2014
DOI: 10.1517/17425255.2014.963554
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Novel strategies for the treatment of migraine attacks via the CGRP, serotonin, dopamine, PAC1, and NMDA receptors

Abstract: In order to overcome the therapeutic insufficiency, a calcitonin gene-related peptide receptor antagonist without the side-effect of liver transaminase elevation is required. Another therapeutic option is to develop a neurally acting antimigraine agent, such as a serotonin-1F receptor agonist, with low adverse central nervous system events. Development of a potent dopamine receptor antagonist is necessary to diminish the premonitory symptoms of migraine. A further option is to decrease the headache intensity w… Show more

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Cited by 11 publications
(5 citation statements)
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“…Thus, alteration in the activity of the rate-limiting step of the Trp-KYN metabolic system influences the serotonin pathway as well. This is suggested in the pathomechanisms of migraine, depression, and certain other psychiatric syndromes [123].…”
Section: Discussionmentioning
confidence: 98%
“…Thus, alteration in the activity of the rate-limiting step of the Trp-KYN metabolic system influences the serotonin pathway as well. This is suggested in the pathomechanisms of migraine, depression, and certain other psychiatric syndromes [123].…”
Section: Discussionmentioning
confidence: 98%
“…On the other hand, centrally released PACAP may lead to the activation of second-order sensory neurons in the TNC in a process mediated by the PAC1 receptor, which leads to central sensitization. Both the peripheral and the central sensitization processes take part in the initiation of migraine attacks [19,184,[198][199][200][201].…”
Section: Discussionmentioning
confidence: 99%
“…5-HT 1F receptors have been shown to be expressed in glutamatergic neurons of the trigeminal system and also in the cerebral vessels, with no vasoconstrictor effect [45][46]. The ability of 5-HT 1F receptors to modulate trigeminal responses without any effect on the vascular tone made 5-HT 1F agonists promising tools as innovative anti-migraine drugs [47][48]. 4-Fluoro-N-[3-(1methyl-4-piperidinyl)-1H-indol-5-yl]-benzamide (LY334370) has been shown to be a high-affinity agonist of the 5-HT 1F receptor [49].…”
Section: -Hydroxytryptamine (5-ht Serotonin)mentioning
confidence: 99%