Page last updated: 2024-10-25

clonidine and Brain Ischemia

clonidine has been researched along with Brain Ischemia in 11 studies

Clonidine: An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
clonidine (amino form) : A clonidine that is 4,5-dihydro-1H-imidazol-2-amine in which one of the amino hydrogens is replaced by a 2,6-dichlorophenyl group.

Brain Ischemia: Localized reduction of blood flow to brain tissue due to arterial obstruction or systemic hypoperfusion. This frequently occurs in conjunction with brain hypoxia (HYPOXIA, BRAIN). Prolonged ischemia is associated with BRAIN INFARCTION.

Research Excerpts

ExcerptRelevanceReference
"This study aimed to investigate the protective effects of the alpha-2 adrenergic receptor (α2-AR) agonist, clonidine, on the cerebral ischemia-reperfusion (I/R) injury and elaborate the underlying mechanisms."8.12Clonidine ameliorates cerebral ischemia-reperfusion injury by up-regulating the GluN3 subunits of NMDA receptor. ( Chen, J; Chen, Y; He, Z; Li, ZC; Yang, DD; Zhang, J; Zhao, B, 2022)
"Clonidine, a classical α-2 adrenergic agonists, has been shown to antagonize brain damage caused by hypoxia, cerebral ischemia and excitotoxicity and reduce cerebral infarction volume in recent studies."7.88Clonidine preconditioning improved cerebral ischemia-induced learning and memory deficits in rats via ERK1/2-CREB/ NF-κB-NR2B pathway. ( Chen, Z; He, Z; Li, Y; Li, Z; Wang, Y; Yan, L; Yu, L; Yu, M; Zeng, X; Zha, Y; Zhang, W; Zhao, B, 2018)
"The present study was undertaken to investigate the effects of the alpha2 adrenergic agonist, clonidine, on the near complete cerebral ischemia (NCFI) evoked release of glutamate and aspartate from normo- and hyperglycemic rodent brain tissue using microdialysis tissue techniques."7.73The effect of clonidine on cell survival, glutamate, and aspartate release in normo- and hyperglycemic rats after near complete forebrain ischemia. ( Jellish, WS; Kindel, G; Murdoch, J; White, FA; Zhang, X, 2005)
"This study aimed to investigate the protective effects of the alpha-2 adrenergic receptor (α2-AR) agonist, clonidine, on the cerebral ischemia-reperfusion (I/R) injury and elaborate the underlying mechanisms."4.12Clonidine ameliorates cerebral ischemia-reperfusion injury by up-regulating the GluN3 subunits of NMDA receptor. ( Chen, J; Chen, Y; He, Z; Li, ZC; Yang, DD; Zhang, J; Zhao, B, 2022)
"Clonidine, a classical α-2 adrenergic agonists, has been shown to antagonize brain damage caused by hypoxia, cerebral ischemia and excitotoxicity and reduce cerebral infarction volume in recent studies."3.88Clonidine preconditioning improved cerebral ischemia-induced learning and memory deficits in rats via ERK1/2-CREB/ NF-κB-NR2B pathway. ( Chen, Z; He, Z; Li, Y; Li, Z; Wang, Y; Yan, L; Yu, L; Yu, M; Zeng, X; Zha, Y; Zhang, W; Zhao, B, 2018)
" Experiment 1 characterized the effects of 10 min forebrain ischemia on corticosterone (CORT) secretion following ischemia and in response to spatial memory assessment in the Barnes maze, as well as the impact of pre-ischemia treatment with the glucocorticoid inhibitor metyrapone (175 mg/kg; s."3.77Changes in HPA reactivity and noradrenergic functions regulate spatial memory impairments at delayed time intervals following cerebral ischemia. ( Milot, MR; Plamondon, H, 2011)
"The present study was undertaken to investigate the effects of the alpha2 adrenergic agonist, clonidine, on the near complete cerebral ischemia (NCFI) evoked release of glutamate and aspartate from normo- and hyperglycemic rodent brain tissue using microdialysis tissue techniques."3.73The effect of clonidine on cell survival, glutamate, and aspartate release in normo- and hyperglycemic rats after near complete forebrain ischemia. ( Jellish, WS; Kindel, G; Murdoch, J; White, FA; Zhang, X, 2005)
"Sub-acute brain ischemia is a risk factor for the development of vascular dementia (VaD)."1.40Pharmacological modulation of I(1)-imidazoline and α2-adrenoceptors in sub acute brain ischemia induced vascular dementia. ( Gupta, S; Sharma, B, 2014)
"Selective role of spasticity was estimated in clinical pattern of motor disorders in groups of the patients with different disorders of muscular tonus with the same degree of paresis."1.30[Disorders of muscle tonus and their treatment with sirdalud in patients in the early recovery period of ischemic stroke]. ( Beliakov, VV; Burd, GS; Gekht, AB; Iaish, F; Selikhova, MV, 1998)
"Clonidine-treated rats received fentanyl/N2O and 10 micrograms/kg of intravenous clonidine 10 min before ischemia, which was produced by right carotid ligation combined with hemorrhagic hypotension to 35 mm Hg for 30 min."1.28Clonidine decreases plasma catecholamines and improves outcome from incomplete ischemia in the rat. ( Albrecht, RF; Baughman, VL; Cheng, MA; Hoffman, WE; Thomas, C, 1991)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (27.27)18.2507
2000's3 (27.27)29.6817
2010's4 (36.36)24.3611
2020's1 (9.09)2.80

Authors

AuthorsStudies
Monjas, L1
Arce, MP1
León, R1
Egea, J1
Pérez, C1
Villarroya, M1
López, MG1
Gil, C1
Conde, S1
Rodríguez-Franco, MI1
Chen, J1
Zhang, J1
Yang, DD1
Li, ZC1
Zhao, B2
Chen, Y1
He, Z2
Li, Y1
Yu, M1
Wang, Y1
Zha, Y1
Li, Z1
Yu, L1
Yan, L1
Chen, Z1
Zhang, W1
Zeng, X1
Gupta, S1
Sharma, B1
Milot, MR1
Plamondon, H1
Treggiari, MM1
Romand, JA1
Martin, JB1
Reverdin, A1
Rüfenacht, DA1
de Tribolet, N1
Richter, F1
Mikulik, O1
Ebersberger, A1
Schaible, HG1
Jellish, WS1
Murdoch, J1
Kindel, G1
Zhang, X1
White, FA1
Gekht, AB1
Burd, GS1
Selikhova, MV1
Iaish, F1
Beliakov, VV1
Reis, DJ1
Regunathan, S1
Meeley, MP1
Hoffman, WE1
Cheng, MA1
Thomas, C1
Baughman, VL1
Albrecht, RF1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Cervical Sympathetic Block to Increase Cerebral Blood Flow in Patients With Cerebral Vasospasm Following Aneurysmal Subarachnoid Hemorrhage[NCT05230134]10 participants (Anticipated)Interventional2023-07-27Enrolling by invitation
Stellate Ganglion Block for the Treatment of COVID-19-Induced Olfactory Dysfunction: A Prospective Pilot Study[NCT05445921]Phase 1/Phase 220 participants (Actual)Interventional2022-09-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Olfactory Dysfunction Outcomes Rating (ODOR)

"Participants will be asked to complete the ODOR, which is a patient-reported outcome measure assessing physical problems, functional limitations, and emotional consequences of olfactory dysfunction.~The ODOR has a minimum score of 0 and a maximum score of 112 with higher scores indicating a greater degree of impairment and limitation. The minimal clinically important difference is a change of 15 points." (NCT05445921)
Timeframe: baseline, 5-10 days post SGB #1, and 1 month

Interventionscore on a scale (Median)
ODOR at BaselineODOR at 1 WeekODOR at 1 Month
Stellate Ganglion Block625750.5

University of Pennsylvania Smell Identification Test (UPSIT)

"Participants will complete the 40-item scratch and sniff UPSIT and mean change will be assessed.~The UPSIT has a minimum score of 0 and maximum score of 40 with lower scores indicating a greater degree of impairment. An UPSIT score of >33 for men and >34 for women is considered normosmic, and the minimal clinically important difference is a change of 4 points." (NCT05445921)
Timeframe: baseline, 5-10 days, and 1 month

Interventionunits on a scale (Median)
UPSIT at BaselineUPSIT at 1 WeekUPSIT at 1 Month
Stellate Ganglion Block16.52122.5

Clinical Global Impression - Improvement (CGI-I) Score

Participants will be asked about their change in olfactory dysfunction on a 7-point Likert scale from much better to much worse. (NCT05445921)
Timeframe: 5-10 days post SGB #1 and 1 month

InterventionParticipants (Count of Participants)
CGI-I for Smell Loss at 1 Week71922197CGI-I for Smell Loss at 1 Month71922197CGI-I for Smell Distortion at 1 Week71922197CGI-I for Smell Distortion at 1 Month71922197CGI-I for Taste Loss at 1 Week71922197CGI-I for Taste Loss at 1 Month71922197CGI-I for Taste Distortion at 1 Week71922197CGI-I for Taste Distortion at 1 Month71922197
About the SameSlightly BetterMuch BetterModerately Better
Stellate Ganglion Block8
Stellate Ganglion Block10
Stellate Ganglion Block9
Stellate Ganglion Block11
Stellate Ganglion Block6
Stellate Ganglion Block1
Stellate Ganglion Block15
Stellate Ganglion Block4
Stellate Ganglion Block0
Stellate Ganglion Block14
Stellate Ganglion Block3
Stellate Ganglion Block2
Stellate Ganglion Block13
Stellate Ganglion Block12
Stellate Ganglion Block5

Clinical Global Impression - Severity (CGI-S) Score

Participants will be asked about the severity of their olfactory dysfunction (and gustatory dysfunction) on a 5-point Likert scale from no smell loss to severe smell loss. (NCT05445921)
Timeframe: baseline, 5-10 days, and 1 month

InterventionParticipants (Count of Participants)
CGI-S for Smell Loss at Baseline71922197CGI-S for Smell Loss at 1 Week71922197CGI-S for Smell Loss at 1 Month71922197CGI-S for Smell Distortion at Baseline71922197CGI-S for Smell Distortion at 1 Week71922197CGI-S for Smell Distortion at 1 Month71922197CGI-S for Taste Loss at Baseline71922197CGI-S for Taste Loss at 1 Week71922197CGI-S for Taste Loss at 1 Month71922197CGI-S for Taste Distortion at Baseline71922197CGI-S for Taste Distortion at 1 Week71922197CGI-S for Taste Distortion at 1 Month71922197
No ProblemVery Mild ProblemMild ProblemModerate ProblemSevere Problem
Stellate Ganglion Block0
Stellate Ganglion Block3
Stellate Ganglion Block2
Stellate Ganglion Block8
Stellate Ganglion Block7
Stellate Ganglion Block9
Stellate Ganglion Block1
Stellate Ganglion Block5
Stellate Ganglion Block12
Stellate Ganglion Block4
Stellate Ganglion Block10
Stellate Ganglion Block11
Stellate Ganglion Block6

Reviews

1 review available for clonidine and Brain Ischemia

ArticleYear
Imidazole receptors and clonidine-displacing substance in relationship to control of blood pressure, neuroprotection, and adrenomedullary secretion.
    American journal of hypertension, 1992, Volume: 5, Issue:4 Pt 2

    Topics: Adrenal Medulla; Blood Pressure; Brain Chemistry; Brain Ischemia; Clonidine; Humans; Imidazoline Rec

1992

Trials

1 trial available for clonidine and Brain Ischemia

ArticleYear
Cervical sympathetic block to reverse delayed ischemic neurological deficits after aneurysmal subarachnoid hemorrhage.
    Stroke, 2003, Volume: 34, Issue:4

    Topics: Adult; Anesthetics, Local; Angiography, Digital Subtraction; Autonomic Nerve Block; Brain Ischemia;

2003
Cervical sympathetic block to reverse delayed ischemic neurological deficits after aneurysmal subarachnoid hemorrhage.
    Stroke, 2003, Volume: 34, Issue:4

    Topics: Adult; Anesthetics, Local; Angiography, Digital Subtraction; Autonomic Nerve Block; Brain Ischemia;

2003
Cervical sympathetic block to reverse delayed ischemic neurological deficits after aneurysmal subarachnoid hemorrhage.
    Stroke, 2003, Volume: 34, Issue:4

    Topics: Adult; Anesthetics, Local; Angiography, Digital Subtraction; Autonomic Nerve Block; Brain Ischemia;

2003
Cervical sympathetic block to reverse delayed ischemic neurological deficits after aneurysmal subarachnoid hemorrhage.
    Stroke, 2003, Volume: 34, Issue:4

    Topics: Adult; Anesthetics, Local; Angiography, Digital Subtraction; Autonomic Nerve Block; Brain Ischemia;

2003

Other Studies

9 other studies available for clonidine and Brain Ischemia

ArticleYear
Enzymatic and solid-phase synthesis of new donepezil-based L- and d-glutamic acid derivatives and their pharmacological evaluation in models related to Alzheimer's disease and cerebral ischemia.
    European journal of medicinal chemistry, 2017, Apr-21, Volume: 130

    Topics: Alzheimer Disease; Animals; Brain Ischemia; Calcium Channel Blockers; Cholinesterase Inhibitors; Don

2017
Clonidine ameliorates cerebral ischemia-reperfusion injury by up-regulating the GluN3 subunits of NMDA receptor.
    Metabolic brain disease, 2022, Volume: 37, Issue:6

    Topics: Animals; Brain Ischemia; Clonidine; Infarction, Middle Cerebral Artery; Male; Neuroprotective Agents

2022
Clonidine preconditioning improved cerebral ischemia-induced learning and memory deficits in rats via ERK1/2-CREB/ NF-κB-NR2B pathway.
    European journal of pharmacology, 2018, Jan-05, Volume: 818

    Topics: Adrenergic alpha-2 Receptor Agonists; Animals; Brain Ischemia; Clonidine; Cyclic AMP Response Elemen

2018
Pharmacological modulation of I(1)-imidazoline and α2-adrenoceptors in sub acute brain ischemia induced vascular dementia.
    European journal of pharmacology, 2014, Jan-15, Volume: 723

    Topics: Acetylcholinesterase; Adrenergic alpha-2 Receptor Agonists; Animals; Brain; Brain Ischemia; Catalase

2014
Changes in HPA reactivity and noradrenergic functions regulate spatial memory impairments at delayed time intervals following cerebral ischemia.
    Hormones and behavior, 2011, Volume: 59, Issue:4

    Topics: Adrenergic alpha-2 Receptor Agonists; Adrenergic alpha-2 Receptor Antagonists; Analysis of Variance;

2011
Noradrenergic agonists and antagonists influence migration of cortical spreading depression in rat-a possible mechanism of migraine prophylaxis and prevention of postischemic neuronal damage.
    Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2005, Volume: 25, Issue:9

    Topics: Adrenergic alpha-Agonists; Adrenergic Antagonists; Adrenergic beta-Antagonists; Animals; Blood Press

2005
The effect of clonidine on cell survival, glutamate, and aspartate release in normo- and hyperglycemic rats after near complete forebrain ischemia.
    Experimental brain research, 2005, Volume: 167, Issue:4

    Topics: Adrenergic alpha-Agonists; Animals; Aspartic Acid; Blood Glucose; Blood Pressure; Brain Chemistry; B

2005
[Disorders of muscle tonus and their treatment with sirdalud in patients in the early recovery period of ischemic stroke].
    Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 1998, Volume: 98, Issue:10

    Topics: Adult; Aged; Brain Ischemia; Clonidine; Female; H-Reflex; Humans; Male; Middle Aged; Muscle Relaxant

1998
Clonidine decreases plasma catecholamines and improves outcome from incomplete ischemia in the rat.
    Anesthesia and analgesia, 1991, Volume: 73, Issue:4

    Topics: Animals; Blood Glucose; Brain Ischemia; Catecholamines; Clonidine; Hemodynamics; Injections, Intrave

1991