偏头痛多巴胺机制研究进展
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1.重庆医科大学附属第一医院;2.南京医科大学第一附属医院;3.西安杨森制药有限公司

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RECENT ADVANCES IN RESEARCH ON DOPAMINERGIC MECHANISMS IN MIGRAINE PATHOPHYSIOLOGY
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1.The First Affiliated Hospital of Chongqing Medical University;2.Xi’an Janssen Pharmaceuticals

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    摘要:

    偏头痛是一种常见的神经系统疾病,病理机制复杂,有临床研究显示多巴胺在偏头痛的发病过程中发挥重要作用。本文将从多巴胺的合成与代谢,多巴胺与偏头痛的发生及其遗传易感性,多巴胺与三叉神经血管通路及药物治疗等方面阐述多巴胺与偏头痛的相关性。在三叉神经颈复合体分布有多巴胺受体,偏头痛患者出现多巴胺水平、多巴胺受体敏感性及多巴胺相关基因表达的异常,多巴胺受体拮抗剂在偏头痛急性期治疗及预防性治疗中都有重要作用。多巴胺能神经元可能是偏头痛治疗的作用靶点。

    Abstract:

    Migraine is a common neurological disorder with complex pathophysiological mechanisms. Clinical research appears to indicate a critical involvement of dopamine in the pathophysiology of migraine. This review will expound the correlation of dopamine with migraine by looking at many different aspects, such as dopamine’s synthesis and metabolism, the relationship between dopamine and pathogenesis of migraine and its genetic susceptibility, the relationship between dopamine and the trigeminovascular pathway as well as its implications for pharmacotherapy. Dopamine receptors are found to be present in the trigeminocervical complex. Patients with migraine often present with abnormalities in dopamine levels, dopamine receptor sensitivity, and dopamine-related gene expression. Dopamine receptor antagonists play an important role in both the treatment for the acute phase of migraine and the prophylactic therapy. Dopaminergic neurons may be a useful target for therapies of migraine.

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  • 收稿日期:2020-05-19
  • 最后修改日期:2020-08-03
  • 录用日期:2021-01-31
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