Evidence map›Paper›PMID 40350428›Full record

ReviewThe journal of headache and pain2025

The role and interaction of hypothalamic-related neurotransmitters in migraine.

Ana Belen Salinas-Abarca, Mohammed Gamal-Eltrabily, Marcela Romero-Reyes, Simon Akerman

Abstract readReview
In one paragraph

Review 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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. Endogenous treatments for migraine pain.The journal of headache and pain · 2025
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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

4 authors.

Ana Belen Salinas-Abarca *Department of Neural and Pain Sciences, University of Maryland Baltimore, Baltimore, Maryland, MD, 21201, USA.ORCID http://orcid.org/0000-0002-0729-5097
Mohammed Gamal-Eltrabily *Department of Neural and Pain Sciences, University of Maryland Baltimore, Baltimore, Maryland, MD, 21201, USA.ORCID http://orcid.org/0000-0003-3963-4943
Marcela Romero-ReyesDepartment of Neural and Pain Sciences, University of Maryland Baltimore, Baltimore, Maryland, MD, 21201, USA.ORCID http://orcid.org/0000-0003-0503-0527
Simon AkermanDepartment of Neural and Pain Sciences, University of Maryland Baltimore, Baltimore, Maryland, MD, 21201, USA. sakerman@umaryland.edu.ORCID http://orcid.org/0000-0002-6577-6825

Funding

Molecular basis for adenosine A3 receptor agonists in the treatment of migraineR01NS120930 · NINDS · UNIVERSITY OF MARYLAND BALTIMORE · PI Simon Akerman, DANIELA SALVEMINI · 2022 to 2026
$2.4M
NIH HHS NS120930NINDS NIH HHS R01 NS120930U.S. Department of Defense W81XWH2110485
6 · The paper itself

Abstract

Migraine is a complex neurological disorder frequently associated with hypothalamic dysfunction. This brain region is essential for maintaining homeostasis due to its regulation of autonomic, endocrine, and circadian systems. While the pathophysiology of migraine remains incompletely understood, clinical features such as the cyclic nature of attacks and symptoms, including nausea, vomiting, yawning, irritability, and sensitivity to light, indicate a significant role for the hypothalamus. Further, potential triggers of migraine, such as stress and disruption to feeding habits, also impact hypothalamic mechanisms. The higher prevalence of migraine in women compared to men suggests a link to hormonal fluctuations involving estrogen, progesterone, and prolactin. These hormones interact with the hypothalamus, potentially influencing the onset and severity of migraine episodes. Additionally, the hypothalamus synthesizes neuropeptides such as orexins, neuropeptide Y, PACAP, oxytocin, and vasopressin, which are all implicated in migraine mechanisms. Understanding the interplay between the hypothalamus, sex hormones, and neuropeptides offers valuable opportunities for endogenous targeted migraine therapies. In this review we discuss hypothalamic contributions to migraine pathophysiology, highlighting the mechanisms affected by hypothalamic connections, neuropeptides, and hormones, and their role as migraine triggers, particularly focusing on factors like stress, fasting, and changes in sleep patterns.

Indexed as

HypothalamusMigraine DisordersNeuropeptidesNeurotransmitter AgentsAnimalsFemaleHumansNeuropeptidesNeurotransmitter AgentsHypothalamusMigraineSex hormonesSleep alterationsStress

Identifiers

PMID40350428
PMCPMC12067729

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.