Parasympathetic cholinergic and neuropeptide mechanisms of migraine

© 2016, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM).Context: Migraine mechanisms remain largely uncovered for various reasons including a very high complexity of the neurophysiological mechanisms implicated in this disorder and a plethora of endogenous biologically active compounds involved in the pathological process. The functional role of parasympathetic innervation of meninges and cholinergic mechanisms of migraine are among little explored issues despite multiple evidence indirectly indicating the role of acetylcholine (ACh) and its analogues in migraine and other types of headache. In the current short review, we discuss morphological, functional, and clinical issues related to the role of ACh and its analogues such as carbachol and nicotine in this most common neurological disorder. Evidence Acquisition: In the present work, studies published from 1953 to 2016 were investigated. Literature was searched with following keywords: acetylcholine (ACh), carbachol, nicotine, parasympathetic, mast cells, vasoactive intestinal polypeptide (VIP), and pituitary adenylate cyclase-activating polypeptide (PACAP). Results: Parasympathetic fibers originatedfromSPGandtrigeminal nerves can interact at the level of meninges which is considered to be the origin site of migraine pain. Here, in dura mater, ACh, VIP, and PACAP released by parasympathetic afferents can both affect mast cells provoking its degranulation and additional release of neurotransmitters, or they can directly affect trigeminal nerves inducing nociception. Conclusions: In summary, cholinergic mechanisms in migraine and other types of headache remain little elucidated and future studies should clarify the role of parasympathetic nerves and molecular mechanisms of cholinergic modulation within the nociceptive system

Comparative characterisation of forest litter on sod-podzolic soils of Forest Experimental Dacha in RSAU–MAA named after K.A. Timiryazev

Forest litter under linden and pine forests was studied at the Forest Experimental Dacha of the RSAU–MAA named after K.A. Timiryazev. Despite significant differences in physical and chemical parameters between the litter formed under the conditions of different forest communities, the properties of sod-podzolic soils formed under both vegetation types are quite similar. The litter under linden forest has higher ash content, it is less acidic and contains almost 2 times more exchangeable bases, the content of hydrogen and nitrogen is higher by 0.82 wt% and 0.66 wt%, respectively. The litter of linden and pine forests, according to the atomic ratios H : C, C : N and the degree of oxidation, are equal to 1.82, 30.3, -0.92 and 1.64, 45.7, -0.71, respectively; the litter of linden forests differs from litter of pine forests in the higher content of aliphatic, nitrogen-rich, reduced organic compounds. In the litter of linden forests concentration coefficients of phosphorus and magnesium 1.2 times higher; of carbon, potassium and aluminium – 1.3 times higher; of calcium – 1.4 times higher; of nitrogen – 1.8 times higher, and of silicon – 3 times higher, than in the litter of pine trees. However, the concentration factor of manganese in the pine forest litter is 1.9 times higher compared to the litter of linden. According to the results of UV spectroscopy, water-soluble organic matter of pine forest litter, unlike water-soluble organic matter of linden forest litter, is more enriched by components of aromatic origin. This is evidenced by higher values of SUVA254 and lower values of coefficients E2/E3 and E4/E6

Autonomous control of cardiovascular reactivity in patients with episodic and chronic forms of migraine

© 2016, Mamontov et al.Background: The autonomous cardiovascular control can contribute to progression of migraine. However, current data on cardiovascular reactivity in migraine, especially severe forms, are essentially contradictory. The main aim of this study was to compare the autonomous regulation of circulation in patients with episodic and chronic migraine and healthy subjects. Methods: Seventy three migraine patients (mean age 35 ± 10) including episodic migraine (51 patients, 4–14 headache days/months) and chronic migraine (22 patients, ≥15 headache days/month) along with age-match control (71 healthy voluntaries) were examined. The autonomic regulation of circulation was examined with the tilt-table test, a deep breathing and Valsalva Maneuver, handgrip test, cold-stress vasoconstriction, arterial baroreflex and blood pressure variability. Results: The changes in heart rate induced by deep breathing, Valsalva Maneuver, and blood pressure in tilt-table test in patients with migraine did not differ from the control group. In contrast, the values of cold-stress-vasoconstriction forearm blood-flow reactivity (p <0.001), the increase in diastolic blood pressure in handgrip test (p <0.001), mean blood pressure in the late stage of the second phase of Valsalva Maneuver (p <0.001) and blood pressure variability (p <0.005) were all higher in patients with migraine than in the control group. Conclusion: Thus, both episodic and chronic migraine are associated with significant disturbances in autonomous control resulting in enhanced vascular reactivity whereas the cardiac regulation remains largely unchanged

Accurate measurement of the pulse wave delay with imaging photoplethysmography

© 2016 Optical Society of America.Assessment of the cardiovascular parameters using noncontact video-based or imaging photoplethysmography (IPPG) is usually considered as inaccurate because of strong influence of motion artefacts. To optimize this technique we performed a simultaneous recording of electrocardiogram and video frames of the face for 36 healthy volunteers. We found that signal disturbances originate mainly from the stochastically enhanced dichroic notch caused by endogenous cardiovascular mechanisms, with smaller contribution of the motion artefacts. Our properly designed algorithm allowed us to increase accuracy of the pulse-transit-time measurement and visualize propagation of the pulse wave in the facial region. Thus, the accurate measurement of the pulse wave parameters with this technique suggests a sensitive approach to assess local regulation of microcirculation in various physiological and pathological states

Novel capsaicin-induced parameters of microcirculation in migraine patients revealed by imaging photoplethysmography

© 2018, The Author(s). Background: The non-invasive biomarkers of migraine can help to develop the personalized medication of this disorder. In testing of the antimigraine drugs the capsaicin-induced skin redness with activated TRPV1 receptors in sensory neurons associated with the release of the migraine mediator CGRP has already been widely used. Methods: Fourteen migraine patients (mean age 34.6 ± 10.2 years) and 14 healthy volunteers (mean age 29.9 ± 9.7 years) participated in the experiment. A new arrangement of imaging photoplethysmography recently developed by us was used here to discover novel sensitive parameters of dermal blood flow during capsaicin applications in migraine patients. Results: Blood pulsation amplitude (BPA) observed as optical-intensity waveform varying synchronously with heartbeat was used for detailed exploration of microcirculatory perfusion induced by capsicum patch application. The BPA signals, once having appeared after certain latent period, were progressively rising until being saturated. Capsaicin-induced high BPA areas were distributed unevenly under the patch, forming “hot spots.” Interestingly the hot spots were much more variable in migraine patients than in the control group. In contrast to BPA, a slow component of waveforms related to the skin redness changed significantly less than BPA highlighting the latter parameter as the potential sensitive biomarker of capsaicin-induced activation of the blood flow. Thus, in migraine patients, there is a non-uniform (both in space and in time) reaction to capsaicin, resulting in highly variable openings of skin capillaries. Conclusion: BPA dynamics measured by imaging photoplethysmography could serve as a novel sensitive non-invasive biomarker of migraine-associated changes in microcirculation