The status of knowledge on migraines: The role of microglia

Wei He1, Yanyun Wang2, Yixin Zhang2

  • 1Department of Neurology, The First Branch of The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

PubMed

Insights

Microglia and neuroinflammation play a key role in migraine pathogenesis. Targeting microglial purine receptors and signaling pathways offers a promising new strategy for treating chronic headaches and migraines.

Area of Science:

  • Neuroscience
  • Immunology
  • Pharmacology

Background:

  • Migraine is a significant global health issue with limited treatment efficacy.
  • Current migraine treatments targeting neuroinflammation show variable results.
  • The precise mechanisms underlying migraine pathogenesis, especially chronic forms, require further elucidation.

Purpose of the Study:

  • To investigate the role of microglia and microglial-mediated neuroinflammation in migraine pathogenesis.
  • To explore novel therapeutic targets for migraine treatment by examining microglial activation pathways.

Main Methods:

  • Utilized animal models of migraine, including cortical spreading depression (CSD) and nitroglycerin-induced chronic migraine.
  • Examined microglial activation in response to CSD and chronic migraine stimuli.
  • Investigated the involvement of purine receptors (P2X4, P2X7, P2Y12) and intracellular signaling cascades (BDNF/TrkB, NLRP3/IL-1β, RhoA/ROCK) in microglia.
  • Assessed the effects of inhibiting microglial receptors and pathways on neuronal excitability and hyperalgesia in animal models.

Main Results:

  • Microglial activation was observed in response to CSD and in a chronic migraine model.
  • Activation of microglial purine receptors (P2X4, P2X7, P2Y12) triggers inflammatory signaling pathways.
  • These pathways lead to the release of inflammatory mediators that increase neuronal excitability and pain.
  • Inhibition of these microglial targets reduced trigeminal nucleus caudalis (TNC) neuron hyperexcitability and hyperalgesia in migraine models.

Conclusions:

  • Microglia are centrally involved in the recurrent attacks of migraine.
  • Microglial purine receptors and associated signaling pathways represent potential therapeutic targets for migraine and chronic headache treatment.

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