4.6 Article

Calcitonin Gene-Related Peptide Modulates Heat Nociception in the Human Brain - An fMRI Study in Healthy Volunteers

Journal

PLOS ONE
Volume 11, Issue 3, Pages -

Publisher

PUBLIC LIBRARY SCIENCE
DOI: 10.1371/journal.pone.0150334

Keywords

-

Funding

  1. University of Copenhagen
  2. Lundbeck Foundation Center for Neurovascular Signaling (LUCENS)
  3. Research Foundation of the Capital Region of Denmark
  4. Danish Council for Independent Research-Medical Sciences (FSS) [271-08-0446]
  5. Novo Nordisk Foundation
  6. Cool Sorption Foundation
  7. Danish Headache Foundation
  8. Alex Klees Smerteforskningslegat
  9. Savvaerksejer Jeppe Juhl og Hustru Ovita Juhls Mindelegat
  10. Merck Co., Inc. [33936]
  11. Else Torps and Flemming Jensens legat

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Background Intravenous infusion of calcitonin-gene-related-peptide (CGRP) provokes headache and migraine in humans. Mechanisms underlying CGRP-induced headache are not fully clarified and it is unknown to what extent CGRP modulates nociceptive processing in the brain. To elucidate this we recorded blood-oxygenation-level-dependent (BOLD) signals in the brain by functional MRI after infusion of CGRP in a double-blind placebo-controlled crossover study of 27 healthy volunteers. BOLD-signals were recorded in response to noxious heat stimuli in the V1-area of the trigeminal nerve. In addition, we measured BOLD-signals after injection of sumatriptan (5-HT1B/1D antagonist). Results Brain activation to noxious heat stimuli following CGRP infusion compared to baseline resulted in increased BOLD-signal in insula and brainstem, and decreased BOLD-signal in the caudate nuclei, thalamus and cingulate cortex. Sumatriptan injection reversed these changes. Conclusion The changes in BOLD-signals in the brain after CGRP infusion suggests that systemic CGRP modulates nociceptive transmission in the trigeminal pain pathways in response to noxious heat stimuli.

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