Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Anti-CGRP Antibody Fremanezumab Reduces Trigeminal Neurons Immunoreactive for CGRP and CGRP Receptor Components in Rat

Version 1 : Received: 27 July 2023 / Approved: 27 July 2023 / Online: 28 July 2023 (09:27:07 CEST)

A peer-reviewed article of this Preprint also exists.

Vogler, B.; Kuhn, A.; Mackenzie, K.D.; Stratton, J.; Dux, M.; Messlinger, K. The Anti-Calcitonin Gene-Related Peptide (Anti-CGRP) Antibody Fremanezumab Reduces Trigeminal Neurons Immunoreactive to CGRP and CGRP Receptor Components in Rats. Int. J. Mol. Sci. 2023, 24, 13471. Vogler, B.; Kuhn, A.; Mackenzie, K.D.; Stratton, J.; Dux, M.; Messlinger, K. The Anti-Calcitonin Gene-Related Peptide (Anti-CGRP) Antibody Fremanezumab Reduces Trigeminal Neurons Immunoreactive to CGRP and CGRP Receptor Components in Rats. Int. J. Mol. Sci. 2023, 24, 13471.

Abstract

Treatment with the anti-CGRP antibody fremanezumab is successful in the prevention of chronic migraine. In preclinical rat experiments, fremanezumab has been shown to reduce calcitonin gene-related peptide (CGRP) release from trigeminal tissues and the aversive behaviour to noxious facial stimuli, which are characteristic pathophysiological changes accompanying severe primary headaches. To further decipher the effects of fremanezumab underlying these antinociceptive effects in rats, immunohistochemistry and ELISA techniques were used to analyse the content and concentration of CGRP in the trigeminal ganglion as well as the ratio of trigeminal ganglion neurons immunoreactive to CGRP and CGRP receptor components 1-10 days after subcutaneous injection of fremanezumab (30 mg/kg) compared to an isotype control antibody. After fremanezumab treatment, the fraction of trigeminal ganglion neurons immunoreactive to CGRP and the CGRP receptor components calcitonin receptor-like receptor (CLR) and receptor activity modifying protein 1 (RAMP1) was significantly lowered compared to the control. The content and concentration of CGRP in trigeminal ganglia were not significantly changed. A long-lasting reduction of CGRP receptors expressed in trigeminal afferents may contribute to the attenuation of CGRP signalling and antinociceptive effects of monoclonal anti-CGRP antibodies in rats.

Keywords

fremanezumab; monoclonal antibody; calcitonin gene-related peptide; trigeminal ganglion; CGRP receptor; immunofluorescence; rat; migraine pain

Subject

Medicine and Pharmacology, Neuroscience and Neurology

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