Calcitonin gene-related peptide and pituitary adenylate cyclase-activating polypeptide in migraine treatment

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Abstract

PURPOSE OF REVIEW: To review the latest advances in migraine management with a focus on medications specifically developed for the treatment of migraine.

RECENT FINDINGS: Randomized clinical trials demonstrated the efficacy of calcitonin gene-related peptide (CGRP) mAbs for the preventive treatment of migraine and the small molecule CGRP receptor antagonist gepants for acute abortion and prevention of migraine attacks. Pituitary adenylate cyclase-activating polypeptide (PACAP) is another signaling molecule of interest and represents a potential new drug class of mechanism-based migraine medications. Drugs targeting PACAP are currently undergoing clinical trials, and the coming years will reveal whether this class of drugs will expand our therapeutic armamentarium.

SUMMARY: Here, we summarize the role of CGRP and PACAP in migraine pathophysiology and discuss novel therapies targeting the CGRP and PACAP signaling pathways.

OriginalsprogEngelsk
TidsskriftCurrent Opinion in Endocrinology, Diabetes and Obesity
Vol/bind29
Udgave nummer2
Sider (fra-til)225-231
Antal sider7
ISSN1752-296X
DOI
StatusUdgivet - 1 apr. 2022

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