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Nitric Oxide-Related Drug Targets in Headache

Overview of attention for article published in Neurotherapeutics, April 2010
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Title
Nitric Oxide-Related Drug Targets in Headache
Published in
Neurotherapeutics, April 2010
DOI 10.1016/j.nurt.2010.03.006
Pubmed ID
Authors

Jes Olesen

Abstract

Nitric oxide (NO) is a very important molecule in the regulation of cerebral and extra cerebral cranial blood flow and arterial diameters. It is also involved in nociceptive processing. Glyceryl trinitrate (GTN), a pro-drug for NO, causes headache in normal volunteers and a so-called delayed headache that fulfils criteria for migraine without aura in migraine sufferers. Blockade of nitric oxide synthases (NOS) by L-nitromonomethylarginine effectively treats attacks of migraine without aura. Similar results have been obtained for chronic the tension-type headache and cluster headache. Inhibition of the breakdown of cyclic guanylate phosphate (cGMP) also provokes migraine in sufferers, indicating that cGMP is the effector of NO-induced migraine. Similar evidence suggests an important role of NO in the tension-type headache and cluster headache. These very strong data from human experimentation make it highly likely that antagonizing NO effects will be effective in the treatment of primary headaches. Nonselective NOS inhibitors are likely to have side effects whereas selective compounds are now in early clinical trials. Antagonizing the rate limiting cofactor tetrahydrobiopterin seems another very likely new treatment. It is more unlikely that antagonism of cGMP or its formation will be feasible, but augmenting its breakdown via phosphodiesterase activation is a possibility, as well as other ways of inhibiting the NO-cGMP pathway.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 68 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Denmark 2 3%
Brazil 1 1%
Unknown 65 96%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 12 18%
Student > Ph. D. Student 11 16%
Researcher 10 15%
Other 6 9%
Student > Doctoral Student 5 7%
Other 11 16%
Unknown 13 19%
Readers by discipline Count As %
Medicine and Dentistry 26 38%
Neuroscience 8 12%
Biochemistry, Genetics and Molecular Biology 4 6%
Agricultural and Biological Sciences 3 4%
Pharmacology, Toxicology and Pharmaceutical Science 3 4%
Other 8 12%
Unknown 16 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 October 2013.
All research outputs
#20,656,820
of 25,374,647 outputs
Outputs from Neurotherapeutics
#1,166
of 1,307 outputs
Outputs of similar age
#94,032
of 103,526 outputs
Outputs of similar age from Neurotherapeutics
#8
of 8 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
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