Migraine neuroscience: from experimental models to target therapy

Neurol Sci. 2020 Dec;41(Suppl 2):351-361. doi: 10.1007/s10072-020-04808-5.

Abstract

Migraine sciences have witnessed tremendous advances in recent years. Pre-clinical and clinical experimental models have contributed significantly to provide useful insights into the brain structures that mediate migraine attacks. These models have contributed to elucidate the role of neurotransmission pathways and to identify the role of important molecules within the complex network involved in migraine pathogenesis. The contribution and efforts of several research groups from all over the world has ultimately lead to the generation of novel therapeutic approaches, specifically targeted for the prevention of migraine attacks, the monoclonal antibodies directed against calcitonin gene-related peptide or its receptor. These drugs have been validated in randomized placebo-controlled trials and are now ready to improve the lives of a large multitude of migraine sufferers. Others are in the pipeline and will soon be available.

Keywords: Animal models; Calcitonin genre-related peptide; Human models; Nitric oxide; Trigeminal stimulation.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal
  • Calcitonin Gene-Related Peptide
  • Calcitonin Gene-Related Peptide Receptor Antagonists*
  • Humans
  • Migraine Disorders* / drug therapy
  • Models, Theoretical

Substances

  • Antibodies, Monoclonal
  • Calcitonin Gene-Related Peptide Receptor Antagonists
  • Calcitonin Gene-Related Peptide