The pharmacology of neurogenic trigeminovascular
vasodilator responses in the dura mater is of interest for understanding the pathophysiology of
migraine and to develop new
therapies for this disabling common condition. Aminergic mechanisms have been implicated in
migraine through direct study of
amines in patients, and by inference from the pharmacology of many effective anti-
migraine compounds, particularly preventative agents. This study used intravital microscopy to assess the role of aminergic transmission in neurogenic dural vasodilatation (NDV) by measuring directly the diameter of dural arteries in
sodium pentobarbitone anaesthetised rats. Electrical stimulation of a closed cranial window produces, by local depolarisation of nerves, dural vessel dilation that is monitored continuously on-line using video-microscopy and a video dimension analyser. This dural vasodilatation was not affected by pre-treatment with an alpha1-adrenoceptor agonist (
phenylephrine, 1 and 5 microg/kg), or antagonist (
corynanthine, 1 and 2 mg/kg), nor by an alpha2-adrenoceptor agonist (UK14,304, 5 microg/kg) or antagonist (
yohimbine, 1 and 3 mg/kg). Similarly, we saw no effect of beta-
adrenoceptor blockade (
propranolol, 1 and 3 mg/kg). The lack of an inhibitory effect of UK14,304 the model of neurogenic dural vasodilation contrasts with its effect in neurogenic dural
plasma protein extravasation model. The lack of inhibition of
beta-adrenoceptor antagonists in the neurogenic vasodilatation model contrasts with their usefulness as
migraine prophylactics, and suggests that their mechanism of action in
migraine is unlikely to be through sensory trigeminal fibre terminals at the neurovascular junction. Moreover, the data indicate that the
adrenergic system does not play a significant role in neurogenic dural vasodilation.