Evidence map›Paper›PMID 32541386›Full record

ArticlePain2020

Repetitive stress in mice causes migraine-like behaviors and calcitonin gene-related peptide-dependent hyperalgesic priming to a migraine trigger.

Amanda Avona, Bianca N Mason, Jacob Lackovic, Naureen Wajahat, Marina Motina, Lilyana Quigley, Carolina Burgos-Vega, Cristina Moldovan Loomis, Leon F Garcia-Martinez, Armen N Akopian and 2 more

Open access · greenAbstract read
In one paragraph

Article in Pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. MRGPRX2 as a novel therapeutic target in headache.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Restraint Stress Prolongs Diestrus Phase of Mouse Estrous Cycle.bioRxiv : the preprint server for biology · 2025
    Article
  12. Article
  13. Article
  14. Sex differences in the transition to chronic pain.The Journal of clinical investigation · 2025
    Review
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  16. Article
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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

12 authors at 3 institutions in 1 country.

Amanda AvonaSchool of Behavioral and Brain Science, Center for Advanced Pain Studies, University of Texas at Dallas, Richardson, TX, United States.
Bianca N MasonSchool of Behavioral and Brain Science, Center for Advanced Pain Studies, University of Texas at Dallas, Richardson, TX, United States.
Jacob LackovicSchool of Behavioral and Brain Science, Center for Advanced Pain Studies, University of Texas at Dallas, Richardson, TX, United States.
Naureen WajahatSchool of Behavioral and Brain Science, Center for Advanced Pain Studies, University of Texas at Dallas, Richardson, TX, United States.
Marina MotinaSchool of Behavioral and Brain Science, Center for Advanced Pain Studies, University of Texas at Dallas, Richardson, TX, United States.
Lilyana QuigleySchool of Behavioral and Brain Science, Center for Advanced Pain Studies, University of Texas at Dallas, Richardson, TX, United States.
Carolina Burgos-VegaSchool of Behavioral and Brain Science, Center for Advanced Pain Studies, University of Texas at Dallas, Richardson, TX, United States.
Cristina Moldovan LoomisAlder Biopharmaceuticals, Bothell, WA, United States.
Leon F Garcia-MartinezAlder Biopharmaceuticals, Bothell, WA, United States.
Armen N AkopianDepartment of Endodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.
Theodore J PriceSchool of Behavioral and Brain Science, Center for Advanced Pain Studies, University of Texas at Dallas, Richardson, TX, United States.
Gregory DussorSchool of Behavioral and Brain Science, Center for Advanced Pain Studies, University of Texas at Dallas, Richardson, TX, United States.
The University of Texas at Dallas · USAlder (United States) · USThe University of Texas Health Science Center at San Antonio · US

Funding

Protease Activated Receptor Type 2 Targeting for Migraine PainR01NS098826 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI GREGORY O DUSSOR, Theodore J. Price · 2017 to 2026
$3.4M
Sex-specific regulation of local translation and chronic pain mechanisms in femalesR01NS102161 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI AKOPIAN, ARMEN N, PRICE, THEODORE J. · 2018 to 2022
$2.5M
Meningeal prolactin signaling and female-selective migraine mechanismsR01NS104200 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI AKOPIAN, ARMEN N, DUSSOR, GREGORY O · 2018 to 2022
$2.4M
The Role of ASICs in Migraine PathophysiologyR01NS072204 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI DUSSOR, GREGORY O · 2011 to 2015
$1.9M
Peroxynitrite and MigraineR21NS104990 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI DUSSOR, GREGORY O · 2018 to 2019
$421k
NINDS NIH HHS R01 NS072204NINDS NIH HHS R01 NS098826NINDS NIH HHS R01 NS102161NINDS NIH HHS R01 NS104200NINDS NIH HHS R21 NS104990
6 · The paper itself

Abstract

Migraine is one of the most disabling disorders worldwide but the underlying mechanisms are poorly understood. Stress is consistently reported as a common trigger of migraine attacks. Here, we show that repeated stress in mice causes migraine-like behaviors that are responsive to a migraine therapeutic. Adult female and male mice were exposed to 2 hours of restraint stress for 3 consecutive days, after which they demonstrated facial mechanical hypersensitivity and facial grimace responses that were resolved by 14 days after stress. Hypersensitivity or grimace was not observed in either control animals or those stressed for only 1 day. After return to baseline, the nitric oxide donor sodium nitroprusside (SNP; 0.1 mg/kg) elicited mechanical hypersensitivity in stressed but not in control animals, demonstrating the presence of hyperalgesic priming. This suggests the presence of a migraine-like state, because nitric oxide donors are reliable triggers of attacks in migraine patients but not controls. The stress paradigm also caused priming responses to dural pH 7.0 treatment. The presence of this primed state after stress is not permanent because it was no longer present at 35 days after stress. Finally, mice received either the calcitonin gene-related peptide monoclonal antibody ALD405 (10 mg/kg) 24 hours before SNP or a coinjection of sumatriptan (0.6 mg/kg). ALD405, but not sumatriptan, blocked the facial hypersensitivity due to SNP. This stress paradigm in mice and the subsequent primed state caused by stress allow further preclinical investigation of mechanisms contributing to migraine, particularly those caused by common triggers of attacks.

Indexed as

Migraine DisordersAnimalsCalcitonin Gene-Related PeptideFemaleHumansHyperalgesiaMaleMiceSumatriptanCalcitonin Gene-Related PeptideSumatriptan

Identifiers

PMID32541386
PMCPMC7572536
OpenAlexW3034986443

What OpenQuestion holds

Textmetadata
LicenceTDM
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.