Page last updated: 2024-10-26

valproic acid and Cerebral Ischemia

valproic acid has been researched along with Cerebral Ischemia in 23 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Research Excerpts

ExcerptRelevanceReference
"Previous studies have shown the neuroprotective effects of the valproic acid (2-n-propylpentanoic acid, VPA) against ischemic stroke, but its effects on the ischemia-induced formation of astrogliosis and glial scar are still unknown."8.12Valproic Acid Inhibits Glial Scar Formation after Ischemic Stroke. ( Gao, X; Guo, Y; He, YY; Zeb, S; Zhang, HL; Zhou, XY; Zhu, YM, 2022)
" The antiepileptic drug valproic acid (VPA) was reported to protect cerebral ischemia/reperfusion injury."7.91Valproic acid attenuates global cerebral ischemia/reperfusion injury in gerbils via anti-pyroptosis pathways. ( Cheng, YY; Guan, L; Jia, LQ; Liu, Y; Min, DY; Song, N; Wang, LJ; Yang, GL; Yang, YJ; Zhan, KX; Zhang, Z; Zhu, S, 2019)
"Valproic acid (VA) is an antiepileptic that is also used for the treatment of bipolar disorders."5.48Neuroprotective effects of valproic acid on brain ischemia are related to its HDAC and GSK3 inhibitions. ( Correia, AO; Costa, RO; da Silva Ribeiro, AE; de Barros Viana, GS; de Siqueira, KP; Dos Santos, GCA; Lima, DGS; Lucetti, DL; Lucetti, ECP; Moura, JA; Neves, KRT; Parente, LLT; Silva, MR, 2018)
" Plasma concentrations (pc), interactions between drugs in the ICU context, adverse effects and seizure occurrences were observed and recorded."5.37Levetiracetam compared to valproic acid: plasma concentration levels, adverse effects and interactions in aneurysmal subarachnoid hemorrhage. ( Bjeljac, M; Keller, E; Mink, S; Muroi, C; Seule, M, 2011)
"Previous studies have shown the neuroprotective effects of the valproic acid (2-n-propylpentanoic acid, VPA) against ischemic stroke, but its effects on the ischemia-induced formation of astrogliosis and glial scar are still unknown."4.12Valproic Acid Inhibits Glial Scar Formation after Ischemic Stroke. ( Gao, X; Guo, Y; He, YY; Zeb, S; Zhang, HL; Zhou, XY; Zhu, YM, 2022)
" The antiepileptic drug valproic acid (VPA) was reported to protect cerebral ischemia/reperfusion injury."3.91Valproic acid attenuates global cerebral ischemia/reperfusion injury in gerbils via anti-pyroptosis pathways. ( Cheng, YY; Guan, L; Jia, LQ; Liu, Y; Min, DY; Song, N; Wang, LJ; Yang, GL; Yang, YJ; Zhan, KX; Zhang, Z; Zhu, S, 2019)
"Mice were subjected to middle cerebral artery occlusion (MCAO) model to induce IS injures and then were administrated with VPA."1.56Valproate improves middle cerebral artery occlusion-induced ischemic cerebral disorders in mice and oxygen-glucose deprivation-induced injuries in microglia by modulating RMRP/PI3K/Akt axis. ( Li, X; Sui, Y, 2020)
"Valproic acid (VA) is an antiepileptic that is also used for the treatment of bipolar disorders."1.48Neuroprotective effects of valproic acid on brain ischemia are related to its HDAC and GSK3 inhibitions. ( Correia, AO; Costa, RO; da Silva Ribeiro, AE; de Barros Viana, GS; de Siqueira, KP; Dos Santos, GCA; Lima, DGS; Lucetti, DL; Lucetti, ECP; Moura, JA; Neves, KRT; Parente, LLT; Silva, MR, 2018)
"Hyperglycemia was induced by streptozotocin (STZ) injection 3 days before."1.42Valproic acid ameliorates ischemic brain injury in hyperglycemic rats with permanent middle cerebral occlusion. ( Abe, A; Aoki, J; Kimura, K; Nishiyama, Y; Nito, C; Okubo, S; Sakamoto, Y; Suda, S; Suzuki, K; Ueda, M, 2015)
"Male rats underwent middle cerebral artery occlusion for 60 minutes followed by reperfusion for up to 14 days."1.38Chronic valproate treatment enhances postischemic angiogenesis and promotes functional recovery in a rat model of ischemic stroke. ( Chibane, F; Chuang, DM; Fessler, EB; Leeds, P; Leng, Y; Munasinghe, J; Tsai, LK; Wang, Z, 2012)
" Plasma concentrations (pc), interactions between drugs in the ICU context, adverse effects and seizure occurrences were observed and recorded."1.37Levetiracetam compared to valproic acid: plasma concentration levels, adverse effects and interactions in aneurysmal subarachnoid hemorrhage. ( Bjeljac, M; Keller, E; Mink, S; Muroi, C; Seule, M, 2011)
" In patients with heterozygote (MTHFR) 677C/T polymorphism and under long-term use of certain drugs the determination of Hcy plasma levels may be useful to prevent the development of atherothrombotic disease."1.35Na VPA-induced acute ischemic stroke in an epileptic patient with methylenetetrahydrofolate reductase gene polymorphism. ( Varoglu, AO, 2009)
"Given that there is no effective treatment for stroke, HDAC inhibitors, such as VPA, SB, and TSA, should be evaluated for their potential use for clinical trials in stroke patients."1.34Histone deacetylase inhibitors exhibit anti-inflammatory and neuroprotective effects in a rat permanent ischemic model of stroke: multiple mechanisms of action. ( Chen, PS; Chuang, DM; Hong, JS; Kim, HJ; Ren, M; Rowe, M, 2007)
"When phenytoin was discontinued, valproate levels increased, and he progressively improved."1.30Exceptionally long absence status: multifactorial etiology, drug interactions and complications. ( Andermann, F; Bastos, A; D'Agostino, MD; Dubeau, F; Fedi, M, 1999)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (8.70)18.2507
2000's4 (17.39)29.6817
2010's14 (60.87)24.3611
2020's3 (13.04)2.80

Authors

AuthorsStudies
Gao, X1
Zeb, S1
He, YY1
Guo, Y1
Zhu, YM1
Zhou, XY1
Zhang, HL1
Naseh, M1
Bayat, M1
Akbari, S1
Vatanparast, J1
Shabani, M1
Haghighi, AB1
Haghani, M1
Li, X1
Sui, Y1
Brookes, RL1
Crichton, S1
Wolfe, CDA1
Yi, Q1
Li, L1
Hankey, GJ1
Rothwell, PM1
Markus, HS2
Silva, MR1
Correia, AO1
Dos Santos, GCA1
Parente, LLT1
de Siqueira, KP1
Lima, DGS1
Moura, JA1
da Silva Ribeiro, AE1
Costa, RO1
Lucetti, DL1
Lucetti, ECP1
Neves, KRT1
de Barros Viana, GS1
Bolland, MJ1
Avenell, A1
Gamble, G1
Grey, A1
Hernández de G, MM1
Garay F, JL1
Loureiro, NE1
Zhu, S1
Zhang, Z1
Jia, LQ1
Zhan, KX1
Wang, LJ1
Song, N1
Liu, Y1
Cheng, YY1
Yang, YJ1
Guan, L1
Min, DY1
Yang, GL1
Suda, S3
Katsura, K1
Kanamaru, T1
Saito, M2
Katayama, Y2
Belozertsev, IuA1
Zapol'skaia, IuA1
Belozertsev, FIu1
Iuntsev, SV1
Katsura, KI1
Kamiya, N1
Dregan, A1
Charlton, J1
Wolfe, CD1
Gulliford, MC1
Merson, TD1
Bourne, JA1
Ueda, M1
Nito, C1
Nishiyama, Y1
Okubo, S1
Abe, A1
Aoki, J1
Suzuki, K1
Sakamoto, Y1
Kimura, K1
Varoglu, AO1
Mink, S1
Muroi, C1
Seule, M1
Bjeljac, M1
Keller, E1
Das, S1
Joardar, S1
Chatterjee, R1
Guha, G1
Hashmi, MA1
Wang, Z1
Tsai, LK1
Munasinghe, J1
Leng, Y1
Fessler, EB1
Chibane, F1
Leeds, P1
Chuang, DM2
Costa, C1
Martella, G1
Picconi, B1
Prosperetti, C1
Pisani, A1
Di Filippo, M1
Pisani, F1
Bernardi, G1
Calabresi, P1
Vorbrodt, AW1
Dobrogowska, DH1
Kozlowski, PB1
Rabe, A1
Tarnawski, M1
Lee, MH1
Kim, HJ1
Rowe, M1
Ren, M1
Hong, JS1
Chen, PS1
Ibrahim, S1
Hyder, SS1
D'Agostino, MD1
Andermann, F1
Dubeau, F1
Fedi, M1
Bastos, A1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pilot Study of Seizure Prophylaxis With Levetiracetam in Aneurysmal Subarachnoid Hemorrhage[NCT01935908]Phase 40 participants (Actual)Interventional2013-05-31Withdrawn (stopped due to no funding)
A Phase II Multiple Site, Randomized, Placebo-Controlled Trial of Oral Valproic Acid for Autosomal Dominant Retinitis Pigmentosa[NCT01233609]Phase 290 participants (Actual)Interventional2010-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Mean Change From Baseline in Best Corrected Visual Acuity

Mean change in best corrected visual acuity as assessed by ETDRS (Early Treatment Diabetic Retinopathy Study) method from baseline to week 52 (NCT01233609)
Timeframe: baseline to week 52

Interventionletters read correctly (Mean)
Valproic Acid -- Right Eye-1.4
Valproic Acid--Left Eye0.0
Placebo --Right Eye0.2
Placebo --Left Eye1.3

Mean Change in Visual Field Area From Baseline to 52 Weeks--I4e Isopter

Mean change in visual field area from baseline to 52 weeks. Visual field area is measured with semi-automated kinetic perimetry (SKP) using the Octopus 900 (Haag-Streit) with the I4e target size for each eye and done at least twice to ensure reliable sessions; the visual field area measurements are averaged over the two sessions. Analysis performed with linear mixed model (NCT01233609)
Timeframe: baseline to week 52

InterventionVisual field area (degrees squared) (Mean)
Placebo--Right Eye80.9
Placebo--Left Eye115.7
Valproic Acid--Right Eye5.3
Valproic Acid--Left Eye19.5

Mean Change in Visual Field Area From Baseline to 52 Weeks--III4e Isopter

Mean change in visual field area from baseline to 52 weeks. Visual field area is measured with semi-automated kinetic perimetry (SKP) using the Octopus 900 (Haag-Streit) with the III4e target size for each eye and done at least twice to ensure reliable sessions; the visual field area measurements are averaged over the two sessions. Analysis performed with linear mixed model (NCT01233609)
Timeframe: baseline to week 52

InterventionVisual field area (degrees squared) (Mean)
Placebo--Right Eye-122.9
Placebo--Left Eye-112.0
Valproic Acid--Right Eye-293.7
Valproic Acid--Left Eye-237.1

Static Perimetry by Treatment Arm--Full Field Hill of Vision

Mean change from baseline at week 52 for Full field Hill of Vision (Static perimetry) (NCT01233609)
Timeframe: baseline to week 52

Interventiondb-steridians (Mean)
Placebo--Right Eye-0.3
Placebo--Left Eye-1.4
Valproic Acid--Right Eye-0.2
Valproic Acid--Left Eye-0.6

Static Perimetry Volume--30 Degree Hill of Vision

Mean Change from baseline to week 52 for Static Perimetry Volume --30 Degree Hill of Vision. Full field static perimetry protocol was followed using the Octopus 900 (Haag-Streit) for a single session for each eye. (NCT01233609)
Timeframe: baseline to week 52

Interventiondb-steridans (Mean)
Placebo--Right Eye-0.3
Placebo--Left Eye-0.3
Valproic Acid--Right Eye-0.2
Valproic Acid--Left Eye-0.2

Reviews

1 review available for valproic acid and Cerebral Ischemia

ArticleYear
Endogenous neurogenesis following ischaemic brain injury: insights for therapeutic strategies.
    The international journal of biochemistry & cell biology, 2014, Volume: 56

    Topics: Adult; Animals; Brain Injuries; Brain Ischemia; Histone Deacetylase Inhibitors; Humans; Nerve Regene

2014

Trials

1 trial available for valproic acid and Cerebral Ischemia

ArticleYear
Sodium Valproate, a Histone Deacetylase Inhibitor, Is Associated With Reduced Stroke Risk After Previous Ischemic Stroke or Transient Ischemic Attack.
    Stroke, 2018, Volume: 49, Issue:1

    Topics: Aged; Aged, 80 and over; Anticonvulsants; Brain Ischemia; Disease-Free Survival; Female; Follow-Up S

2018

Other Studies

21 other studies available for valproic acid and Cerebral Ischemia

ArticleYear
Valproic Acid Inhibits Glial Scar Formation after Ischemic Stroke.
    Pharmacology, 2022, Volume: 107, Issue:5-6

    Topics: Animals; Astrocytes; Brain Ischemia; Glial Fibrillary Acidic Protein; Gliosis; Histones; Ischemic St

2022
Neuroprotective effects of sodium valproate on hippocampal cell and volume, and cognitive function in a rat model of focal cerebral ischemia.
    Physiology & behavior, 2022, 07-01, Volume: 251

    Topics: Animals; Brain Ischemia; Cognition; Hippocampus; Infarction, Middle Cerebral Artery; Long-Term Poten

2022
Valproate improves middle cerebral artery occlusion-induced ischemic cerebral disorders in mice and oxygen-glucose deprivation-induced injuries in microglia by modulating RMRP/PI3K/Akt axis.
    Brain research, 2020, 11-15, Volume: 1747

    Topics: Animals; Apoptosis; Brain Ischemia; Enzyme Inhibitors; Glucose; Infarction, Middle Cerebral Artery;

2020
Neuroprotective effects of valproic acid on brain ischemia are related to its HDAC and GSK3 inhibitions.
    Pharmacology, biochemistry, and behavior, 2018, Volume: 167

    Topics: 3,4-Dihydroxyphenylacetic Acid; Animals; Brain; Brain Ischemia; Cyclooxygenase 2 Inhibitors; Dopamin

2018
Reader response: Expression of Concern: Does compensatory hyperparathyroidism predispose to ischemic stroke? Decreased bone mass and increased bone turnover with valproate therapy in adults with epilepsy; An alternative to vitamin D supplementation to pre
    Neurology, 2018, Mar-27, Volume: 90, Issue:13

    Topics: Adult; Bone Density; Bone Remodeling; Brain Ischemia; Dietary Supplements; Epilepsy; Humans; Hyperpa

2018
Neuroprotective action of valproic acid accompanied of the modification on the expression of Bcl-2 and activated caspase-3 in the brain of rats submitted to ischemia/reperfusion.
    Investigacion clinica, 2015, Volume: 56, Issue:4

    Topics: Animals; Brain Ischemia; Caspase 3; Neuroprotective Agents; Proto-Oncogene Proteins c-bcl-2; Rats; R

2015
Valproic acid attenuates global cerebral ischemia/reperfusion injury in gerbils via anti-pyroptosis pathways.
    Neurochemistry international, 2019, Volume: 124

    Topics: Animals; Anticonvulsants; Brain Ischemia; Cell Survival; Cells, Cultured; Dose-Response Relationship

2019
Valproic acid attenuates ischemia-reperfusion injury in the rat brain through inhibition of oxidative stress and inflammation.
    European journal of pharmacology, 2013, May-05, Volume: 707, Issue:1-3

    Topics: Animals; Anti-Inflammatory Agents; Antioxidants; Brain Ischemia; Disease Models, Animal; In Situ Nic

2013
[Comparison of neuroprotective effects of anticonvulsant drugs in brain injury therapy].
    Eksperimental'naia i klinicheskaia farmakologiia, 2012, Volume: 75, Issue:12

    Topics: Amines; Animals; Animals, Outbred Strains; Anticonvulsants; Brain; Brain Injuries; Brain Ischemia; C

2012
Valproic acid enhances the effect of bone marrow-derived mononuclear cells in a rat ischemic stroke model.
    Brain research, 2014, May-27, Volume: 1565

    Topics: Animals; Bone Marrow Cells; Bone Marrow Transplantation; Brain Ischemia; Combined Modality Therapy;

2014
Is sodium valproate, an HDAC inhibitor, associated with reduced risk of stroke and myocardial infarction? A nested case-control study.
    Pharmacoepidemiology and drug safety, 2014, Volume: 23, Issue:7

    Topics: Aged; Aged, 80 and over; Bias; Brain Ischemia; Case-Control Studies; Databases, Factual; Electronic

2014
Valproic acid ameliorates ischemic brain injury in hyperglycemic rats with permanent middle cerebral occlusion.
    Brain research, 2015, May-05, Volume: 1606

    Topics: Animals; Blood Glucose; Brain; Brain Ischemia; Hyperglycemia; Infarction, Middle Cerebral Artery; Ma

2015
Na VPA-induced acute ischemic stroke in an epileptic patient with methylenetetrahydrofolate reductase gene polymorphism.
    Epilepsy research, 2009, Volume: 86, Issue:2-3

    Topics: 5,10-Methylenetetrahydrofolate Reductase (FADH2); Brain; Brain Ischemia; Epilepsy; Humans; Hyperhomo

2009
Levetiracetam compared to valproic acid: plasma concentration levels, adverse effects and interactions in aneurysmal subarachnoid hemorrhage.
    Clinical neurology and neurosurgery, 2011, Volume: 113, Issue:8

    Topics: Administration, Oral; Aged; Aneurysm, Ruptured; Anti-Bacterial Agents; Anticonvulsants; Biological A

2011
Rare magnetic resonance imaging findings in medium-chain acyl-coenzyme A dehydrogenase deficiency.
    Pediatric neurology, 2011, Volume: 45, Issue:3

    Topics: Acyl-CoA Dehydrogenase; Anticonvulsants; Basal Ganglia; Brain; Brain Ischemia; Carnitine; Cerebral I

2011
Chronic valproate treatment enhances postischemic angiogenesis and promotes functional recovery in a rat model of ischemic stroke.
    Stroke, 2012, Volume: 43, Issue:9

    Topics: Animals; Anticonvulsants; Blotting, Western; Brain Ischemia; Cerebral Infarction; Hypoxia-Inducible

2012
Multiple mechanisms underlying the neuroprotective effects of antiepileptic drugs against in vitro ischemia.
    Stroke, 2006, Volume: 37, Issue:5

    Topics: Animals; Anticonvulsants; Brain Ischemia; Calcium Signaling; Carbamazepine; Electrophysiology; Excit

2006
Immunogold study of effects of prenatal exposure to lipopolysaccharide and/or valproic acid on the rat blood-brain barrier vessels.
    Journal of neurocytology, 2005, Volume: 34, Issue:6

    Topics: Albumins; Animals; Blood-Brain Barrier; Brain Ischemia; Cell Membrane; Cerebral Arteries; Child; Dev

2005
Histone deacetylase inhibitors exhibit anti-inflammatory and neuroprotective effects in a rat permanent ischemic model of stroke: multiple mechanisms of action.
    The Journal of pharmacology and experimental therapeutics, 2007, Volume: 321, Issue:3

    Topics: Animals; Anti-Inflammatory Agents; Brain; Brain Ischemia; Butyrates; CD11b Antigen; Cerebral Infarct

2007
Moyamoya disease of childhood as a cause of recurrent cerebral ischemic attacks--a case report.
    JPMA. The Journal of the Pakistan Medical Association, 1996, Volume: 46, Issue:1

    Topics: Anticonvulsants; Brain Ischemia; Carbamazepine; Cerebral Angiography; Child, Preschool; Electroencep

1996
Exceptionally long absence status: multifactorial etiology, drug interactions and complications.
    Epileptic disorders : international epilepsy journal with videotape, 1999, Volume: 1, Issue:4

    Topics: Aged; Anticonvulsants; Brain Ischemia; Dementia, Vascular; Drug Interactions; Epilepsy, Generalized;

1999