Immunohistochemical mapping of neurophysins and calcitonin gene-related peptide in the human brainstem and cervical spinal cord
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Acupuncture modulates the abnormal brainstem activity in migraine without aura patients
2017, NeuroImage: ClinicalCitation Excerpt :Recent studies suggested that the neuropeptide calcitonin gene-related peptide (CGRP) may play a critical role in the central and peripheral pathways leading to a migraine attack (Wrobel Goldberg and Silberstein, 2015). CGRP and its receptor components were found in different subregions of TCC in both humans and rats (Unger and Lange, 1991; Van Rossum et al., 1997). A more recent study showed an inhibitory effect of CGRP on mechanically evoked activity in the spinal trigeminal nuclei after pretreatment with glyceryl trinitrate in rats (Covasala et al., 2012).
Targeting of calcitonin gene-related peptide action as a new strategy for migraine treatment
2016, Neurologia i Neurochirurgia PolskaCitation Excerpt :This supports hypothesis that pathophysiology of migraine involves both altered sensory perception of non-noxious stimuli and altered trigeminovascular activation. In both these processes CGRP plays crucial role – peripherally by mediating vasodilatation via smooth muscle cell receptors and centrally by mediating the transmission of pain in the brainstem and second or third-order neurons [37]. CGRP is present in nerve cell bodies of more than 40% of the neurons in the trigeminal ganglion [9].
Deficiency of female sex hormones augments PGE<inf>2</inf> and CGRP levels within midbrain periaqueductal gray
2014, Journal of the Neurological SciencesCitation Excerpt :Thus, it is well reasoned that amplified expression of EP3 receptors in the dorsolateral PAG induced by a lack of female sex hormones is likely to de-inhibit the descending pain process whereas vasoconstriction regulated by sympathetic nervous system is blunted, all of which are mainly present during migraine attack. CGRP and its receptors have been reported to contribute to development of migraine [13,23,24]. Prior studies have further demonstrated that PGE2 can increase the release of CGRP from the central terminals of trigeminal neurons [25], suggesting that PGE2 plays an important role in modulating the transmission of nociceptive information of relevance to migraine headache via CGRP mechanisms.
Periaqueductal Gray
2012, The Human Nervous System, Third EditionMapping of CGRP in the alpaca (Lama pacos) brainstem
2008, Journal of Chemical NeuroanatomyCGRP: Sensory neuropeptide with multiple neurologic implications
2011, NeurologyCitation Excerpt :These 2 CGRP peptides differ from each other by 3 amino acids and have so far proved to be indistinguishable in their biological activities. CGRP is widely expressed in the central and peripheral nervous systems1,12–15 and frequently coexists and interacts with other neurotransmitters.1 This review focuses on the distribution and functions of CGRP as a sensory neurotransmitter.