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Updated: May 7, 2026

Investigating Migraine-Like Behavior Using Light Aversion in Mice
Published on: August 11, 2021
Calcitonin gene-related peptide receptor antagonists: beyond migraine pain--a possible analgesic strategy for
1Arthritis Research UK Pain Centre, School of Biosciences, University of Nottingham, Sutton Bonington Campus, Leicestershire, LE12 5RD, UK, stxcb1@nottingham.ac.uk.
Abstract:
Osteoarthritis (OA) pain is poorly understood and managed, as current analgesics have only limited efficacy and unwanted side effect profiles. A broader understanding of the pathological mechanisms driving OA joint pain is vital for the development of improved analgesics. Both clinical and preclinical data suggest an association between joint levels of the sensory neuropeptide calcitonin gene-related peptide (CGRP) and pain during OA. Whether a direct causative link exists remains an important unanswered question. Given the recent development of small molecule CGRP receptor antagonists with clinical efficacy against migraine pain, the interrogation of the role of CGRP in OA pain mechanisms is extremely timely. In this article, we provide the background to the importance of CGRP in pain mechanisms and review the emerging clinical and preclinical evidence implicating a role for CGRP in OA pain. We suggest that the CGRP receptor antagonists developed for migraine pain warrant further investigation in OA.
Insights
Calcitonin gene-related peptide (CGRP) is linked to osteoarthritis pain. Investigating CGRP receptor antagonists, effective for migraines, may offer new osteoarthritis pain relief strategies.
Area of Science:
- Neuroscience
- Rheumatology
- Pharmacology
Background:
- Osteoarthritis (OA) pain management is challenging due to limited efficacy and side effects of current analgesics.
- Understanding OA pain mechanisms is crucial for developing better pain treatments.
- Clinical and preclinical data suggest a link between joint calcitonin gene-related peptide (CGRP) levels and OA pain.
Purpose of the Study:
- To review the role of CGRP in pain mechanisms.
- To examine emerging evidence for CGRP's involvement in OA pain.
- To assess the potential of CGRP receptor antagonists for OA pain.
Main Methods:
- Review of clinical and preclinical studies on CGRP and pain.
- Analysis of existing data on CGRP levels in OA joints.
- Evaluation of CGRP receptor antagonist efficacy in other pain conditions.
Main Results:
- CGRP is a key sensory neuropeptide involved in pain signaling.
- Evidence suggests an association between joint CGRP and OA pain.
- CGRP receptor antagonists show efficacy in migraine pain.
Conclusions:
- The role of CGRP in OA pain warrants further investigation.
- CGRP receptor antagonists developed for migraine pain are promising candidates for OA pain management.
- Targeting CGRP may represent a novel therapeutic strategy for osteoarthritis pain.
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