Pathophysiology of migraine: a disorder of sensory processing

PJ Goadsby, PR Holland… - Physiological …, 2017 - journals.physiology.org
Plaguing humans for more than two millennia, manifest on every continent studied, and with
more than one billion patients having an attack in any year, migraine stands as the sixth …

Shared and independent roles of CGRP and PACAP in migraine pathophysiology

A Kuburas, AF Russo - The Journal of Headache and Pain, 2023 - Springer
The neuropeptides calcitonin gene-related peptide (CGRP) and pituitary adenylate cyclase-
activating polypeptide (PACAP) have emerged as mediators of migraine pathogenesis. Both …

The nasal approach to delivering treatment for brain diseases: an anatomic, physiologic, and delivery technology overview

PG Djupesland, JC Messina, RA Mahmoud - Therapeutic delivery, 2014 - Taylor & Francis
The intricate pathophysiology of brain disorders, difficult access to the brain, and the
complexity and high risks and costs of drug development represent major hurdles for …

Fluorescently-labeled fremanezumab is distributed to sensory and autonomic ganglia and the dura but not to the brain of rats with uncompromised blood brain barrier

R Noseda, AJ Schain, A Melo-Carrillo, J Tien… - …, 2020 - journals.sagepub.com
Background The presence of calcitonin gene-related peptide and its receptors in multiple
brain areas and peripheral tissues previously implicated in migraine initiation and its many …

A randomized, double‐blind, placebo‐controlled study of breath powered nasal delivery of sumatriptan powder (AVP‐825) in the treatment of acute migraine (The …

RK Cady, PJ McAllister, ELH Spierings… - … : The Journal of …, 2015 - Wiley Online Library
Objective To evaluate the efficacy and safety of AVP‐825, a drug–device combination of low‐
dose sumatriptan powder (22 mg loaded dose) delivered intranasally through a targeted B …

CSD-induced arterial dilatation and plasma protein extravasation are unaffected by fremanezumab: implications for CGRP's role in migraine with aura

AJ Schain, A Melo-Carrillo, J Stratton… - Journal of …, 2019 - Soc Neuroscience
Cortical spreading depression (CSD) is a wave of neuronal depolarization thought to
underlie migraine aura. Calcitonin gene-related peptide (CGRP) is a potent vasodilator …

A translational in vivo model of trigeminal autonomic cephalalgias: therapeutic characterization

S Akerman, PR Holland, O Summ, MP Lasalandra… - Brain, 2012 - academic.oup.com
Trigeminal autonomic cephalalgias are highly disabling primary headache disorders,
characterized by severe unilateral head pain and associated ipsilateral cranial autonomic …

Current and novel insights into the neurophysiology of migraine and its implications for therapeutics

S Akerman, M Romero-Reyes, PR Holland - Pharmacology & Therapeutics, 2017 - Elsevier
Migraine headache and its associated symptoms have plagued humans for two millennia. It
is manifest throughout the world, and affects more than 1/6 of the global population. It is the …

AVP‐825 breath‐powered intranasal delivery system containing 22 mg sumatriptan powder vs 100 mg oral sumatriptan in the acute treatment of migraines (The …

SJ Tepper, RK Cady, S Silberstein… - … : The Journal of …, 2015 - Wiley Online Library
Objective The objective of this study was to compare the efficacy, tolerability, and safety of
AVP‐825, an investigational bi‐directional breath‐powered intranasal delivery system …

Recent advances in pharmacotherapy for migraine prevention: from pathophysiology to new drugs

JJY Ong, DYT Wei, PJ Goadsby - Drugs, 2018 - Springer
Migraine is a common and disabling neurological disorder, with a significant socioeconomic
burden. Its pathophysiology involves abnormalities in complex neuronal networks …