Proposed receptor-mediated mechanisms of melatonin in nitroglycerin-induced migraine-like hyperalgesic conditions in rats.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Melatonin | decrease | mechanical hyperalgesia | NTG-induced migraine rats | - | mitigated | #1 |
Melatonin | decrease | c-fos expression in the TNC | NTG-induced migraine rats | - | mitigated | #2 |
Melatonin | decrease | CGRP expression in the TNC | NTG-induced migraine rats | - | mitigated | #3 |
Melatonin | decrease | CGRP expression in trigeminal ganglia | NTG-induced migraine rats | - | mitigated | #4 |
Melatonin | decrease | CGRP release from meningeal afferents | ex-vivo meningeal preparations | - | mitigated | #5 |
Melatonin | decrease | NTG-stimulated meningeal mast cell activation | NTG-induced migraine rats | - | suppressed | #6 |
Melatonin in the presence of luzindole | no change | anti-hyperalgesic effects | NTG-induced migraine rats | - | effects were abolished | #7 |
Melatonin in the presence of DH97 | no change | anti-hyperalgesic effects | NTG-induced migraine rats | - | effects were abolished | #8 |
Melatonin in the presence of prazosin | no change | anti-hyperalgesic effects | NTG-induced migraine rats | - | did not reverse the effects | #9 |
Melatonin in the presence of prazosin | no change | mechanical hyperalgesia | NTG-induced migraine rats | - | reversed the effects | #10 |
Melatonin in the presence of luzindole and prazosin | no change | anti-hyperalgesic effects | NTG-induced migraine rats | - | canceled the effects | #11 |
Melatonin in the presence of DH97 and prazosin | no change | anti-hyperalgesic effects | NTG-induced migraine rats | - | canceled the effects | #12 |
Melatonin in the presence of luzindole and prazosin | no change | CGRP expression in the TNC | NTG-induced migraine rats | - | did not cancel the effects | #13 |
Melatonin in the presence of DH97 and prazosin | no change | CGRP expression in the TNC | NTG-induced migraine rats | - | did not cancel the effects | #14 |
Melatonin has a therapeutic effect on migraine, but the mechanisms underlying its antimigraine effect have not been elucidated. This study therefore investigated for the first time the receptor-mediated mechanisms of action of melatonin in nitroglycerin (NTG)- induced migraine-like hyperalgesic conditions in rats. Melatonin, nonselective MT1/MT2 antagonist luzindole, selective MT2 antagonist DH97 or potent MT3 antagonist prazosin, alone or in various combinations, were administered to NTG-induced migraine rats and ex-vivo meningeal preparations. Basal and drug-treated pain behaviors were assessed with the von-Frey test. CGRP levels in the trigeminal ganglia, trigeminal nucleus caudalis (TNC) and ex-vivo superfusate medium, as well as c-fos level in the TNC, were measured by ELISA. Meningeal mast cells were stained with toluidine-blue and examined histologically for their activation and count. Melatonin mitigated mechanical hyperalgesia, and c-fos and CGRP expression in the TNC, CGRP expression in trigeminal ganglia, CGRP release from meningeal afferents, all of which were induced by NTG, and also suppressed NTG-stimulated meningeal mast cell activation. The effects of melatonin were abolished in the presence of luzindole and DH97, respectively. However, prazosin did not reverse the effects of melatonin except for mechanical hyperalgesia. Luzindole and DH97 in combinations with prazosin also canceled the effects of melatonin, respectively, other than CGRP expression in the TNC. Melatonin exerts its anti-hyperalgesic effects through modulation of trigeminal expression and meningeal release of CGRP, and meningeal mast cell activation in experimental migraine-like conditions. The effects of melatonin are mainly mediated by MT2 receptors, without excluding a possible role for MT1.