Calcitonin Gene-Related Peptide-Mediated Trigeminal Ganglionitis: The Biomolecular Link between Temporomandibular Disorders and Chronic Headaches

A bidirectional causal relationship has been established between temporomandibular disorders (TMDs) and chronic headaches. Recent advances in the neurobiology of chronic pain offer a framework for understanding the comorbidity between these two conditions that might reside in the shared biomolecular...

Full description

Bibliographic Details
Main Authors: Linda Sangalli, Bradley Eli, Sachi Mehrotra, Suzan Sabagh, James Fricton
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/15/12200
_version_ 1797586689549402112
author Linda Sangalli
Bradley Eli
Sachi Mehrotra
Suzan Sabagh
James Fricton
author_facet Linda Sangalli
Bradley Eli
Sachi Mehrotra
Suzan Sabagh
James Fricton
author_sort Linda Sangalli
collection DOAJ
description A bidirectional causal relationship has been established between temporomandibular disorders (TMDs) and chronic headaches. Recent advances in the neurobiology of chronic pain offer a framework for understanding the comorbidity between these two conditions that might reside in the shared biomolecular mechanisms of peripheral and central sensitization. The initiation of these processes is inflammatory in nature and is most likely mediated by key molecules, including calcitonin gene-related peptide (CGRP). This scoping review proposes that CGRP-mediated neuroinflammation in the trigeminal ganglion may partly explain the biomolecular bidirectional link between TMDs and chronic headaches. Finally, clinical implications of this neuropathologic process are briefly discussed.
first_indexed 2024-03-11T00:25:37Z
format Article
id doaj.art-962d256814fd4d6c8bf605909196779c
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-11T00:25:37Z
publishDate 2023-07-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-962d256814fd4d6c8bf605909196779c2023-11-18T23:01:46ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-07-0124151220010.3390/ijms241512200Calcitonin Gene-Related Peptide-Mediated Trigeminal Ganglionitis: The Biomolecular Link between Temporomandibular Disorders and Chronic HeadachesLinda Sangalli0Bradley Eli1Sachi Mehrotra2Suzan Sabagh3James Fricton4College of Dental Medicine—Illinois, Midwestern University, Downers Grove, IL 60515, USAFacial Pain Specialists, San Diego, CA 92121,USAFacial Pain Specialists, San Diego, CA 92121,USAFacial Pain Specialists, San Diego, CA 92121,USADivision of TMD and Orofacial Pain, University of Minnesota Schoof of Dentistry, Minneapolis, MN 55455, USAA bidirectional causal relationship has been established between temporomandibular disorders (TMDs) and chronic headaches. Recent advances in the neurobiology of chronic pain offer a framework for understanding the comorbidity between these two conditions that might reside in the shared biomolecular mechanisms of peripheral and central sensitization. The initiation of these processes is inflammatory in nature and is most likely mediated by key molecules, including calcitonin gene-related peptide (CGRP). This scoping review proposes that CGRP-mediated neuroinflammation in the trigeminal ganglion may partly explain the biomolecular bidirectional link between TMDs and chronic headaches. Finally, clinical implications of this neuropathologic process are briefly discussed.https://www.mdpi.com/1422-0067/24/15/12200temporomandibular disordersheadachemigrainecentral sensitizationcalcitonin gene-related peptide
spellingShingle Linda Sangalli
Bradley Eli
Sachi Mehrotra
Suzan Sabagh
James Fricton
Calcitonin Gene-Related Peptide-Mediated Trigeminal Ganglionitis: The Biomolecular Link between Temporomandibular Disorders and Chronic Headaches
International Journal of Molecular Sciences
temporomandibular disorders
headache
migraine
central sensitization
calcitonin gene-related peptide
title Calcitonin Gene-Related Peptide-Mediated Trigeminal Ganglionitis: The Biomolecular Link between Temporomandibular Disorders and Chronic Headaches
title_full Calcitonin Gene-Related Peptide-Mediated Trigeminal Ganglionitis: The Biomolecular Link between Temporomandibular Disorders and Chronic Headaches
title_fullStr Calcitonin Gene-Related Peptide-Mediated Trigeminal Ganglionitis: The Biomolecular Link between Temporomandibular Disorders and Chronic Headaches
title_full_unstemmed Calcitonin Gene-Related Peptide-Mediated Trigeminal Ganglionitis: The Biomolecular Link between Temporomandibular Disorders and Chronic Headaches
title_short Calcitonin Gene-Related Peptide-Mediated Trigeminal Ganglionitis: The Biomolecular Link between Temporomandibular Disorders and Chronic Headaches
title_sort calcitonin gene related peptide mediated trigeminal ganglionitis the biomolecular link between temporomandibular disorders and chronic headaches
topic temporomandibular disorders
headache
migraine
central sensitization
calcitonin gene-related peptide
url https://www.mdpi.com/1422-0067/24/15/12200
work_keys_str_mv AT lindasangalli calcitoningenerelatedpeptidemediatedtrigeminalganglionitisthebiomolecularlinkbetweentemporomandibulardisordersandchronicheadaches
AT bradleyeli calcitoningenerelatedpeptidemediatedtrigeminalganglionitisthebiomolecularlinkbetweentemporomandibulardisordersandchronicheadaches
AT sachimehrotra calcitoningenerelatedpeptidemediatedtrigeminalganglionitisthebiomolecularlinkbetweentemporomandibulardisordersandchronicheadaches
AT suzansabagh calcitoningenerelatedpeptidemediatedtrigeminalganglionitisthebiomolecularlinkbetweentemporomandibulardisordersandchronicheadaches
AT jamesfricton calcitoningenerelatedpeptidemediatedtrigeminalganglionitisthebiomolecularlinkbetweentemporomandibulardisordersandchronicheadaches