Electroacupuncture at Fengchi(GB20) inhibits calcitonin gene-related peptide expression in the trigeminovascular system of a rat model of migraine

(整期优先)网络出版时间:2017-05-15
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Mostmigrainepatientssufferfromcutaneousallodynia;however,theunderlyingmechanismsareunclear.Calcitoningene-relatedpeptide(CGRP)playsanimportantroleinthepathophysiologyofmigraine,anditistherefore,apotentialtherapeutictargetfortreatingthepain.Inthepresentstudy,aratmodelofconsciousmigraine,inducedbyrepeatedelectricalstimulationofthesuperiorsagittalsinus,wasestablishedandtreatedwithelectroacupunctureatFengchi(GB20)(depthof2–3mm,frequencyof2/15Hz,intensityof0.5–1.0mA,15minutes/day,for7consecutivedays).ElectroacupunctureatGB20significantlyalleviatedthedecreaseinhindpawandfacialwithdrawalthresholdsandsignificantlylessenedtheincreaseinthelevelsofCGRPinthetrigeminalganglion,trigeminalnucleuscaudalisandventroposteriormedialthalamicnucleusinratswithmigraine.NoCGRP-positivecellsweredetectedinthetrigeminalnucleuscaudalisorventroposteriormedialthalamicnucleusbyimmunofluorescence.Ourfindingssuggestthatelectroacupuncturetreatmentamelioratesmigrainepainandassociatedcutaneousallodyniabymodulatingthetrigeminovascularsystemascendingpathway,atleastinpartbyinhibitingCGRPexpressioninthetrigeminalganglion.