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Effect of Fasudil HCl, a Protein Kinase Inhibitor, on Cerebral Vasospasm

  • Conference paper
Book cover Cerebral Vasospasm

Part of the book series: Acta Neurochirurgica Supplements ((NEUROCHIRURGICA,volume 77))

Abstract

Fasudil HCl (HA1077, AT877, Eril) was first introduced as a unique vasodilator and intracellular calcium antagonist. It dilated spastic basilar artery by the intravenous injection on day 7 in a two-hemorrhage canine model of chronic cerebral vasospasm. Effectiveness of Fasudil on symptomatic and angiographic vasospasm, cerebral infarction by spasm and clinical outcome had been shown by a double blind trial in patients. Now, it is widely used in Japan in patients with aneurysmal subarachnoid hemorrhage. Current and approved use of Fasudil (30 mg iv 3 times a day for 14 days) ameliorates risk of spasm by about 50%.

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References

  1. Arai M, Sasaki Y, Nozawa R. (1993) Inhibition by the protein kinase inhibitor HA1077 of the activation of NADPH oxidase in human neutrophils. Biochem Pharmacol 46: 1487–1490

    Article  PubMed  CAS  Google Scholar 

  2. Asano T, Ikegaki I, Satoh S, Suzuki Y, Shibuya M, Takayasu M, Hidaka H (1990) Mechanism of action of a novel antivasospasm drug, HA 1077. J Pharmacol Exp Ther 241–1033–1040

    Google Scholar 

  3. Asano T, Suzuki Y, Tsuchiya M, Satoh S, Ikegaki I, Shibuya M, Suzuki Y, Hidaka H (1989) Vasodilator actions of HA1077 in vitro and in vivo putatively mediated by the inhibition of protein kinase. Br J Pharmacol 98: 1091–1100

    PubMed  CAS  Google Scholar 

  4. Harada T, Seto M, Sasaki Y, London S, Luo Z, Mayberg M (1995) The time course of myosin light-chain phosphorylation in blood induced vasospasm. Neurosurgery 36: 1178–1182

    Article  PubMed  CAS  Google Scholar 

  5. Hidaka H, Inagaki M, Kawamoto S et al (1984) Isoquinolinesulfonamides, novel and potent inhibitor of cyclic nucleotide dependent protein kinase and protein kinase C. Biochemistry 23: 5036–5041

    Article  PubMed  CAS  Google Scholar 

  6. Katsumata N, Shimokawa H, Seto M et al (1997) Enhanced myosin light chain phosphorylation as a central mechanism for coronary artery spasm in a swine model with Interleukin 1ß. Circulation 96: 4357–4363

    PubMed  CAS  Google Scholar 

  7. Nagumo H, Sasaki Y, Ono Y et al (2000) Rho kinase inhibitor HA-1077 prevents Rho-mediated myosin phosphatase inhibition in smooth muscle cells. Am J Physiol Cell Physiol 278: C57–C65

    PubMed  CAS  Google Scholar 

  8. Sasaki Y, Shibuya M, Hidaka H (1999) Antispastic Therapeutic, HA1077 (Eril). In: Kohama K, Sasaki Y (eds) Molecular mechanisms of smooth muscle contraction. Molecular Biology Intelligence Unit 5 RG Landes Co. Austin, Texas, pp 119– 132

    Google Scholar 

  9. Satoh S, Suzuki Y, Harada T et al (1992) Possible prophylactic potential of HA1077, a Ca2+ channel antagonist and vasodilator, on chronic cerebral vasospasm. Eur J Pharmacol 220: 243–248

    Article  PubMed  CAS  Google Scholar 

  10. Satoh S, Yamamoto Y, Toshima Y et al (1999) Fasudil, a protein kinase inhibitor, prevents the development of endothelial injury and neutrophil infiltration in a two-hemorrhage canine subarachnoid model. J Clin Neurosci 6: 394–399

    Article  PubMed  Google Scholar 

  11. Seto M, Sasaki Y, Hidaka H et al (1991) Effect of HA1077, a protein kinase inhibitor, on myosin phosphorylation and tension in smooth muscle. Eur J Pharmacol 195: 267–272

    Article  PubMed  CAS  Google Scholar 

  12. Seto M, Sasaki Y (1999) Diphosphorylation of myosin light chain and spastic contraction of smooth muscle. In: Kohama K, Sasaki Y (eds) Molecular mechanism of smooth muscle contraction. Molecular Biology Intelligence Unit 5 RG Landes Co. Austin, Texas, pp 97–106

    Google Scholar 

  13. Shibuya M, Suzuki Y, Takayasu M et al (1988) The effect of an intracellular calcium antagonist HA1077 on delayed cerebral vasospasm in dogs. Acta Neurochir (Wien) 90: 53–59

    Article  CAS  Google Scholar 

  14. Shibuya M, Suzuki Y, Sugita K et al (1992) Effect of AT877 on cerebral vasospasm after subarachnoid hemorrhage. Results of a prospective placebo-controlled double blind trial. J Neurosurg 76: 571–577

    Article  PubMed  CAS  Google Scholar 

  15. Shibuya M, Oosuka K, Suzuki Y et al (1999) Clinical and angiographic effect of Fasudil HCl (AT877) on cerebral vasospasm In: Dorsch N (Ed) Cerebral vasospasm VI, Proceeding of the Vlth International Conference on Cerebral Vasospasm Sydney 1997, pp 261–263

    Google Scholar 

  16. Tachibana E, Harada T, Shibuya M et al (1999) Intraarterial infusion of Fasudil hydrochloride for treating vasospasm following subarachnoid hemorrhage Acta Neurochir (Wien) 141: 13–19

    Article  CAS  Google Scholar 

  17. Takayasu M, Shibuya M, Suzuki Y et al (1986) The effect of HA compound calcium antagonists on delayed cerebral vasospasm in dogs. J Neurosurg 65: 80–85

    Article  PubMed  CAS  Google Scholar 

  18. Uehata M, Ishizaki T, Satoh H et al (1997) Calcium sensitization of smooth muscle mediated by a Rho-associated protein kinase in hypertension. Nature 389: 990–994

    Article  PubMed  CAS  Google Scholar 

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© 2001 Springer-Verlag

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Shibuya, M., Asano, T., Sasaki, Y. (2001). Effect of Fasudil HCl, a Protein Kinase Inhibitor, on Cerebral Vasospasm. In: Seiler, R.W., Steiger, HJ. (eds) Cerebral Vasospasm. Acta Neurochirurgica Supplements, vol 77. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6232-3_42

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  • DOI: https://doi.org/10.1007/978-3-7091-6232-3_42

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-83650-7

  • Online ISBN: 978-3-7091-6232-3

  • eBook Packages: Springer Book Archive

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