A Paradoxical Vasodilatory Nutraceutical Intervention for Prevention and Attenuation of Migraine-A Hypothetical Review.
Studies suggest that migraine pain has a vascular component. The prevailing dogma is that peripheral vasoconstriction activates baroreceptors in central, large arteries. Dilatation of central vessels stimulates nociceptors and induces cortical spreading depression. Studies investigating nitric oxide...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
| Language: | English |
| Published: |
2020
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/80760 |
| _version_ | 1848764267677876224 |
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| author | Chaliha, Devahuti Rai Vaccarezza, Mauro Takechi, Ryu Lam, Virginie Visser, Eric Drummond, Peter Mamo, John Charles Louis |
| author_facet | Chaliha, Devahuti Rai Vaccarezza, Mauro Takechi, Ryu Lam, Virginie Visser, Eric Drummond, Peter Mamo, John Charles Louis |
| author_sort | Chaliha, Devahuti Rai |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Studies suggest that migraine pain has a vascular component. The prevailing dogma is that peripheral vasoconstriction activates baroreceptors in central, large arteries. Dilatation of central vessels stimulates nociceptors and induces cortical spreading depression. Studies investigating nitric oxide (NO) donors support the indicated hypothesis that pain is amplified when acutely administered. In this review, we provide an alternate hypothesis which, if substantiated, may provide therapeutic opportunities for attenuating migraine frequency and severity. We suggest that in migraines, heightened sympathetic tone results in progressive central microvascular constriction. Suboptimal parenchymal blood flow, we suggest, activates nociceptors and triggers headache pain onset. Administration of NO donors could paradoxically promote constriction of the microvasculature as a consequence of larger upstream central artery vasodilatation. Inhibitors of NO production are reported to alleviate migraine pain. We describe how constriction of larger upstream arteries, induced by NO synthesis inhibitors, may result in a compensatory dilatory response of the microvasculature. The restoration of central capillary blood flow may be the primary mechanism for pain relief. Attenuating the propensity for central capillary constriction and promoting a more dilatory phenotype may reduce frequency and severity of migraines. Here, we propose consideration of two dietary nutraceuticals for reducing migraine risk: L-arginine and aged garlic extracts. |
| first_indexed | 2025-11-14T11:16:39Z |
| format | Journal Article |
| id | curtin-20.500.11937-80760 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | eng |
| last_indexed | 2025-11-14T11:16:39Z |
| publishDate | 2020 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-807602021-01-07T07:46:47Z A Paradoxical Vasodilatory Nutraceutical Intervention for Prevention and Attenuation of Migraine-A Hypothetical Review. Chaliha, Devahuti Rai Vaccarezza, Mauro Takechi, Ryu Lam, Virginie Visser, Eric Drummond, Peter Mamo, John Charles Louis L-arginine aged garlic extract calcium migraine nitric oxide vasoconstriction vasodilation Studies suggest that migraine pain has a vascular component. The prevailing dogma is that peripheral vasoconstriction activates baroreceptors in central, large arteries. Dilatation of central vessels stimulates nociceptors and induces cortical spreading depression. Studies investigating nitric oxide (NO) donors support the indicated hypothesis that pain is amplified when acutely administered. In this review, we provide an alternate hypothesis which, if substantiated, may provide therapeutic opportunities for attenuating migraine frequency and severity. We suggest that in migraines, heightened sympathetic tone results in progressive central microvascular constriction. Suboptimal parenchymal blood flow, we suggest, activates nociceptors and triggers headache pain onset. Administration of NO donors could paradoxically promote constriction of the microvasculature as a consequence of larger upstream central artery vasodilatation. Inhibitors of NO production are reported to alleviate migraine pain. We describe how constriction of larger upstream arteries, induced by NO synthesis inhibitors, may result in a compensatory dilatory response of the microvasculature. The restoration of central capillary blood flow may be the primary mechanism for pain relief. Attenuating the propensity for central capillary constriction and promoting a more dilatory phenotype may reduce frequency and severity of migraines. Here, we propose consideration of two dietary nutraceuticals for reducing migraine risk: L-arginine and aged garlic extracts. 2020 Journal Article http://hdl.handle.net/20.500.11937/80760 10.3390/nu12082487 eng http://creativecommons.org/licenses/by/4.0/ fulltext |
| spellingShingle | L-arginine aged garlic extract calcium migraine nitric oxide vasoconstriction vasodilation Chaliha, Devahuti Rai Vaccarezza, Mauro Takechi, Ryu Lam, Virginie Visser, Eric Drummond, Peter Mamo, John Charles Louis A Paradoxical Vasodilatory Nutraceutical Intervention for Prevention and Attenuation of Migraine-A Hypothetical Review. |
| title | A Paradoxical Vasodilatory Nutraceutical Intervention for Prevention and Attenuation of Migraine-A Hypothetical Review. |
| title_full | A Paradoxical Vasodilatory Nutraceutical Intervention for Prevention and Attenuation of Migraine-A Hypothetical Review. |
| title_fullStr | A Paradoxical Vasodilatory Nutraceutical Intervention for Prevention and Attenuation of Migraine-A Hypothetical Review. |
| title_full_unstemmed | A Paradoxical Vasodilatory Nutraceutical Intervention for Prevention and Attenuation of Migraine-A Hypothetical Review. |
| title_short | A Paradoxical Vasodilatory Nutraceutical Intervention for Prevention and Attenuation of Migraine-A Hypothetical Review. |
| title_sort | paradoxical vasodilatory nutraceutical intervention for prevention and attenuation of migraine-a hypothetical review. |
| topic | L-arginine aged garlic extract calcium migraine nitric oxide vasoconstriction vasodilation |
| url | http://hdl.handle.net/20.500.11937/80760 |