Acid-sensing ion channel 1: a novel therapeutic target for migraine with aura.

Abstract:

OBJECTIVE:Migraine with aura is a severe debilitating neurological disorder with few relatively specific therapeutic options. METHODS:We used amiloride, a blocker of epithelial sodium channels, to evaluate its pharmacological potential and explored the biology of a potential mechanism of action in well-established experimental models. RESULTS:Amiloride was shown to block cortical spreading depression, the experimental correlate of aura, and inhibited trigeminal activation in in vivo migraine models, via an acid-sensing ion channel 1 mechanism. Remarkably, amiloride then demonstrated good clinical efficacy in a small open-labeled pilot study of patients, reducing aura and headache symptoms in 4 of 7 patients with otherwise intractable aura. INTERPRETATION:The observations here identify an entirely novel treatment strategy for migraine.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Holland PR,Akerman S,Andreou AP,Karsan N,Wemmie JA,Goadsby PJ

doi

10.1002/ana.23653

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

559-63

issue

4

eissn

0364-5134

issn

1531-8249

journal_volume

72

pub_type

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