PMID- 28165287 OWN - NLM STAT- MEDLINE DCOM- 20190125 LR - 20211204 IS - 1468-2982 (Electronic) IS - 0333-1024 (Print) IS - 0333-1024 (Linking) VI - 38 IP - 3 DP - 2018 Mar TI - CGRP receptor antagonist activity of olcegepant depends on the signalling pathway measured. PG - 437-451 LID - 10.1177/0333102417691762 [doi] AB - Background Calcitonin gene-related peptide (CGRP) is a neuropeptide that acts in the trigeminovascular system and is believed to play an important role in migraine. CGRP activates two receptors that are both present in the trigeminovascular system; the CGRP receptor and the amylin 1 (AMY(1)) receptor. CGRP receptor antagonists, including olcegepant (BIBN4096BS) and telcagepant (MK-0974), can treat migraine. This study aimed to determine the effectiveness of these antagonists at blocking CGRP receptor signalling in trigeminal ganglia (TG) neurons and transfected CGRP and AMY(1) receptors in Cos7 cells, to better understand their mechanism of action. Methods CGRP stimulation of four intracellular signalling molecules relevant to pain (cAMP, CREB, p38 and ERK) were examined in rat TG neurons and compared to transfected CGRP and AMY(1) receptors in Cos7 cells. Results In TG neurons, olcegepant displayed signal-specific differences in antagonism of CGRP responses. This effect was also evident in transfected Cos7 cells, where olcegepant blocked CREB phosphorylation more potently than expected at the AMY(1) receptor, suggesting that the affinity of this antagonist can be dependent on the signalling pathway activated. Conclusions CGRP receptor antagonist activity appears to be assay-dependent. Thus, these molecules may not be as selective for the CGRP receptor as commonly reported. FAU - Walker, Christopher S AU - Walker CS AD - 1 School of Biological Sciences, University of Auckland, Auckland, New Zealand. AD - 2 Centre for Brain Research, University of Auckland, Auckland, New Zealand. FAU - Raddant, Ann C AU - Raddant AC AD - 3 Department of Molecular Physiology and Biophysics, University of Iowa, Iowa City, IA, USA. FAU - Woolley, Michael J AU - Woolley MJ AD - 4 Institute of Clinical Studies, University of Birmingham, Edgbaston, Birmingham, UK. FAU - Russo, Andrew F AU - Russo AF AD - 3 Department of Molecular Physiology and Biophysics, University of Iowa, Iowa City, IA, USA. AD - 5 Department of Neurology, University of Iowa; Veterans Affairs Medical Center, Iowa City, IA, USA. FAU - Hay, Debbie L AU - Hay DL AD - 1 School of Biological Sciences, University of Auckland, Auckland, New Zealand. AD - 2 Centre for Brain Research, University of Auckland, Auckland, New Zealand. LA - eng GR - F31 NS074728/NS/NINDS NIH HHS/United States GR - R01 NS075599/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20170206 PL - England TA - Cephalalgia JT - Cephalalgia : an international journal of headache JID - 8200710 RN - 0 (Calcitonin Gene-Related Peptide Receptor Antagonists) RN - 0 (Dipeptides) RN - 0 (Piperazines) RN - 0 (Quinazolines) RN - 0 (Receptors, Calcitonin Gene-Related Peptide) RN - 0 (Receptors, Islet Amyloid Polypeptide) RN - WOA5J8TX6M (olcegepant) SB - IM MH - Animals MH - COS Cells MH - Calcitonin Gene-Related Peptide Receptor Antagonists/*pharmacology MH - Chlorocebus aethiops MH - Dipeptides/*pharmacology MH - Humans MH - Neurons/*drug effects MH - Piperazines MH - Quinazolines/*pharmacology MH - Rats MH - Rats, Wistar MH - Receptors, Calcitonin Gene-Related Peptide/drug effects MH - Receptors, Islet Amyloid Polypeptide/antagonists & inhibitors MH - Signal Transduction/*drug effects/physiology MH - Transfection MH - Trigeminal Ganglion/drug effects PMC - PMC5494006 MID - NIHMS860184 OTO - NOTNLM OT - Amylin 1 (AMY1) OT - CREB OT - bias OT - calcitonin gene-related peptide (CGRP) OT - migraine OT - pain OT - trigeminal ganglia COIS- Declaration of conflicting interests The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2017/02/07 06:00 MHDA- 2019/01/27 06:00 PMCR- 2019/03/01 CRDT- 2017/02/07 06:00 PHST- 2017/02/07 06:00 [pubmed] PHST- 2019/01/27 06:00 [medline] PHST- 2017/02/07 06:00 [entrez] PHST- 2019/03/01 00:00 [pmc-release] AID - 10.1177/0333102417691762 [doi] PST - ppublish SO - Cephalalgia. 2018 Mar;38(3):437-451. doi: 10.1177/0333102417691762. Epub 2017 Feb 6.