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Published in: BMC Medicine 1/2009

Open Access 01-12-2009 | Minireview

Migraine pathogenesis and state of pharmacological treatment options

Authors: Till Sprenger, Peter J Goadsby

Published in: BMC Medicine | Issue 1/2009

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Abstract

Migraine is a largely inherited disorder of the brain characterized by a complex, but stereotypical, dysfunction of sensory processing. Often the most obvious clinical symptom is head pain, but non-headache symptoms such as photophobia, phonophobia and nausea are clearly part of the typical presentation. This review discusses the current pathophysiological concepts of migraine and migraine aura, such as a possible brainstem dysfunction and cortical spreading depression. Acute and preventive migraine treatment approaches are briefly covered with a focus on shortcomings of the currently available treatment options. A number of different receptors, such as calcitonin gene-related peptide (CGRP), TRPV1 and glutamate receptors, are currently being targeted by potential novel migraine therapeutics. The prospects of this research are exciting and are likely to improve patient care.
Literature
1.
go back to reference Russell MB: Is migraine a genetic illness? The various forms of migraine share a common genetic cause. Neurol Sci. 2008, 29 (Suppl 1): S52-54. 10.1007/s10072-008-0887-4.CrossRefPubMed Russell MB: Is migraine a genetic illness? The various forms of migraine share a common genetic cause. Neurol Sci. 2008, 29 (Suppl 1): S52-54. 10.1007/s10072-008-0887-4.CrossRefPubMed
2.
go back to reference Moskowitz MA, Buzzi MG, Sakas DE, Linnik MD: Pain mechanisms underlying vascular headaches: Progress Report 1989. Rev Neurol (Paris). 1989, 145: 181-193. Moskowitz MA, Buzzi MG, Sakas DE, Linnik MD: Pain mechanisms underlying vascular headaches: Progress Report 1989. Rev Neurol (Paris). 1989, 145: 181-193.
3.
go back to reference Gowers WR: A Manual of Diseases of the Nervous System. 1989, Philadelphia: P. Blakiston, Son & Co Gowers WR: A Manual of Diseases of the Nervous System. 1989, Philadelphia: P. Blakiston, Son & Co
4.
go back to reference Rahmann A, Wienecke T, Hansen JM, Fahrenkrug J, Olesen J, Ashina M: Vasoactive intestinal peptide causes marked cephalic vasodilation, but does not induce migraine. Cephalalgia. 2008, 28: 226-236. 10.1111/j.1468-2982.2007.01497.x.CrossRefPubMed Rahmann A, Wienecke T, Hansen JM, Fahrenkrug J, Olesen J, Ashina M: Vasoactive intestinal peptide causes marked cephalic vasodilation, but does not induce migraine. Cephalalgia. 2008, 28: 226-236. 10.1111/j.1468-2982.2007.01497.x.CrossRefPubMed
5.
go back to reference May A, Bahra A, Buchel C, Frackowiak RS, Goadsby PJ: PET and MRA findings in cluster headache and MRA in experimental pain. Neurology. 2000, 55: 1328-1335.CrossRefPubMed May A, Bahra A, Buchel C, Frackowiak RS, Goadsby PJ: PET and MRA findings in cluster headache and MRA in experimental pain. Neurology. 2000, 55: 1328-1335.CrossRefPubMed
6.
go back to reference Lampl C, Voelker M, Diener HC: Efficacy and safety of 1,000 mg effervescent aspirin: individual patient data meta-analysis of three trials in migraine headache and migraine accompanying symptoms. J Neurol. 2007, 254: 705-712. 10.1007/s00415-007-0547-2.CrossRefPubMed Lampl C, Voelker M, Diener HC: Efficacy and safety of 1,000 mg effervescent aspirin: individual patient data meta-analysis of three trials in migraine headache and migraine accompanying symptoms. J Neurol. 2007, 254: 705-712. 10.1007/s00415-007-0547-2.CrossRefPubMed
7.
go back to reference Olesen J, Diener HC, Husstedt IW, Goadsby PJ, Hall D, Meier U, Pollentier S, Lesko LM: Calcitonin gene-related peptide receptor antagonist BIBN 4096 BS for the acute treatment of migraine. N Engl J Med. 2004, 350: 1104-1110. 10.1056/NEJMoa030505.CrossRefPubMed Olesen J, Diener HC, Husstedt IW, Goadsby PJ, Hall D, Meier U, Pollentier S, Lesko LM: Calcitonin gene-related peptide receptor antagonist BIBN 4096 BS for the acute treatment of migraine. N Engl J Med. 2004, 350: 1104-1110. 10.1056/NEJMoa030505.CrossRefPubMed
8.
go back to reference Lashley K: Patterns of cerebral integration indicated by the scotomas of migraine. Arch Neurol Psychiat. 1941, 46: 331-339.CrossRef Lashley K: Patterns of cerebral integration indicated by the scotomas of migraine. Arch Neurol Psychiat. 1941, 46: 331-339.CrossRef
9.
go back to reference Fabricius M, Fuhr S, Bhatia R, Boutelle M, Hashemi P, Strong AJ, Lauritzen M: Cortical spreading depression and peri-infarct depolarization in acutely injured human cerebral cortex. Brain. 2006, 129 (Pt 3): 778-790. 10.1093/brain/awh716.CrossRefPubMed Fabricius M, Fuhr S, Bhatia R, Boutelle M, Hashemi P, Strong AJ, Lauritzen M: Cortical spreading depression and peri-infarct depolarization in acutely injured human cerebral cortex. Brain. 2006, 129 (Pt 3): 778-790. 10.1093/brain/awh716.CrossRefPubMed
10.
go back to reference Strong AJ, Fabricius M, Boutelle MG, Hibbins SJ, Hopwood SE, Jones R, Parkin MC, Lauritzen M: Spreading and synchronous depressions of cortical activity in acutely injured human brain. Stroke. 2002, 33: 2738-2743. 10.1161/01.STR.0000043073.69602.09.CrossRefPubMed Strong AJ, Fabricius M, Boutelle MG, Hibbins SJ, Hopwood SE, Jones R, Parkin MC, Lauritzen M: Spreading and synchronous depressions of cortical activity in acutely injured human brain. Stroke. 2002, 33: 2738-2743. 10.1161/01.STR.0000043073.69602.09.CrossRefPubMed
11.
go back to reference Mayevsky A, Doron A, Manor T, Meilin S, Zarchin N, Ouaknine GE: Cortical spreading depression recorded from the human brain using a multiparametric monitoring system. Brain Res. 1996, 740: 268-274. 10.1016/S0006-8993(96)00874-8.CrossRefPubMed Mayevsky A, Doron A, Manor T, Meilin S, Zarchin N, Ouaknine GE: Cortical spreading depression recorded from the human brain using a multiparametric monitoring system. Brain Res. 1996, 740: 268-274. 10.1016/S0006-8993(96)00874-8.CrossRefPubMed
12.
go back to reference Olesen J, Larsen B, Lauritzen M: Focal hyperemia followed by spreading oligemia and impaired activation of rCBF in classic migraine. Ann Neurol. 1981, 9: 344-352. 10.1002/ana.410090406.CrossRefPubMed Olesen J, Larsen B, Lauritzen M: Focal hyperemia followed by spreading oligemia and impaired activation of rCBF in classic migraine. Ann Neurol. 1981, 9: 344-352. 10.1002/ana.410090406.CrossRefPubMed
13.
go back to reference Hadjikhani N, Sanchez Del Rio M, Wu O, Schwartz D, Bakker D, Fischl B, Kwong KK, Cutrer FM, Rosen BR, Tootell RB, et al: Mechanisms of migraine aura revealed by functional MRI in human visual cortex. Proc Natl Acad Sci USA. 2001, 98: 4687-4692. 10.1073/pnas.071582498.CrossRefPubMedPubMedCentral Hadjikhani N, Sanchez Del Rio M, Wu O, Schwartz D, Bakker D, Fischl B, Kwong KK, Cutrer FM, Rosen BR, Tootell RB, et al: Mechanisms of migraine aura revealed by functional MRI in human visual cortex. Proc Natl Acad Sci USA. 2001, 98: 4687-4692. 10.1073/pnas.071582498.CrossRefPubMedPubMedCentral
14.
go back to reference Bolay H, Reuter U, Dunn AK, Huang Z, Boas DA, Moskowitz MA: Intrinsic brain activity triggers trigeminal meningeal afferents in a migraine model. Nat Med. 2002, 8: 136-142. 10.1038/nm0202-136.CrossRefPubMed Bolay H, Reuter U, Dunn AK, Huang Z, Boas DA, Moskowitz MA: Intrinsic brain activity triggers trigeminal meningeal afferents in a migraine model. Nat Med. 2002, 8: 136-142. 10.1038/nm0202-136.CrossRefPubMed
15.
go back to reference Ebersberger A, Schaible HG, Averbeck B, Richter F: Is there a correlation between spreading depression, neurogenic inflammation, and nociception that might cause migraine headache?. Ann Neurol. 2001, 49: 7-13. 10.1002/1531-8249(200101)49:1<7::AID-ANA4>3.0.CO;2-K.CrossRefPubMed Ebersberger A, Schaible HG, Averbeck B, Richter F: Is there a correlation between spreading depression, neurogenic inflammation, and nociception that might cause migraine headache?. Ann Neurol. 2001, 49: 7-13. 10.1002/1531-8249(200101)49:1<7::AID-ANA4>3.0.CO;2-K.CrossRefPubMed
16.
go back to reference Goadsby PJ: Emerging therapies for migraine. Nat Clin Pract Neurol. 2007, 3: 610-619. 10.1038/ncpneuro0639.CrossRefPubMed Goadsby PJ: Emerging therapies for migraine. Nat Clin Pract Neurol. 2007, 3: 610-619. 10.1038/ncpneuro0639.CrossRefPubMed
17.
go back to reference Goadsby PJ, Ferrari MD, Csanyi A, Olesen J, Mills JG: Randomized, double-blind, placebo-controlled, proof-of-concept study of the cortical spreading depression inhibiting agent tonabersat in migraine prophylaxis. Cephalalgia. 2009, 29: 742-750. 10.1111/j.1468-2982.2008.01804.x.CrossRefPubMed Goadsby PJ, Ferrari MD, Csanyi A, Olesen J, Mills JG: Randomized, double-blind, placebo-controlled, proof-of-concept study of the cortical spreading depression inhibiting agent tonabersat in migraine prophylaxis. Cephalalgia. 2009, 29: 742-750. 10.1111/j.1468-2982.2008.01804.x.CrossRefPubMed
18.
go back to reference Hauge AW, Asghar MS, Schytz HW, Christensen K, Olesen J: Effects of tonabersat on migraine with aura: a randomised, double-blind, placebo-controlled crossover study. Lancet Neurol. 2009, 8: 718-723. 10.1016/S1474-4422(09)70135-8.CrossRefPubMed Hauge AW, Asghar MS, Schytz HW, Christensen K, Olesen J: Effects of tonabersat on migraine with aura: a randomised, double-blind, placebo-controlled crossover study. Lancet Neurol. 2009, 8: 718-723. 10.1016/S1474-4422(09)70135-8.CrossRefPubMed
19.
go back to reference Wolthausen J, Sternberg S, Gerloff C, May A: Are cortical spreading depression and headache in migraine causally linked?. Cephalalgia. 2009, 29: 244-249. 10.1111/j.1468-2982.2008.01713.x.CrossRefPubMed Wolthausen J, Sternberg S, Gerloff C, May A: Are cortical spreading depression and headache in migraine causally linked?. Cephalalgia. 2009, 29: 244-249. 10.1111/j.1468-2982.2008.01713.x.CrossRefPubMed
20.
go back to reference Kelman L: The premonitory symptoms (prodrome): a tertiary care study of 893 migraineurs. Headache. 2004, 44: 865-872. 10.1111/j.1526-4610.2004.04168.x.CrossRefPubMed Kelman L: The premonitory symptoms (prodrome): a tertiary care study of 893 migraineurs. Headache. 2004, 44: 865-872. 10.1111/j.1526-4610.2004.04168.x.CrossRefPubMed
21.
go back to reference Giffin NJ, Kowacs F, Libri V, Williams P, Goadsby PJ, Kaube H: ffect of the adenosine A1 receptor agonist GR79236 on trigeminal nociception with blink reflex recordings in healthy human subjects. Cephalalgia. 2003, 23: 287-292. 10.1046/j.1468-2982.2003.00511.x.CrossRefPubMed Giffin NJ, Kowacs F, Libri V, Williams P, Goadsby PJ, Kaube H: ffect of the adenosine A1 receptor agonist GR79236 on trigeminal nociception with blink reflex recordings in healthy human subjects. Cephalalgia. 2003, 23: 287-292. 10.1046/j.1468-2982.2003.00511.x.CrossRefPubMed
22.
go back to reference Moskowitz MA: Basic mechanisms in vascular headache. Neurol Clin. 1990, 8: 801-815.PubMed Moskowitz MA: Basic mechanisms in vascular headache. Neurol Clin. 1990, 8: 801-815.PubMed
23.
go back to reference Buzzi MG, Moskowitz MA: The antimigraine drug, sumatriptan (GR43175), selectively blocks neurogenic plasma extravasation from blood vessels in dura mater. Br J Pharmacol. 1990, 99: 202-206.CrossRefPubMedPubMedCentral Buzzi MG, Moskowitz MA: The antimigraine drug, sumatriptan (GR43175), selectively blocks neurogenic plasma extravasation from blood vessels in dura mater. Br J Pharmacol. 1990, 99: 202-206.CrossRefPubMedPubMedCentral
24.
go back to reference May A, Goadsby PJ: Substance P receptor antagonists in the therapy of migraine. Expert Opin Investig Drugs. 2001, 10: 673-678. 10.1517/13543784.10.4.673.CrossRefPubMed May A, Goadsby PJ: Substance P receptor antagonists in the therapy of migraine. Expert Opin Investig Drugs. 2001, 10: 673-678. 10.1517/13543784.10.4.673.CrossRefPubMed
25.
go back to reference Goldstein DJ, Offen WW, Klein EG, Phebus LA, Hipskind P, Johnson KW, Ryan RE: Lanepitant, an NK-1 antagonist, in migraine prevention. Cephalalgia. 2001, 21: 102-106. 10.1046/j.1468-2982.2001.00161.x.CrossRefPubMed Goldstein DJ, Offen WW, Klein EG, Phebus LA, Hipskind P, Johnson KW, Ryan RE: Lanepitant, an NK-1 antagonist, in migraine prevention. Cephalalgia. 2001, 21: 102-106. 10.1046/j.1468-2982.2001.00161.x.CrossRefPubMed
26.
go back to reference Peroutka SJ: Neurogenic inflammation and migraine: implications for the therapeutics. Mol Interv. 2005, 5: 304-311. 10.1124/mi.5.5.10.CrossRefPubMed Peroutka SJ: Neurogenic inflammation and migraine: implications for the therapeutics. Mol Interv. 2005, 5: 304-311. 10.1124/mi.5.5.10.CrossRefPubMed
27.
go back to reference Aston-Jones G, Cohen JD: An integrative theory of locus coeruleus-norepinephrine function: adaptive gain and optimal performance. Annu Rev Neurosci. 2005, 28: 403-450. 10.1146/annurev.neuro.28.061604.135709.CrossRefPubMed Aston-Jones G, Cohen JD: An integrative theory of locus coeruleus-norepinephrine function: adaptive gain and optimal performance. Annu Rev Neurosci. 2005, 28: 403-450. 10.1146/annurev.neuro.28.061604.135709.CrossRefPubMed
28.
go back to reference Weiller C, May A, Limmroth V, Juptner M, Kaube H, Schayck RV, Coenen HH, Diener HC: Brain stem activation in spontaneous human migraine attacks. Nat Med. 1995, 1: 658-660. 10.1038/nm0795-658.CrossRefPubMed Weiller C, May A, Limmroth V, Juptner M, Kaube H, Schayck RV, Coenen HH, Diener HC: Brain stem activation in spontaneous human migraine attacks. Nat Med. 1995, 1: 658-660. 10.1038/nm0795-658.CrossRefPubMed
29.
go back to reference Afridi SK, Matharu MS, Lee L, Kaube H, Friston KJ, Frackowiak RS, Goadsby PJ: A PET study exploring the laterality of brainstem activation in migraine using glyceryl trinitrate. Brain. 2005, 128 (Pt 4): 932-939. 10.1093/brain/awh416.CrossRefPubMed Afridi SK, Matharu MS, Lee L, Kaube H, Friston KJ, Frackowiak RS, Goadsby PJ: A PET study exploring the laterality of brainstem activation in migraine using glyceryl trinitrate. Brain. 2005, 128 (Pt 4): 932-939. 10.1093/brain/awh416.CrossRefPubMed
30.
go back to reference Lance JW, Goadsby PJ: Mechanism and Management of Headache. 2005, Philadelphia: Elsevier Butterworth Heinemann, 7 Lance JW, Goadsby PJ: Mechanism and Management of Headache. 2005, Philadelphia: Elsevier Butterworth Heinemann, 7
31.
go back to reference Shields KG, Goadsby PJ: Propranolol modulates trigeminovascular responses in thalamic ventroposteromedial nucleus: a role in migraine?. Brain. 2005, 128 (Pt 1): 86-97.PubMed Shields KG, Goadsby PJ: Propranolol modulates trigeminovascular responses in thalamic ventroposteromedial nucleus: a role in migraine?. Brain. 2005, 128 (Pt 1): 86-97.PubMed
32.
go back to reference Wheeler SD: Phenotype-driven preventive strategies for migraine and other headaches. Neurologist. 2009, 15: 59-70. 10.1097/NRL.0b013e318165eb94.CrossRefPubMed Wheeler SD: Phenotype-driven preventive strategies for migraine and other headaches. Neurologist. 2009, 15: 59-70. 10.1097/NRL.0b013e318165eb94.CrossRefPubMed
33.
go back to reference Johnson MP, Fernandez F, Colson NJ, Griffiths LR: A pharmacogenomic evaluation of migraine therapy. Expert Opin Pharmacother. 2007, 8: 1821-1835. 10.1517/14656566.8.12.1821.CrossRefPubMed Johnson MP, Fernandez F, Colson NJ, Griffiths LR: A pharmacogenomic evaluation of migraine therapy. Expert Opin Pharmacother. 2007, 8: 1821-1835. 10.1517/14656566.8.12.1821.CrossRefPubMed
34.
go back to reference Matharu MS, Bartsch T, Ward N, Frackowiak RSJ, Weiner RL, Goadsby PJ: Central neuromodulation in chronic migraine patients with suboccipital stimulators: a PET study. Brain. 2004, 127: 220-230. 10.1093/brain/awh022.CrossRefPubMed Matharu MS, Bartsch T, Ward N, Frackowiak RSJ, Weiner RL, Goadsby PJ: Central neuromodulation in chronic migraine patients with suboccipital stimulators: a PET study. Brain. 2004, 127: 220-230. 10.1093/brain/awh022.CrossRefPubMed
35.
go back to reference Saper J, Goadsby PJ, Silberstein S, Dodick DW: Occipital nerve stimulation (ONS) for treatment of intractable chronic migraine (ICM): 3-Month Results from the ONSTIM Feasibility Study. Neurology. 2009, 72 (Suppl 3): A252. Saper J, Goadsby PJ, Silberstein S, Dodick DW: Occipital nerve stimulation (ONS) for treatment of intractable chronic migraine (ICM): 3-Month Results from the ONSTIM Feasibility Study. Neurology. 2009, 72 (Suppl 3): A252.
36.
go back to reference Lipton RB, Goadsby PJ, Cady RK, Aurora SK, Grosberg BM, Freitag F, et al: PRISM study: occiptal nerve stimulation for treatment-refractory migraine. Cephalalgia. 2009, 29 (Suppl 1): 30. Lipton RB, Goadsby PJ, Cady RK, Aurora SK, Grosberg BM, Freitag F, et al: PRISM study: occiptal nerve stimulation for treatment-refractory migraine. Cephalalgia. 2009, 29 (Suppl 1): 30.
37.
go back to reference Goadsby PJ, Dodick D, Mitsias P, Khan K, Khan A, Brewer AR, Saper J, Silberstein SD: ONSTIM: occipital nerve stimulation for the treatment of chronic migraine. European Journal of Neurology. 2005, 12 (Suppl 2): 198. Goadsby PJ, Dodick D, Mitsias P, Khan K, Khan A, Brewer AR, Saper J, Silberstein SD: ONSTIM: occipital nerve stimulation for the treatment of chronic migraine. European Journal of Neurology. 2005, 12 (Suppl 2): 198.
38.
go back to reference Burns B, Watkins L, Goadsby PJ: Successful treatment of medically intractable cluster headache using occipital nerve stimulation (ONS). Lancet. 2007, 369: 1099-1106. 10.1016/S0140-6736(07)60328-6.CrossRefPubMed Burns B, Watkins L, Goadsby PJ: Successful treatment of medically intractable cluster headache using occipital nerve stimulation (ONS). Lancet. 2007, 369: 1099-1106. 10.1016/S0140-6736(07)60328-6.CrossRefPubMed
39.
go back to reference Magis D, Allena M, Bolla M, De Pasqua V, Remacle JM, Schoenen J: Occipital nerve stimulation for drug-resistant chronic cluster headache: a prospective pilot study. Lancet Neurology. 2007, 6: 314-321. 10.1016/S1474-4422(07)70058-3.CrossRefPubMed Magis D, Allena M, Bolla M, De Pasqua V, Remacle JM, Schoenen J: Occipital nerve stimulation for drug-resistant chronic cluster headache: a prospective pilot study. Lancet Neurology. 2007, 6: 314-321. 10.1016/S1474-4422(07)70058-3.CrossRefPubMed
40.
go back to reference Lipton RB, Stewart WF, Stone AM, Lainez MJ, Sawyer JP: Stratified care vs step care strategies for migraine: the Disability in Strategies of Care (DISC) Study: A randomized trial. JAMA. 2000, 284: 2599-2605. 10.1001/jama.284.20.2599.CrossRefPubMed Lipton RB, Stewart WF, Stone AM, Lainez MJ, Sawyer JP: Stratified care vs step care strategies for migraine: the Disability in Strategies of Care (DISC) Study: A randomized trial. JAMA. 2000, 284: 2599-2605. 10.1001/jama.284.20.2599.CrossRefPubMed
41.
go back to reference Tfelt-Hansen P, Saxena PR, Dahlof C, Pascual J, Lainez M, Henry P, Diener H, Schoenen J, Ferrari MD, Goadsby PJ: Ergotamine in the acute treatment of migraine: a review and European consensus. Brain. 2000, 123 (Pt 1): 9-18. 10.1093/brain/123.1.9.CrossRefPubMed Tfelt-Hansen P, Saxena PR, Dahlof C, Pascual J, Lainez M, Henry P, Diener H, Schoenen J, Ferrari MD, Goadsby PJ: Ergotamine in the acute treatment of migraine: a review and European consensus. Brain. 2000, 123 (Pt 1): 9-18. 10.1093/brain/123.1.9.CrossRefPubMed
42.
go back to reference Hoskin KL, Kaube H, Goadsby PJ: Sumatriptan can inhibit trigeminal afferents by an exclusively neural mechanism. Brain. 1996, 119 (Pt 5): 1419-1428. 10.1093/brain/119.5.1419.CrossRefPubMed Hoskin KL, Kaube H, Goadsby PJ: Sumatriptan can inhibit trigeminal afferents by an exclusively neural mechanism. Brain. 1996, 119 (Pt 5): 1419-1428. 10.1093/brain/119.5.1419.CrossRefPubMed
43.
go back to reference Shields KG, Goadsby PJ: Serotonin receptors modulate trigeminovascular responses in ventroposteromedial nucleus of thalamus: a migraine target?. Neurobiol Dis. 2006, 23: 491-501. 10.1016/j.nbd.2006.04.003.CrossRefPubMed Shields KG, Goadsby PJ: Serotonin receptors modulate trigeminovascular responses in ventroposteromedial nucleus of thalamus: a migraine target?. Neurobiol Dis. 2006, 23: 491-501. 10.1016/j.nbd.2006.04.003.CrossRefPubMed
44.
go back to reference Dodick D, Lipton RB, Martin V, Papademetriou V, Rosamond W, MaassenVanDenBrink A, Loutfi H, Welch KM, Goadsby PJ, Hahn S, et al: Consensus Statement: Cardiovascular Safety Profile of Triptans (5-HT1B/1D Agonists) in the Acute Treatment of Migraine. Headache. 2004, 44: 414-425. 10.1111/j.1526-4610.2004.04078.x.CrossRefPubMed Dodick D, Lipton RB, Martin V, Papademetriou V, Rosamond W, MaassenVanDenBrink A, Loutfi H, Welch KM, Goadsby PJ, Hahn S, et al: Consensus Statement: Cardiovascular Safety Profile of Triptans (5-HT1B/1D Agonists) in the Acute Treatment of Migraine. Headache. 2004, 44: 414-425. 10.1111/j.1526-4610.2004.04078.x.CrossRefPubMed
45.
go back to reference Ho TW, Ferrari MD, Dodick DW, Galet V, Kost J, Fan X, Leibensperger H, Froman S, Assaid C, Lines C, et al: Efficacy and tolerability of MK-0974 (telcagepant), a new oral antagonist of calcitonin gene-related peptide receptor, compared with zolmitriptan for acute migraine: a randomised, placebo-controlled, parallel-treatment trial. Lancet. 2008, 372: 2115-2123. 10.1016/S0140-6736(08)61626-8.CrossRefPubMed Ho TW, Ferrari MD, Dodick DW, Galet V, Kost J, Fan X, Leibensperger H, Froman S, Assaid C, Lines C, et al: Efficacy and tolerability of MK-0974 (telcagepant), a new oral antagonist of calcitonin gene-related peptide receptor, compared with zolmitriptan for acute migraine: a randomised, placebo-controlled, parallel-treatment trial. Lancet. 2008, 372: 2115-2123. 10.1016/S0140-6736(08)61626-8.CrossRefPubMed
46.
go back to reference Petersen KA, Birk S, Lassen LH, Kruuse C, Jonassen O, Lesko L, Olesen J: The CGRP-antagonist, BIBN4096BS does not affect cerebral or systemic haemodynamics in healthy volunteers. Cephalalgia. 2005, 25: 139-147. 10.1111/j.1468-2982.2004.00830.x.CrossRefPubMed Petersen KA, Birk S, Lassen LH, Kruuse C, Jonassen O, Lesko L, Olesen J: The CGRP-antagonist, BIBN4096BS does not affect cerebral or systemic haemodynamics in healthy volunteers. Cephalalgia. 2005, 25: 139-147. 10.1111/j.1468-2982.2004.00830.x.CrossRefPubMed
47.
go back to reference Reuter U, Pilgrim AJ, Diener HC, Farkkila M, Ferrari MD: COL-144, a selective 5-HT1F agonist, for the treatment of migraine attacks. Cephalalgia. 2009, 29: 122. Reuter U, Pilgrim AJ, Diener HC, Farkkila M, Ferrari MD: COL-144, a selective 5-HT1F agonist, for the treatment of migraine attacks. Cephalalgia. 2009, 29: 122.
48.
go back to reference Lassen LH, Ashina M, Christiansen I, Ulrich V, Olesen J: Nitric oxide synthesis inhibition in migraine. Lancet. 1997, 349: 401-402. 10.1016/S0140-6736(97)80021-9.CrossRefPubMed Lassen LH, Ashina M, Christiansen I, Ulrich V, Olesen J: Nitric oxide synthesis inhibition in migraine. Lancet. 1997, 349: 401-402. 10.1016/S0140-6736(97)80021-9.CrossRefPubMed
49.
go back to reference Rami HK, Thompson M, Stemp G, Fell S, Jerman JC, Stevens AJ, Smart D, Sargent B, Sanderson D, Randall AD, et al: Discovery of SB-705498: A potent, selective and orally bioavailable TRPV1 antagonist suitable for clinical development. Bioorg Med Chem Lett. 2006, 16: 3287-3291. 10.1016/j.bmcl.2006.03.030.CrossRefPubMed Rami HK, Thompson M, Stemp G, Fell S, Jerman JC, Stevens AJ, Smart D, Sargent B, Sanderson D, Randall AD, et al: Discovery of SB-705498: A potent, selective and orally bioavailable TRPV1 antagonist suitable for clinical development. Bioorg Med Chem Lett. 2006, 16: 3287-3291. 10.1016/j.bmcl.2006.03.030.CrossRefPubMed
50.
go back to reference Sang CN, Ramadan NM, Wallihan RG, Chappell AS, Freitag FG, Smith TR, Silberstein SD, Johnson KW, Phebus LA, Bleakman D, et al: LY293558, a novel AMPA/GluR5 antagonist, is efficacious and well-tolerated in acute migraine. Cephalalgia. 2004, 24: 596-602. 10.1111/j.1468-2982.2004.00723.x.CrossRefPubMed Sang CN, Ramadan NM, Wallihan RG, Chappell AS, Freitag FG, Smith TR, Silberstein SD, Johnson KW, Phebus LA, Bleakman D, et al: LY293558, a novel AMPA/GluR5 antagonist, is efficacious and well-tolerated in acute migraine. Cephalalgia. 2004, 24: 596-602. 10.1111/j.1468-2982.2004.00723.x.CrossRefPubMed
51.
go back to reference Weiss B, Alt A, Ogden AM, Gates M, Dieckman DK, Clemens-Smith A, Ho KH, Jarvie K, Rizkalla G, Wright RA, et al: Pharmacological characterization of the competitive GLUK5 receptor antagonist decahydroisoquinoline LY466195 in vitro and in vivo. J Pharmacol Exp Ther. 2006, 318: 772-781. 10.1124/jpet.106.101428.CrossRefPubMed Weiss B, Alt A, Ogden AM, Gates M, Dieckman DK, Clemens-Smith A, Ho KH, Jarvie K, Rizkalla G, Wright RA, et al: Pharmacological characterization of the competitive GLUK5 receptor antagonist decahydroisoquinoline LY466195 in vitro and in vivo. J Pharmacol Exp Ther. 2006, 318: 772-781. 10.1124/jpet.106.101428.CrossRefPubMed
Metadata
Title
Migraine pathogenesis and state of pharmacological treatment options
Authors
Till Sprenger
Peter J Goadsby
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2009
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/1741-7015-7-71

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