Abstract
In parallel to serotonin synthesis, the major route of tryptophan catabolism is the kynurenine pathway, which produces neuroactive metabolites. Among these substances, kynurenic acid has potential neuroprotective action blocking glutamate release and glutamatergic neurotransmission. Glutamate is a key player in migraine pathogenesis; it is crucial in the communication of first and second-order neurons, and it has an important role in the genesis of cortical spreading depression, which is the electrophysiological correlate for migraine aura and may be involved in the activation of the trigeminal system. Thus, kynurenines may affect the pathogenesis directly, by acting on glutamate receptors and exerting other neuromodulatory effects, and indirectly via an altered serotonin metabolism. This work summarizes our current results regarding the role of the kynurenine system in trigeminal activation and other events occurring during migraine headache.
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Acknowledgments
This work was supported by grants ETT 026-04, OTKA K75628 and TÁMOP-4.2.1/B-09/1/KONV-2010-0005—Creating the Center of Excellence at the University of Szeged. Oue thanks are due to David Durham for the linguistic correction of the manuscript.
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Párdutz, Á., Fejes, A., Bohár, Z. et al. Kynurenines and headache. J Neural Transm 119, 285–296 (2012). https://doi.org/10.1007/s00702-011-0665-y
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DOI: https://doi.org/10.1007/s00702-011-0665-y