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Targeted Pituitary Adenylate Cyclase-Activating Peptide Therapies for Migraine.


ABSTRACT: Here, we review the role of pituitary adenylate cyclase-activating peptide-38 (PACAP38) in migraine pathophysiology and data implicating PAC1 receptor as a future drug target in migraine. Much remains to be fully elucidated about migraine pathophysiology, but recent attention has focused on signaling molecule PACAP38, a vasodilator able to induce migraine attacks in patients who experience migraine without aura. PACAP38, with marked and sustained effect, dilates extracerebral arteries but not the middle cerebral artery. The selective affinity of PACAP38 to the PAC1 receptor makes this receptor a highly interesting and potential novel target for migraine treatment. Efficacy of antagonism of this receptor should be investigated in randomized clinical trials.

SUBMITTER: Vollesen ALH 

PROVIDER: S-EPMC5935633 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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Targeted Pituitary Adenylate Cyclase-Activating Peptide Therapies for Migraine.

Vollesen Anne Luise Haulund ALH   Amin Faisal Mohammad FM   Ashina Messoud M  

Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics 20180401 2


Here, we review the role of pituitary adenylate cyclase-activating peptide-38 (PACAP38) in migraine pathophysiology and data implicating PAC<sub>1</sub> receptor as a future drug target in migraine. Much remains to be fully elucidated about migraine pathophysiology, but recent attention has focused on signaling molecule PACAP38, a vasodilator able to induce migraine attacks in patients who experience migraine without aura. PACAP38, with marked and sustained effect, dilates extracerebral arteries  ...[more]

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