Evidence map›Paper›PMID 40524163›Full record

ArticleThe journal of headache and pain2025

Ex vivo stimulation of the trigeminal nucleus caudalis induces peripheral CGRP release in the trigeminal ganglion and reveals a distinct dopamine-endocannabinoid mechanism relevant to migraine.

Isabella Mai Christiansen, Philip Victor Reducha, Lars Edvinsson, Anja Holm, Kristian Agmund Haanes

Abstract read
In one paragraph

Article in The journal of headache and pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Overlapping pathways of migraine and the endocannabinoid system: Potential therapeutic targets.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Endogenous treatments for migraine pain.The journal of headache and pain · 2025
    Article
  11. 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

5 authors.

Isabella Mai ChristiansenSensory Biology Unit, Translational Research Centre, Copenhagen University Hospital- Rigshospitalet, Glostrup, Denmark.
Philip Victor ReduchaSensory Biology Unit, Translational Research Centre, Copenhagen University Hospital- Rigshospitalet, Glostrup, Denmark.
Lars EdvinssonDepartment of Medicine, Institute of Clinical Sciences, Lund University, Lund, Sweden.
Anja HolmRNA Therapeutics, Translational Research Centre, Rigshospitalet, Glostrup, Denmark.
Kristian Agmund HaanesSensory Biology Unit, Translational Research Centre, Copenhagen University Hospital- Rigshospitalet, Glostrup, Denmark. kristian.agmund.haanes@regionh.dk.

Funding

Lundbeck Foundation R345-2020-1977
6 · The paper itself

Abstract

backgroundCalcitonin gene-related peptide (CGRP) release from trigeminal structures is central to migraine pathophysiology. This study employed an ex vivo model preserving anatomical continuity between the trigeminal nucleus caudalis (TNC) and trigeminal ganglion (TG) to investigate (1) whether TNC stimulation induces peripheral CGRP release from the TG and (2) the potential involvement of a distinct dopamine-endocannabinoid mechanism.

methodsTissues were dissected as a single unit and placed in custom 3D-printed chambers, allowing targeted stimulation of either the TNC or the TG while measuring CGRP in both compartments. Pharmacological tools, including capsaicin (TRPV1 agonist), KCl (depolarizing agent), dopamine, and selective enzyme inhibitors or receptor antagonists, were used to elucidate underlying signalling pathways. CGRP levels were quantified via enzyme-linked immunosorbent assay.

resultsStimulation of the TNC elicited a significant rise in CGRP release locally and in the TG compartment, whereas directly stimulating the TG did not trigger CGRP release in the TNC. Subsequent experiments showed that applying dopamine to the TNC further enhanced CGRP release. TRPV1 blockade or pharmacological inhibition of N-acyl phosphatidylethanolamine phospholipase D (NAPE-PLD), an enzyme important for anandamide biosynthesis, markedly attenuated dopamine-induced CGRP release, indicating that an endocannabinoid-driven mechanism is involved.

conclusionActivating the TNC alone was sufficient to evoke CGRP release in the peripheral trigeminal compartment, underscoring a potential central-to-peripheral mechanism that may be relevant to migraine. Moreover, a dopamine-endocannabinoid-TRPV1 axis appears to modulate CGRP signalling in this system, indicating additional complexity and providing potential new strategies for migraine therapy.

Indexed as

Calcitonin Gene-Related PeptideDopamineEndocannabinoidsMigraine DisordersTrigeminal Caudal NucleusTrigeminal GanglionAnimalsCapsaicinMaleRatsTRPV Cation ChannelsCalcitonin Gene-Related PeptideCapsaicinDopamineEndocannabinoidsTRPV Cation ChannelsCalcitonin gene-related peptideDopamineEndocannabinoid systemEx vivo modelMigraineTrigeminal ganglionTrigeminal nucleus caudalisTRPV1

Identifiers

PMID40524163
PMCPMC12172333

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LicenceCC BY-NC-ND
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Registered trials

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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.