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Phenylalkylamine Calcium Antagonists as Cerebroprotective Agents

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Cerebral Ischemia and Basic Mechanisms

Abstract

Ion channels which are selectively permeable to Ca2+ and regulated primarily by changes in membrane potential are present in virtually every excitable cell. The physiological role and pharmacological relevance of these voltage-sensitive Ca2+ channels was first recognized in the heart, where they were shown to be the site of action of cardiodepressant drugs described functionally as calcium antagonists.

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References

  • Alps BJ, Calder C, Hass WK, Wilson AD (1988) Comparative protective effects of nicardipine, flunarizine, lidoflazine and nimodipine against ischaemic injury in the hippocampus of the Mongolian gerbil. Br J Pharmacol 93: 877–883

    PubMed  CAS  Google Scholar 

  • American Nimodipine Study Group (1992) Clinical trial of nimodipine in acute ischemic stroke. Stroke 23: 3–8

    Article  Google Scholar 

  • Araki T, Kogure K, Izumiyama K (1989) Prevention of ischemic neuronal damage by a 1- adrenoceptor agonist (methoxamine). Acta Neurol Scand 80: 451–454

    Article  PubMed  CAS  Google Scholar 

  • Berger JR, Busto R, Ginsberg MD (1984) Verapamil: failure of metabolic amelioration following global forebrain ischemia in the rat. Stroke 15: 1029–1032

    Article  PubMed  CAS  Google Scholar 

  • Bielenberg GW, Burkhardt M (1990) 5-Hydroxytryptamine1A agonists: a new therapeutic principle for stroke treatment. Stroke 21 [Suppl IV]: 161–163

    Google Scholar 

  • Bielenberg GW, Sauer D, Nuglisch J, Beck T, Rossberg C, Mennel HD, Krieglstein J (1989) Effects of emopamil on postischemic blood flow and neuronal damage in rat brain. Naunyn Schmiedebergs Arch Pharmacol 339: 230–235

    Article  PubMed  CAS  Google Scholar 

  • Block F, Jaspers RMA, Heim, C, Sontag K-H (1990) S-Emopamil ameliorates ischemic brain damage in rats: histological and behavioural approaches. Life Sci 47: 1511–1518

    Article  PubMed  CAS  Google Scholar 

  • Bode-Greuel KM, Klisch J, Horvath E, Glaser T, Traber J (1990) Effects of 5-hydroxytryptamine1A- receptor agonists on hippocampal damage after transient forebrain ischemia in the Mongolian gerbil. Stroke 21 [Suppl IV]: 164–166

    Google Scholar 

  • Capon A, Lehert P, Opsomer L (1990) Naftidrofuryl in the treatment of subacute stroke. J Cardiovasc Pharmacol 16 [Suppl 3]: 62–66

    Google Scholar 

  • Charuchinda C, Supavilai P, Karobath M, Palacios JM (1987) Dopamine D2 receptors in the rat brain: autoradiographic visualization using a high-affinity selective agonist ligand. J Neurosci 7: 1352–1360

    PubMed  CAS  Google Scholar 

  • DeFeudis FV (1987) Interactions of Ca2+ antagonists at 5HT2 and H2 receptors and GAB A uptake sites. Trends Pharmacol Sci 8: 200–201

    Article  CAS  Google Scholar 

  • Findlay JM, MacDonald RL, Weir BKA (1991) Current concepts of pathophysiology and management of cerebral vasospasm following aneurysmal subarachnoid hemorrhage. Cerebrovasc Brain Metab Rev 3: 336–361

    PubMed  CAS  Google Scholar 

  • Fleckenstein A (1983) History of calcium antagonists. Circ Res 52: 3–16

    CAS  Google Scholar 

  • Fleischer JE, Nakakimura K, Drummond JC, Scheller MS, Zornow MH, Grafe MR, Shapiro HM (1992) Effects of levemopamil on neurologic and histologic outcome after cardiac arrest in cats. Crit Care Med 20: 126–134

    Article  PubMed  CAS  Google Scholar 

  • Fujikura H, Kato H, Nakano S, Kogure K (1989) A serotonin S2 antagonist, naftidrofuryl, exhibited a protective effect on ischemic neuronal damage in the gerbil. Brain Res 494: 387–390

    Article  PubMed  CAS  Google Scholar 

  • Globus MYT, Busto R, Dietrich WD, Martinez E, Valdes I, Ginsberg MD (1988a) Effect of ischemia on the in vivo release of striatal dopamine, glutamate, gamma-aminobutyric acid studied by intracerebral microdialysis. J Neurochem 51: 1455–1464

    Article  PubMed  CAS  Google Scholar 

  • Globus MYT, Busto R, Dietrich WD, Martinez E, Valdes I, Ginsberg MD (1988b) Intraischemic extracellular release of dopamine and glutamate is associated with striatal vulnerability to ischemia. Neurosci Lett 91: 36–40

    Article  PubMed  CAS  Google Scholar 

  • Gotti B, Benavides J, MacKenzie ET, Scatton B (1990) The pharmacotherapy of focal cortical ischaemia in the mouse. Brain Res 522: 290–307

    Article  PubMed  CAS  Google Scholar 

  • Gustafson I, Westerberg E, Wieloch T (1990) Protection against ischemia–induced neuronal damage by the a2–adrenoceptor antagonist idazoxan: influence of time of administration and possible mechanisms of action. J Cereb Blood Flow Metab 10: 885–894

    Article  PubMed  CAS  Google Scholar 

  • Hofmann HP, Raschack M, Unger L (1989) (S)-Emopamil, a novel calcium and serotonin antagonist for the treatment of cerebrovascular disorders. 1st communication: pharmacological profile. Arzneimittelforschung 39:304–308

    Google Scholar 

  • Hoyer D, Pazos A, Probst A, Palacios JM (1986a) Serotonin receptors in the human brain. I. Characterization and autoradiographic localization of 5–HT1A recognition sites. Apparent absence of 5-HT1B recognition sites. Brain Res 376: 85–96

    Article  PubMed  CAS  Google Scholar 

  • Hoyer D, Pazos A, Probst A, Palacios JM (1986b) Serotonin receptors in the human brain. II. Characterization and autoradiographic localization of 5-HTl c and 5-HT2 recognition sites. Brain Res 376: 97–107

    Article  PubMed  CAS  Google Scholar 

  • Kerckhoff W van den, Drewes LR (1985) Transfer of the Ca-antagonists nifedipine and nimodipine across the blood-brain barrier and their regional distribution in vivo. J Cereb Blood Flow Metab 5: S459–S460

    Google Scholar 

  • Kohlhardt M, Bauer B, Krause H, Fleckenstein A (1972) Differentiation of the transmembrane Na and Ca channels in mammalian cardiac fibres by the use of specific inhibitors. Pflugers Arch 335: 309–322

    Article  PubMed  CAS  Google Scholar 

  • Krieglstein J, Sauer D, Nuglisch J, Rossberg C, Beck T, Bielenberg GW, Mennel H–D (1989) Naftidrofuryl protects neurons against ischemic damage. Eur Neurol 29: 224–228

    Article  PubMed  CAS  Google Scholar 

  • Lin B, Dietrich WD, Busto R, Ginsberg MD (1990) (S)-Emopamil protects against global ischemic brain injury in rats. Stroke 21:1734–1739

    Google Scholar 

  • Maiese K, Pek L, Berger SB, Reis DJ (1992) Reduction in focal cerebral ischemia by agents acting at imidazole receptors. J Cereb Blood Flow Metab 12: 53–63

    Article  PubMed  CAS  Google Scholar 

  • Morikawa E, Ginsberg MD, Dietrich WD, Duncan RC, Busto R (1991) Postischemic ( S)-emopamil therapy ameliorates focal ischemic brain injury in rats. Stroke 22: 355–360

    Google Scholar 

  • Nakayama H, Ginsberg MD, Dietrich WD (1988) (S)Emopamil, a novel calcium channel blocker and serotonin S2 antagonist, markedly reduces infarct size following middle cerebral artery occlusion in the rat. Neurology 38:1667–1673

    Google Scholar 

  • Nowycky MC, Fox AP, Tsien RW (1985) Three types of neuronal calcium channel with different calcium agonist sensitivity. Nature 316: 440–443

    Article  PubMed  CAS  Google Scholar 

  • Orrenius S, McCondey DJ, Bellomo G, Nicotera P (1989) Role of Ca2+ in toxic cell killing. Trends Pharmacol Sci 10: 281–285

    Article  PubMed  CAS  Google Scholar 

  • Pickard JD, Murray GD, Illingworth R, Shaw MDM, Teasdale GM, Foy PM, Humphrey PRD, Lang DA, Nelson R, Richards P, Sinar J, Bailey S, Skene A (1989) Effect of oral nimodipine on cerebral infarction and outcome after subarachnoid haemorrhage: British aneurysm nimodipine trial. BMJ 298: 636–642

    Google Scholar 

  • Prehn JHM, Backhauss C, Karkoutly C, Nuglisch J, Peruche B, Rossberg C, Krieglstein J (1991) Neuroprotective properties of 5-HT1A receptor agonists in rodent models of focal and global cerebral ischemia. Eur J Pharmacol 203: 213–222

    Article  PubMed  CAS  Google Scholar 

  • Quirion R (1985) Characterization of binding sites for two classes of calcium channel antagonists in human forebrain. Eur J Pharmacol 117: 139–142

    Article  PubMed  CAS  Google Scholar 

  • Rao TS, Cler JA, Mick SJ, Ragan DM, Lanthorn TH, Contreras PC, Iyengar S, Wood PL (1990) Opipramol, a potent sigma ligand, is an anti–ischemic agent: neurochemical evidence for an interaction with the N-methyl-D-aspartate receptor complex in vivo by cerebellar cGMP measurements. Neuropharmacology 29: 1199–1204

    Article  PubMed  CAS  Google Scholar 

  • Siesjo BK (1981) Cell damage in the brain: a speculative synthesis. J Cereb Blood Flow Metab 1: 155–185

    Article  PubMed  CAS  Google Scholar 

  • Szabo L (1989) (S)-Emopamil, a novel calcium and serotonin antagonist for the treatment of cerebrovascular disorders. 2nd communication: brain penetration, cerebral vascular and metabolic effects. Arzneimittelforschung 39:309–314

    Google Scholar 

  • Szabo L (1989) (S)-Emopamil, a novel calcium and serotonin antagonist for the treatment of cerebrovascular disorders. 2nd communication: brain penetration, cerebral vascular and metabolic effects. Arzneimittelforschung 39:309–314

    Google Scholar 

  • Szabo L, Urbanics R (1991) Levemopamil posttreatment reduces cerebrocortical infarct size after permanent middle cerebral artery occlusion in the cat. J Cereb Blood Flow Metab 11: S710

    Google Scholar 

  • Trust Study Group (1990) Randomised, double-blind, placebo-controlled trial of nimodipine in acute stroke. Lancet 336: 1205–1209

    Article  Google Scholar 

  • Vanhoutte PM, Paoletti R (1987) The WHO classification of calcium antagonists. Trends Pharmacol Sci 8: 4–5

    Article  Google Scholar 

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© 1994 Springer-Verlag Berlin Heidelberg

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Szabo, L., Hofmann, H.P., Unger, L. (1994). Phenylalkylamine Calcium Antagonists as Cerebroprotective Agents. In: Hartmann, A., Yatsu, F., Kuschinsky, W. (eds) Cerebral Ischemia and Basic Mechanisms. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78151-3_17

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  • DOI: https://doi.org/10.1007/978-3-642-78151-3_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78153-7

  • Online ISBN: 978-3-642-78151-3

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