PACAP38: Emerging Drug Target in Migraine and Cluster Headache
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PACAP38 : Emerging Drug Target in Migraine and Cluster Headache. / Vollesen, Anne Luise Haulund; Ashina, Messoud.
In: Headache, Vol. 57, No. S2, 2017, p. 56-63.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - PACAP38
T2 - Emerging Drug Target in Migraine and Cluster Headache
AU - Vollesen, Anne Luise Haulund
AU - Ashina, Messoud
N1 - © 2017 American Headache Society.
PY - 2017
Y1 - 2017
N2 - Here, we review the role of pituitary adenylate cyclase-activating peptide-38 (PACAP38) in migraine and cluster headache (CH). Mounting evidence implicates signaling molecule PACAP38 in the pathophysiology of migraine. Human provocation studies show PACAP38 induces migraine attacks in migraine patients without aura and marked and sustained dilation of extracerebral arteries. PACAP38 selectively targets the PAC1receptor making this receptor a promising candidate for targeted migraine therapy. Randomized clinical trials are warranted to pursue this possible treatment pathway. PACAP38 provocation studies in CH could elucidate possible involvement of PACAP38 in CH pathophysiology and predict efficacy of PACAP38 antagonists in this primary headache.
AB - Here, we review the role of pituitary adenylate cyclase-activating peptide-38 (PACAP38) in migraine and cluster headache (CH). Mounting evidence implicates signaling molecule PACAP38 in the pathophysiology of migraine. Human provocation studies show PACAP38 induces migraine attacks in migraine patients without aura and marked and sustained dilation of extracerebral arteries. PACAP38 selectively targets the PAC1receptor making this receptor a promising candidate for targeted migraine therapy. Randomized clinical trials are warranted to pursue this possible treatment pathway. PACAP38 provocation studies in CH could elucidate possible involvement of PACAP38 in CH pathophysiology and predict efficacy of PACAP38 antagonists in this primary headache.
KW - Cluster Headache/metabolism
KW - Humans
KW - Migraine Disorders/metabolism
KW - Pituitary Adenylate Cyclase-Activating Polypeptide/metabolism
U2 - 10.1111/head.13076
DO - 10.1111/head.13076
M3 - Review
C2 - 28485845
VL - 57
SP - 56
EP - 63
JO - Headache
JF - Headache
SN - 0017-8748
IS - S2
ER -
ID: 194530732