Endothelial-Targeted Metallothionein-2 shRNA Nanoparticles Alleviate Migraine-Like Symptoms.

AIM: Migraine is a common chronic neurological disorder manifesting as recurrent moderate-to-severe headaches. It continues to present therapeutic challenges due to population heterogeneity in treatment response. This study investigates the unexplored role of metallothionein-2 (Mt2) in migraine pathophysiology.

METHODS

We employed the EGR1-GFP reporter system to identify activated cortical cells induced by nitroglycerin (NTG). RNA sequencing of somatosensory activated cortex cells revealed marked Mt2 upregulation particularly in vascular endothelial cells. To elucidate Mt2's function in migraine pathogenesis, endothelial-targeted nanoparticles encapsulating Mt2-shRNA were engineered and administered via tail-vein injection in migraine model mice. Behavioral assays assessed photophobia and hyperalgesia, while two-photon microscopy evaluated cerebral vasodilation. Pathway enrichment analysis identified critical biological pathways linked to Mt2 activity.

RESULTS

Suppression of Mt2 in endothelial cells via shRNA nanoparticles alleviated migraine-related behaviors, including photophobia and hyperalgesia. RNA-seq and pathway analysis highlighted Mt2's involvement in cerebrovascular endothelial cell development, migration, and inflammation pathways. Crucially, two-photon imaging demonstrated that downregulation of Mt2 markedly attenuated NTG-induced cerebral vasodilation.

CONCLUSION

This study establishes Mt2 as a regulator of vascular tone and inflammatory signaling in migraine pathogenesis, proposing novel therapeutic targets. These findings provide insight in understanding the interplay between vascular dysfunction and migraine.