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Biological and small molecule strategies in migraine therapy with relation to the CGRP family of peptides

Edvinsson, Lars LU ; Edvinsson, Jacob C A LU and Haanes, Kristian A (2022) In British Journal of Pharmacology 179(3). p.371-380
Abstract

Migraine is one of the most common of neurological disorders with a global prevalence of up to 15%. One in five migraineurs have frequent episodic or chronic migraine requiring prophylactic treatment. In recent years, specific pharmaceutical treatments targeting calcitonin gene-related peptide (CGRP) signalling molecules have provided safe and effective treatments; monoclonal antibodies for prophylaxis and gepants for acute therapy. Albeit beneficial, it is important to understand the molecular mechanisms of these new drugs to better understand migraine pathophysiology and improve therapy. Here we describe current views on the role of the CGRP family of peptides CGRP, calcitonin (CT), adrenomedullin (AM), amylin (AMY) and their... (More)

Migraine is one of the most common of neurological disorders with a global prevalence of up to 15%. One in five migraineurs have frequent episodic or chronic migraine requiring prophylactic treatment. In recent years, specific pharmaceutical treatments targeting calcitonin gene-related peptide (CGRP) signalling molecules have provided safe and effective treatments; monoclonal antibodies for prophylaxis and gepants for acute therapy. Albeit beneficial, it is important to understand the molecular mechanisms of these new drugs to better understand migraine pathophysiology and improve therapy. Here we describe current views on the role of the CGRP family of peptides CGRP, calcitonin (CT), adrenomedullin (AM), amylin (AMY) and their receptors in the trigeminovascular system (TGV). All these molecules are present within the TGV system but differ in expression and localization. It is likely that they have different roles, which can be utilized in providing additional drug targets.

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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Pharmacology
volume
179
issue
3
pages
371 - 380
publisher
Wiley
external identifiers
  • scopus:85116409301
  • pmid:34411289
ISSN
1476-5381
DOI
10.1111/bph.15669
language
English
LU publication?
no
id
7739190c-0c1e-4513-8c74-80071f5ff297
date added to LUP
2021-08-23 15:59:44
date last changed
2024-06-15 15:03:04
@article{7739190c-0c1e-4513-8c74-80071f5ff297,
  abstract     = {{<p>Migraine is one of the most common of neurological disorders with a global prevalence of up to 15%. One in five migraineurs have frequent episodic or chronic migraine requiring prophylactic treatment. In recent years, specific pharmaceutical treatments targeting calcitonin gene-related peptide (CGRP) signalling molecules have provided safe and effective treatments; monoclonal antibodies for prophylaxis and gepants for acute therapy. Albeit beneficial, it is important to understand the molecular mechanisms of these new drugs to better understand migraine pathophysiology and improve therapy. Here we describe current views on the role of the CGRP family of peptides CGRP, calcitonin (CT), adrenomedullin (AM), amylin (AMY) and their receptors in the trigeminovascular system (TGV). All these molecules are present within the TGV system but differ in expression and localization. It is likely that they have different roles, which can be utilized in providing additional drug targets.</p>}},
  author       = {{Edvinsson, Lars and Edvinsson, Jacob C A and Haanes, Kristian A}},
  issn         = {{1476-5381}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{371--380}},
  publisher    = {{Wiley}},
  series       = {{British Journal of Pharmacology}},
  title        = {{Biological and small molecule strategies in migraine therapy with relation to the CGRP family of peptides}},
  url          = {{http://dx.doi.org/10.1111/bph.15669}},
  doi          = {{10.1111/bph.15669}},
  volume       = {{179}},
  year         = {{2022}},
}