Abstract:Objective: To observe the expression changes of inwardly rectifying potassium channel 4.1 (Kir4.1) in the trigeminal nucleus caudalis (TNC) of chronic migraine (CM) mouse models and explored its role in CM. Methods: Male C57BL6/J mice were randomly divided into three groups: saline control, CM group, and frequent chronic migraine group (FCM). CM models (injection of NTG on alternate days) and FCM models (injection of NTG daily) were established via repeated nitroglycerin (NTG) injections. In Aldh1l1-CreERT2 mice with astrocytic Kir4.1 overexpression or knockdown in the TNC, repetitive NTG injections were administered to establish the CM mouse model. Mechanical thresholds of the hindpaw and periorbital area were assessed using von-Frey filaments. The expression of calcitonin gene-related peptide (CGRP), c-Fos, and Kir4.1 was detected via immunofluorescence. Results: Compared to control group, FCM and CM mice showed lower pain thresholds and increased CGRP and c-Fos expression in the TNC, along with reduced Kir4.1 levels. Kir4.1 overexpression decreased CGRP expression in the TNC and the mechanical threshold was significantly increased, while Kir4.1-knockdown group has the opposite effect. Conclusion: Astroglial Kir4.1 in the TNC may be involved in the pathophysiology of chronic migraine.