Advances in understanding migraine pathophysiology: a bench to bedside review of research insights and therapeutics

The individual and global burden of migraine is of such significance that there are accelerated efforts to develop new therapies. New migraine therapeutics are needed to address the current deficiencies that exist in the efficacy and adherence rate of approved anti-migraine medications. The recent d...

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Main Authors: Kofi Frimpong-Manson, Yuma T. Ortiz, Lance R. McMahon, Jenny L. Wilkerson
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Molecular Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnmol.2024.1355281/full
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author Kofi Frimpong-Manson
Yuma T. Ortiz
Lance R. McMahon
Jenny L. Wilkerson
author_facet Kofi Frimpong-Manson
Yuma T. Ortiz
Lance R. McMahon
Jenny L. Wilkerson
author_sort Kofi Frimpong-Manson
collection DOAJ
description The individual and global burden of migraine is of such significance that there are accelerated efforts to develop new therapies. New migraine therapeutics are needed to address the current deficiencies that exist in the efficacy and adherence rate of approved anti-migraine medications. The recent discovery of the calcitonin gene related peptide as an add-on to the role of serotonin has markedly increased the range of new treatment options for acute and chronic migraine. Despite this, tackling the complexity of migraine disorders requires a complete understanding of its pathophysiology. Preclinical animal models can shed light on disease-related pathophysiology, including migraine. Indeed, the use of animal models has been instrumental in developing many therapeutics. However, an animal model is limited by the predictive and face validity of that model, and this extends to preclinical migraine models. In this review, a summary of the current understanding of the pathophysiology of migraine is given from both a preclinical and clinical perspective, and an emphasis is placed on the animal models of migraine. We will discuss the strengths and pitfalls of common preclinical migraine models as well as experimental research areas to explore further.
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spelling doaj.art-b546ac27c15946b2960427b79b5699522024-02-28T04:18:33ZengFrontiers Media S.A.Frontiers in Molecular Neuroscience1662-50992024-02-011710.3389/fnmol.2024.13552811355281Advances in understanding migraine pathophysiology: a bench to bedside review of research insights and therapeuticsKofi Frimpong-MansonYuma T. OrtizLance R. McMahonJenny L. WilkersonThe individual and global burden of migraine is of such significance that there are accelerated efforts to develop new therapies. New migraine therapeutics are needed to address the current deficiencies that exist in the efficacy and adherence rate of approved anti-migraine medications. The recent discovery of the calcitonin gene related peptide as an add-on to the role of serotonin has markedly increased the range of new treatment options for acute and chronic migraine. Despite this, tackling the complexity of migraine disorders requires a complete understanding of its pathophysiology. Preclinical animal models can shed light on disease-related pathophysiology, including migraine. Indeed, the use of animal models has been instrumental in developing many therapeutics. However, an animal model is limited by the predictive and face validity of that model, and this extends to preclinical migraine models. In this review, a summary of the current understanding of the pathophysiology of migraine is given from both a preclinical and clinical perspective, and an emphasis is placed on the animal models of migraine. We will discuss the strengths and pitfalls of common preclinical migraine models as well as experimental research areas to explore further.https://www.frontiersin.org/articles/10.3389/fnmol.2024.1355281/fullserotonincalcitonin gene related peptide (CGRP)cannabinoidrodentcortical spreading depressionpurinergic receptor
spellingShingle Kofi Frimpong-Manson
Yuma T. Ortiz
Lance R. McMahon
Jenny L. Wilkerson
Advances in understanding migraine pathophysiology: a bench to bedside review of research insights and therapeutics
Frontiers in Molecular Neuroscience
serotonin
calcitonin gene related peptide (CGRP)
cannabinoid
rodent
cortical spreading depression
purinergic receptor
title Advances in understanding migraine pathophysiology: a bench to bedside review of research insights and therapeutics
title_full Advances in understanding migraine pathophysiology: a bench to bedside review of research insights and therapeutics
title_fullStr Advances in understanding migraine pathophysiology: a bench to bedside review of research insights and therapeutics
title_full_unstemmed Advances in understanding migraine pathophysiology: a bench to bedside review of research insights and therapeutics
title_short Advances in understanding migraine pathophysiology: a bench to bedside review of research insights and therapeutics
title_sort advances in understanding migraine pathophysiology a bench to bedside review of research insights and therapeutics
topic serotonin
calcitonin gene related peptide (CGRP)
cannabinoid
rodent
cortical spreading depression
purinergic receptor
url https://www.frontiersin.org/articles/10.3389/fnmol.2024.1355281/full
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