PACAP signaling is not involved in GTN- and levcromakalim-induced hypersensitivity in mouse models of migraine

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Background Calcitonin gene-related peptide (CGRP) antagonizing drugs represents the most important advance in migraine therapy for decades. However, these new drugs are only effective in 50-60% of patients. Recent studies have shown that the pituitary adenylate cyclase-activating peptide (PACAP38) pathway is independent from the CGRP signaling pathway. Here, we investigate PACAP38 signaling pathways in relation to glyceryl trinitrate (GTN), levcromakalim and sumatriptan. Methods In vivo mouse models of PACAP38-, GTN-, and levcromakalim-induced migraine were applied using tactile sensitivity to von Frey filaments as measuring readout. Signaling pathways involved in the three models were dissected using PACAP-inhibiting antibodies (mAbs) and sumatriptan. Results We showed that PACAP mAbs block PACAP38 induced hypersensitivity, but not via signaling pathways involved in GTN and levcromakalim. Also, sumatriptan has no effect on PACAP38-induced hypersensitivity relevant to migraine. This is the first study testing the effect of a PACAP-inhibiting drug on GTN- and levcromakalim-induced hypersensitivity. Conclusions Based on the findings in our mouse model of migraine using migraine-inducing compounds and anti-migraine drugs, we suggest that PACAP acts via a distinct pathway. Using PACAP38 antagonism may be a novel therapeutic target of interest in a subgroup of migraine patients who do not respond to existing therapies.

Original languageEnglish
Article number155
JournalJournal of Headache and Pain
Volume23
Number of pages11
ISSN1129-2369
DOIs
Publication statusPublished - 2022

Bibliographical note

Correction: https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-023-01606-0

    Research areas

  • PACAP, Levcromakalim, GTN, Migraine, Von Frey, Monoclonal antibodies, CYCLASE-ACTIVATING POLYPEPTIDE, GENE-RELATED PEPTIDE, ADENYLATE-CYCLASE, DOUBLE-BLIND, MESSENGER-RNA, EPISODIC MIGRAINE, EFFICACY, SAFETY, VIP, SUMATRIPTAN

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