Evidence map›Paper›PMID 31935868›Full record

ReviewBrain sciences2020

Calcitonin Gene-Related Peptide (CGRP) and Cluster Headache.

Andrea Carmine Belin, Caroline Ran, Lars Edvinsson

Open access · goldAbstract readReview
In one paragraph

Review in Brain sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Review
  6. Article
  7. Observational
  8. Article
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  11. Review
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  14. Article
  15. Review
  16. Health equity, care access and quality in headache - part 2.The journal of headache and pain · 2023
    Review
  17. Review
  18. Review
  19. Review
  20. A compendium of validated pain genes.WIREs mechanisms of disease · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Andrea Carmine BelinDepartment of Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden.
Caroline RanDepartment of Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden.
Lars EdvinssonDepartment of Clinical Sciences, Division of Experimental Vascular Research, Lund University, 221 84 Lund, Sweden.
Karolinska Institutet · SELund University · SE

Funding

Hjärnfonden FO2018-0008Karolinska Institutet 2018-01738Knut och Alice Wallenbergs Stiftelse 2016.0081Skånes universitetssjukhus 2017Vetenskapsrådet 2017-01096Vetenskapsrådet 5958
6 · The paper itself

Abstract

Cluster headache (CH) is a severe primary headache with a prevalence of 1/1000 individuals, and a predominance in men. Calcitonin gene-related peptide (CGRP) is a potent vasodilator, originating in trigeminal neurons and has a central role in CH pathophysiology. CGRP and the CGRP receptor complex have recently taken center stage as therapeutic targets for primary headaches, such as migraine. Multiple CGRP and CGRP receptor monoclonal antibodies, as well as small molecule antagonists (gepants) are on their way constituting a new frontier of migraine and possibly CH medication. During a CH attack, there is an activation of the trigeminal-autonomic reflex with the release of CGRP, and inversely if CGRP is administered to a CH patient in an active disease phase, it triggers an attack. Increased levels of CGRP have been found in ipsilateral jugular vein blood during the active phase of CH. This process is hypothesized to have a key role in the intense pain perception and in the associated distinctive vasodilation. So far, clinical tests of CGRP antibodies have been inconclusive in CH patients. This review summarizes the current state of knowledge on the role of CGRP in CH pathology, and as a target for future treatments.

Indexed as

antibodiesgeneticsneurovascularreceptorvasodilator

Identifiers

PMID31935868
PMCPMC7016902
OpenAlexW2998275915

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.