, our findings suggest that MDM-EVs are endowed with immunoregulatory properties that might contribute to the antiviral and anti-inflammatory responses in SARS-CoV-2-infected monocytes and expand our knowledge of EV effects during COVID-19 pathogenesis.
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  • 文章类型: Journal Article
    肥胖与肥胖相关的胰岛素抵抗一直是研究热点。垂体腺苷酸环化酶激活多肽(PACAP)在能量代谢中起重要作用,具有减轻胰岛素抵抗的潜力。然而,确切的机制还没有完全理解。用棕榈酸和高脂饮食(HFD)建立α小鼠肝12细胞系和C57BL/6小鼠胰岛素抵抗模型,分别。随后,我们评估了PACAP在体内和体外的作用。使用慢病毒载体来探索PACAP可以改善胰岛素抵抗的信号通路。发现PACAP选择性结合PACAPI型受体受体并改善胰岛素抵抗,其特征是在胰岛素抵抗细胞模型和HFD喂养的小鼠中糖原合成增加和糖异生抑制。这些作用与哺乳动物雷帕霉素靶/RAC-α丝氨酸/苏氨酸蛋白激酶(FAIM/Rictor/AKT)轴的Fas凋亡抑制分子/雷帕霉素不敏感伴侣的激活有关。此外,PACAP通过增加溶质载体家族2,促进葡萄糖转运蛋白成员2/4和抑制糖异生相关蛋白葡萄糖6-磷酸酶催化亚基1和磷酸烯醇丙酮酸羧激酶2表达来改善胰岛素抵抗。同时,PACAP在体内和体外均可促进肝AKT/糖原合酶激酶3β的磷酸化。此外,PACAP治疗降低体重,肥胖小鼠的食物摄入量和血糖水平。我们的研究表明,PACAP通过FAIM/Rictor/AKT轴改善胰岛素抵抗,将其作为治疗肥胖相关胰岛素抵抗的有希望的候选药物。
    Obesity and obesity-related insulin resistance have been a research hotspot. Pituitary adenylate cyclase activating polypeptide (PACAP) has emerged as playing a significant role in energy metabolism, holding promising potential for attenuating insulin resistance. However, the precise mechanism is not fully understood. Palmitic acid and a high-fat diet (HFD) were used to establish insulin resistance model in Alpha mouse liver 12 cell line and C57BL/6 mice, respectively. Subsequently, we assessed the effects of PACAP both in vivo and in vitro. Lentivirus vectors were used to explore the signaling pathway through which PACAP may ameliorate insulin resistance. PACAP was found to selectively bind to the PACAP type I receptor receptor and ameliorate insulin resistance, which was characterized by increased glycogen synthesis and the suppression of gluconeogenesis in the insulin-resistant cell model and HFD-fed mice. These effects were linked to the activation of the Fas apoptotic inhibitory molecule/rapamycin-insensitive companion of mammalian target of rapamycin/RAC-alpha serine/threonine-protein kinase (FAIM/Rictor/AKT) axis. Furthermore, PACAP ameliorated insulin resistance by increasing solute carrier family 2, facilitated glucose transporter members 2/4 and inhibiting gluconeogenesis-related proteins glucose 6-phosphatase catalytic subunit 1 and phosphoenolpyruvate carboxykinase 2 expression. Meanwhile, the phosphorylation of hepatic AKT/glycogen synthase kinase 3β was promoted both in vivo and in vitro by PACAP. Additionally, PACAP treatment decreased body weight, food intake and blood glucose levels in obese mice. Our study shows that PACAP ameliorated insulin resistance through the FAIM/Rictor/AKT axis, presenting it as a promising drug candidate for the treatment of obesity-related insulin resistance.
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  • 文章类型: Journal Article
    抗菌肽(AMP)是抗生素的替代品,用于治疗和预防感染,具有较低的细菌耐药性风险。垂体腺苷酸环化酶激活多肽(PACAP)是一种出色的AMP,具有多种作用,包括抗菌活性和免疫反应的调节。本研究的目的是研究PACAP对感染沙门氏菌气单胞菌的虹鳟鱼细胞系的免疫调节作用。测试了来自Clariasgariepinus的PACAP(PACAP1)和改良的PACAP(PACAP5)。RT-qPCR结果显示,PACAP处理后,RTgutGC中il1b和il8表达显著下调,而tgfb表达上调。重要的是,IL-1β和IFN-γ的浓度在与PACAP1孵育并暴露于沙门氏菌的RTS11细胞的条件培养基中增加。基因表达与蛋白质浓度之间的相关性较差,提示从先前积累的转录物或积累的IL-1β前体的裂解刺激IL-1β蛋白的翻译。PACAP-受体相互作用的计算机研究表明,PACAP-PAC1相互作用的肽特征发生了转变,与观察到的与该特定受体的相互作用数量较高相关,与VPAC1和VPACA2相比,这也与针对PAC1描述的更高的PACAP特异性一致。最后,计算机模拟分析显示与PACAP受体相关功能相关的9个氨基酸.
    Antimicrobial peptides (AMPs) are an alternative to antibiotics for treatment and prevention of infections with a lower risk of bacterial resistance. Pituitary adenylate cyclase activating polypeptide (PACAP) is an outstanding AMP with versatile effects including antimicrobial activity and modulation of immune responses. The objective of this research was to study PACAP immunomodulatory effect on rainbow trout cell lines infected with Aeromonas salmonicida. PACAP from Clarias gariepinus (PACAP1) and a modified PACAP (PACAP5) were tested. RT-qPCR results showed that il1b and il8 expression in RTgutGC was significantly downregulated while tgfb expression was upregulated after PACAP treatment. Importantly, the concentration of IL-1β and IFN-γ increased in the conditioned media of RTS11 cells incubated with PACAP1 and exposed to A. salmonicida. There was a poor correlation between gene expression and protein concentration, suggesting a stimulation of the translation of IL-1β protein from previously accumulated transcripts or the cleavage of accumulated IL-1β precursor. In-silico studies of PACAP-receptor interactions showed a turn of the peptide characteristic of PACAP-PAC1 interaction, correlated with the higher number of interactions observed with this specific receptor, which is also in agreement with the higher PACAP specificity described for PAC1 compared to VPAC1 and VPACA2. Finally, the in silico analysis revealed nine amino acids related to the PACAP receptor-associated functionality.
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  • 文章类型: Journal Article
    越来越多的证据表明,脊椎动物垂体腺苷酸环化酶激活多肽(PACAP)系统的元件在非脊索酸盐基因组中缺失,这与部分序列不一致-,免疫组织化学-,和文献中的生理数据。对大池蜗牛(Lymnaeastagnalis)进行了多级实验,以探讨PACAP在无脊椎动物中的作用。神经元转录组和基因组数据的筛选未发现与脊椎动物PACAP系统元件的同源物。尽管如此,使用抗人PAC1受体抗体进行的免疫组织化学研究在心脏的神经元元件中产生了阳性信号。尽管从神经系统中提取的蛋白质的Western印迹发现了PACAP-38的相关条带,但免疫沉淀和质谱分析未发现相应的肽片段。与脊椎动物报告的影响相似,PACAP-38显着增加心脏中cAMP的合成,并对心脏制剂具有积极的离子作用。此外,它显著调节5-羟色胺和乙酰胆碱的作用。B簇受体成员的同源物,它们与脊椎动物PACAP受体有着共同的进化起源,PTHR,和GCGRs,被识别并显示在心脏中没有表达,这不支持在PACAP诱导效应的介导中的潜在作用。我们的发现支持PACAP系统在原生质体-氘代分裂后出现的观点。再次强调使用针对脊椎动物蛋白质的抗体在无脊椎动物研究中几乎没有/没有价值。脊椎动物PACAP肽在原生动物中的生理作用,不管它们和脊椎动物有多相似,应该被认为是非特定的。
    Evidence has been accumulating that elements of the vertebrate pituitary adenylate cyclase-activating polypeptide (PACAP) system are missing in non-chordate genomes, which is at odds with the partial sequence-, immunohistochemical-, and physiological data in the literature. Multilevel experiments were performed on the great pond snail (Lymnaea stagnalis) to explore the role of PACAP in invertebrates. Screening of neuronal transcriptome and genome data did not reveal homologs to the elements of vertebrate PACAP system. Despite this, immunohistochemical investigations with an anti-human PAC1 receptor antibody yielded a positive signal in the neuronal elements in the heart. Although Western blotting of proteins extracted from the nervous system found a relevant band for PACAP-38, immunoprecipitation and mass spectrometric analyses revealed no corresponding peptide fragments. Similarly to the effects reported in vertebrates, PACAP-38 significantly increased cAMP synthesis in the heart and had a positive ionotropic effect on heart preparations. Moreover, it significantly modulated the effects of serotonin and acetylcholine. Homologs to members of Cluster B receptors, which have shared common evolutionary origin with the vertebrate PACAP receptors, PTHRs, and GCGRs, were identified and shown not to be expressed in the heart, which does not support a potential role in the mediation of PACAP-induced effects. Our findings support the notion that the PACAP system emerged after the protostome-deuterostome divergence. Using antibodies against vertebrate proteins is again highlighted to have little/no value in invertebrate studies. The physiological effects of vertebrate PACAP peptides in protostomes, no matter how similar they are to those in vertebrates, should be considered non-specific.
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  • 文章类型: Journal Article
    动物生产中的生理过程是通过生物活性分子如肽来调节的,蛋白质,以及通过基础科学的发展及其应用确定的激素。在调节生理反应中起重要作用的主要多肽之一是垂体腺苷酸环化酶激活多肽(PACAP)。PACAP属于胰高血糖素/生长激素释放激素(GHRH)/血管活性肠蛋白(VIP)家族,调节采食量,压力,和鸟类的免疫反应。这些调控大多发生在PACAP刺激cAMP信号通路后,它可以调节基因的表达,如MuRF1,FOXO1,Atrogin1和其他连接酶,这些连接酶是泛素系统的重要成员。另一方面,PACAP刺激CRH的分泌以应对压力,激活泛素信号通路,在蛋白质降解中起着至关重要的作用,并调节氧化应激和免疫反应。许多关于啮齿动物的研究,哺乳动物,和其他模型证实了PACAP的调节作用,cAMP,和泛素途径;然而,没有研究测试PACAP诱导的家禽cAMP信号是否调节泛素途径。此外,研究PACAP是否可以通过HPA轴刺激改变的CRH调节应激反应过程中的泛素信号。因此,这篇综述强调了一些研究的总结,这些研究表明PACAP和泛素信号通路通过cAMP和应激信号通路对家禽不同分子和生理参数的潜在相互作用。
    The physiological processes in animal production are regulated through biologically active molecules like peptides, proteins, and hormones identified through the development of the fundamental sciences and their application. One of the main polypeptides that plays an essential role in regulating physiological responses is the pituitary adenylate cyclase-activating polypeptide (PACAP). PACAP belongs to the glucagon/growth hormone-releasing hormone (GHRH)/vasoactive intestinal proteins (VIP) family and regulates feed intake, stress, and immune response in birds. Most of these regulations occur after PACAP stimulates the cAMP signaling pathway, which can regulate the expression of genes like MuRF1, FOXO1, Atrogin 1, and other ligases that are essential members of the ubiquitin system. On the other hand, PACAP stimulates the secretion of CRH in response to stress, activating the ubiquitin signaling pathway that plays a vital role in protein degradation and regulates oxidative stress and immune responses. Many studies conducted on rodents, mammals, and other models confirm the regulatory effects of PACAP, cAMP, and the ubiquitin pathway; however, there are no studies testing whether PACAP-induced cAMP signaling in poultry regulates the ubiquitin pathway. Besides, it would be interesting to investigate if PACAP can regulate ubiquitin signaling during stress response via CRH altered by HPA axis stimulation. Therefore, this review highlights a summary of research studies that indicate the potential interaction of the PACAP and ubiquitin signaling pathways on different molecular and physiological parameters in poultry species through the cAMP and stress signaling pathways.
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  • 文章类型: Journal Article
    背景:几种实验性偏头痛激发模型的开发极大地促进了对偏头痛信号传导机制的理解。模型的发明者介绍了这种发展的早期历史和对未来的看法。
    方法:对参考文献列表的审查补充了对文献的广泛了解。
    结果:早期研究使用的方法不是盲法。他们建议组胺和硝酸甘油(三硝酸甘油酯,GTN)可能会引起头痛和偏头痛。双盲的发展,安慰剂对照模型,对诱发性偏头痛使用明确的诊断标准是向前迈出的重要一步.GTN,一氧化氮(NO)的供体,在有和没有偏头痛的人中诱发头痛,以及偏头痛患者的偏头痛发作延迟。降钙素基因相关肽(CGRP)也是如此,支持CGRP拮抗剂的发展,现在广泛用于患者。同样,垂体腺苷酸环化酶激活肽(PACAP)引起头痛和偏头痛。最近,PACAP抗体在2期试验中显示出抗偏头痛活性。由NO激活的第二信使的增加,CGRP和PACAP可有效诱导偏头痛。实验模型也已用于其他类型的头痛,并已与成像和生化研究相结合。它们还被用于药物测试和遗传研究。
    结论:结论。人类偏头痛激发模型已经了解了偏头痛的信号机制,从而导致了新的药物和药物靶标。未来这些模型在图像中的使用-,生物化学和遗传研究以及在动物模型的进一步研究是有希望的。
    BACKGROUND: The development of several experimental migraine provocation models has significantly contributed to an understanding of the signaling mechanisms of migraine. The early history of this development and a view to the future are presented as viewed by the inventor of the models.
    METHODS: Extensive knowledge of the literature was supplemented by scrutiny of reference lists.
    RESULTS: Early studies used methodologies that were not blinded. They suggested that histamine and nitroglycerin (Glyceryl trinitrate, GTN) could induce headache and perhaps migraine. The development of a double blind, placebo-controlled model, and the use of explicit diagnostic criteria for induced migraine was a major step forward. GTN, donor of nitric oxide (NO), induced headache in people with- and without migraine as well as delayed migraine attacks in those with migraine. Calcitonin gene-related peptide (CGRP) did the same, supporting the development of CGRP antagonists now widely used in patients. Likewise, pituitary adenylate cyclase activating peptide (PACAP) provoked headache and migraine. Recently a PACAP antibody has shown anti migraine activity in a phase 2 trial. Increase of second messengers activated by NO, CGRP and PACAP effectively induced migraine. The experimental models have also been used in other types of headaches and have been combined with imaging and biochemical studies. They have also been used for drug testing and in genetic studies.
    CONCLUSIONS: Conclusion. Human migraine provocation models have informed about signaling mechanisms of migraine leading to new drugs and drug targets. Future use of these models in imaging-, biochemistry- and genetic studies as well as in the further study of animal models is promising.
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  • 文章类型: Journal Article
    目的:这篇综述将探讨引起偏头痛的分子的分类,他们的细胞行动,基于偏头痛级联模型的作用部位和潜在药物靶标。
    方法:个人经验和文献。
    结果:偏头痛影响全球超过10亿人,但研究资金不足。最近的进展,特别是通过人类和动物的挑衅模型,加深了我们对其机制的理解。该模型已鉴定出内源性神经肽,例如降钙素基因相关肽(CGRP)和垂体腺苷酸环化酶激活肽(PACAP),可诱导受控的偏头痛样发作,从而显着发现其在偏头痛中的作用。这些知识导致了CGRP抑制药物的开发;这是一种突破性的偏头痛治疗方法,现在可以在全球范围内使用。在最近的II期试验中,抑制PACAP的药物也是有效的。值得注意的是,啮齿动物研究揭示了疼痛途径和各种偏头痛诱导物质的机制,确定了新的药物靶点。这主要通过使用选择性抑制剂来完成,所述选择性抑制剂靶向已知偏头痛触发物的特异性信号传导途径,从而导致假设的偏头痛细胞级联模型。
    结论:偏头痛模型为创新药物开发提供了许多机会。新的偏头痛治疗方法的未来仅受制药公司投资的限制。
    OBJECTIVE: This review will explore the categorization of migraine-provoking molecules, their cellular actions, site of action and potential drug targets based on the migraine cascade model.
    METHODS: Personal experience and literature.
    RESULTS: Migraine impacts over 1 billion people worldwide but is underfunded in research. Recent progress, particularly through the human and animal provocation model, has deepened our understanding of its mechanisms. This model have identified endogenous neuropeptides such as calcitonin gene-related peptide (CGRP) and pituitary adenylate cyclase-activating peptide (PACAP) that induces controlled migraine-like attacks leading to significant discoveries of their role in migraine. This knowledge led to the development of CGRP-inhibiting drugs; a groundbreaking migraine treatment now accessible globally. Also a PACAP-inhibiting drug was effective in a recent phase II trial. Notably, rodent studies have shed light on pain pathways and the mechanisms of various migraine-inducing substances identifying novel drug targets. This is primarily done by using selective inhibitors that target specific signaling pathways of the known migraine triggers leading to the hypothesized cellular cascade model of migraine.
    CONCLUSIONS: The model of migraine presents numerous opportunities for innovative drug development. The future of new migraine treatments is limited only by the investment from pharmaceutical companies.
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