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Calcitonin Gene-Related Peptide (CGRP): Biology, Signaling, Pathophysiological Roles, and Therapeutic Applications

A dispatch from PubMed — filed

The calcitonin gene-related peptide (CGRP) is a 37-amino acid neuropeptide belonging to the calcitonin family, discovered as a product of alternative splicing of the calcitonin gene. CGRP has emerged as a pleiotropic signaling molecule with widespread distribution in the central and peripheral nervous systems, particularly within primary sensory neurons....

Clinical Takeaway

No actionable change for audiology practice at this time; the auditory and vestibular sections are background science, not clinical guidance.

Why It Matters

Understanding CGRP's role in the auditory and vestibular systems may open future therapeutic targets for conditions such as vestibular migraine and Ménière's disease.

Key Points
  1. 01CGRP is a neuropeptide with widespread signaling roles across cardiovascular, pain, and sensory systems.
  2. 02The review covers CGRP's presence and potential function in auditory and vestibular tissues.
  3. 03CGRP-targeting therapies (e.g., anti-migraine monoclonal antibodies) are already in clinical use for migraine.
  4. 04Pathophysiological roles in inner ear disorders such as vestibular migraine are discussed but remain speculative.
  5. 05Comprehensive scope spans basic biology through therapeutic applications across multiple organ systems.
Claims & Evidence

CGRP plays a signaling role in auditory and vestibular contexts.

studypartially supported

CGRP-targeting therapies have established therapeutic applications (e.g., migraine treatment).

guidelinesupported
Research metadata
PMID
42278498
DOI
10.3390/ijms27114973.
Journal
International Journal of Molecular Sciences
Publication type
review
Evidence level
1a
Population
Not applicable — narrative/comprehensive review of existing literature
Intervention
CGRP biology and therapeutic targeting

Primary outcomes

Characterisation of CGRP signaling pathways; Pathophysiological roles across organ systems including auditory and vestibular; Therapeutic applications of CGRP-targeting agents

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