Neuropeptides and the Nodes of Ranvier in Cranial Headaches

The trigeminovascular system (TGV) comprise of the trigeminal ganglion with neurons and satellite glial cells, with sensory unmyelinated C-fibers and myelinated Aδ-fibers picking up information from different parts of the head and sending signals to the brainstem and the central nervous system. In t...

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Main Authors: Jacob C. A. Edvinsson, Kristian A. Haanes, Lars Edvinsson
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2021.820037/full
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author Jacob C. A. Edvinsson
Jacob C. A. Edvinsson
Kristian A. Haanes
Lars Edvinsson
Lars Edvinsson
author_facet Jacob C. A. Edvinsson
Jacob C. A. Edvinsson
Kristian A. Haanes
Lars Edvinsson
Lars Edvinsson
author_sort Jacob C. A. Edvinsson
collection DOAJ
description The trigeminovascular system (TGV) comprise of the trigeminal ganglion with neurons and satellite glial cells, with sensory unmyelinated C-fibers and myelinated Aδ-fibers picking up information from different parts of the head and sending signals to the brainstem and the central nervous system. In this review we discuss aspects of signaling at the distal parts of the sensory fibers, the extrasynaptic signaling between C-fibers and Aδ-fibers, and the contact between the trigeminal fibers at the nerve root entry zone where they transit into the CNS. We also address the possible role of the neuropeptides calcitonin gene-related peptide (CGRP), the neurokinin family and pituitary adenylyl cyclase-activating polypeptide 38 (PACAP-38), all found in the TGV system together with their respective receptors. Elucidation of the expression and localization of neuropeptides and their receptors in the TGV system may provide novel ways to understand their roles in migraine pathophysiology and suggest novel ways for treatment of migraine patients.
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spelling doaj.art-b54ca7296315479896686c2b843104882022-12-22T04:13:14ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-01-011210.3389/fphys.2021.820037820037Neuropeptides and the Nodes of Ranvier in Cranial HeadachesJacob C. A. Edvinsson0Jacob C. A. Edvinsson1Kristian A. Haanes2Lars Edvinsson3Lars Edvinsson4Department of Clinical Experimental Research, Rigshospitalet-Glostrup, Copenhagen, DenmarkDepartment of Drug Design and Pharmacology, University of Copenhagen, Copenhagen, DenmarkDepartment of Clinical Experimental Research, Rigshospitalet-Glostrup, Copenhagen, DenmarkDepartment of Clinical Experimental Research, Rigshospitalet-Glostrup, Copenhagen, DenmarkDepartment of Internal Medicine, Lund University, Lund, SwedenThe trigeminovascular system (TGV) comprise of the trigeminal ganglion with neurons and satellite glial cells, with sensory unmyelinated C-fibers and myelinated Aδ-fibers picking up information from different parts of the head and sending signals to the brainstem and the central nervous system. In this review we discuss aspects of signaling at the distal parts of the sensory fibers, the extrasynaptic signaling between C-fibers and Aδ-fibers, and the contact between the trigeminal fibers at the nerve root entry zone where they transit into the CNS. We also address the possible role of the neuropeptides calcitonin gene-related peptide (CGRP), the neurokinin family and pituitary adenylyl cyclase-activating polypeptide 38 (PACAP-38), all found in the TGV system together with their respective receptors. Elucidation of the expression and localization of neuropeptides and their receptors in the TGV system may provide novel ways to understand their roles in migraine pathophysiology and suggest novel ways for treatment of migraine patients.https://www.frontiersin.org/articles/10.3389/fphys.2021.820037/fulltrigeminal ganglionnodes of RanvierRemak bundlesvascular neuroeffector sitenerve entry zoneRedlich-Obersteiner zone
spellingShingle Jacob C. A. Edvinsson
Jacob C. A. Edvinsson
Kristian A. Haanes
Lars Edvinsson
Lars Edvinsson
Neuropeptides and the Nodes of Ranvier in Cranial Headaches
Frontiers in Physiology
trigeminal ganglion
nodes of Ranvier
Remak bundles
vascular neuroeffector site
nerve entry zone
Redlich-Obersteiner zone
title Neuropeptides and the Nodes of Ranvier in Cranial Headaches
title_full Neuropeptides and the Nodes of Ranvier in Cranial Headaches
title_fullStr Neuropeptides and the Nodes of Ranvier in Cranial Headaches
title_full_unstemmed Neuropeptides and the Nodes of Ranvier in Cranial Headaches
title_short Neuropeptides and the Nodes of Ranvier in Cranial Headaches
title_sort neuropeptides and the nodes of ranvier in cranial headaches
topic trigeminal ganglion
nodes of Ranvier
Remak bundles
vascular neuroeffector site
nerve entry zone
Redlich-Obersteiner zone
url https://www.frontiersin.org/articles/10.3389/fphys.2021.820037/full
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