Effect of Clemastine on Neurophysiological Outcomes in an Ovine Model of Neonatal Hypoxic-Ischemic Encephalopathy

Originally approved by the U.S. Food and Drug Administration (FDA) for its antihistamine properties, clemastine can also promote white matter integrity and has shown promise in the treatment of demyelinating diseases such as multiple sclerosis. Here, we conducted an in-depth analysis of the feasibil...

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Main Authors: Jana Krystofova Mike, Yasmine White, Rachel S. Hutchings, Christian Vento, Janica Ha, Ariana Iranmahboub, Hadiya Manzoor, Anya Gunewardena, Cheryl Cheah, Aijun Wang, Brian D. Goudy, Satyan Lakshminrusimha, Janel Long-Boyle, Jeffrey R. Fineman, Donna M. Ferriero, Emin Maltepe
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/11/1728
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author Jana Krystofova Mike
Yasmine White
Rachel S. Hutchings
Christian Vento
Janica Ha
Ariana Iranmahboub
Hadiya Manzoor
Anya Gunewardena
Cheryl Cheah
Aijun Wang
Brian D. Goudy
Satyan Lakshminrusimha
Janel Long-Boyle
Jeffrey R. Fineman
Donna M. Ferriero
Emin Maltepe
author_facet Jana Krystofova Mike
Yasmine White
Rachel S. Hutchings
Christian Vento
Janica Ha
Ariana Iranmahboub
Hadiya Manzoor
Anya Gunewardena
Cheryl Cheah
Aijun Wang
Brian D. Goudy
Satyan Lakshminrusimha
Janel Long-Boyle
Jeffrey R. Fineman
Donna M. Ferriero
Emin Maltepe
author_sort Jana Krystofova Mike
collection DOAJ
description Originally approved by the U.S. Food and Drug Administration (FDA) for its antihistamine properties, clemastine can also promote white matter integrity and has shown promise in the treatment of demyelinating diseases such as multiple sclerosis. Here, we conducted an in-depth analysis of the feasibility, safety, and neuroprotective efficacy of clemastine administration in near-term lambs (<i>n</i> = 25, 141–143 days) following a global ischemic insult induced via an umbilical cord occlusion (UCO) model. Lambs were randomly assigned to receive clemastine or placebo postnatally, and outcomes were assessed over a six-day period. Clemastine administration was well tolerated. While treated lambs demonstrated improvements in inflammatory scores, their neurodevelopmental outcomes were unchanged.
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spelling doaj.art-f94acf4a9f4548449f83fd47924aaad42023-11-24T14:35:39ZengMDPI AGChildren2227-90672023-10-011011172810.3390/children10111728Effect of Clemastine on Neurophysiological Outcomes in an Ovine Model of Neonatal Hypoxic-Ischemic EncephalopathyJana Krystofova Mike0Yasmine White1Rachel S. Hutchings2Christian Vento3Janica Ha4Ariana Iranmahboub5Hadiya Manzoor6Anya Gunewardena7Cheryl Cheah8Aijun Wang9Brian D. Goudy10Satyan Lakshminrusimha11Janel Long-Boyle12Jeffrey R. Fineman13Donna M. Ferriero14Emin Maltepe15Department of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Biomedical Engineering, University of California Davis, Davis, CA 95817, USADepartment of Pediatrics, University of California Davis, Davis, CA 95817, USADepartment of Pediatrics, University of California Davis, Davis, CA 95817, USASchool of Pharmacy, University of California San Francisco, San Francisco, CA 94143, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USADepartment of Pediatrics, University of California San Francisco, San Francisco, CA 94158, USAOriginally approved by the U.S. Food and Drug Administration (FDA) for its antihistamine properties, clemastine can also promote white matter integrity and has shown promise in the treatment of demyelinating diseases such as multiple sclerosis. Here, we conducted an in-depth analysis of the feasibility, safety, and neuroprotective efficacy of clemastine administration in near-term lambs (<i>n</i> = 25, 141–143 days) following a global ischemic insult induced via an umbilical cord occlusion (UCO) model. Lambs were randomly assigned to receive clemastine or placebo postnatally, and outcomes were assessed over a six-day period. Clemastine administration was well tolerated. While treated lambs demonstrated improvements in inflammatory scores, their neurodevelopmental outcomes were unchanged.https://www.mdpi.com/2227-9067/10/11/1728ovine modelneonatesbrain hypoxia-ischemiaclemastineasphyxia
spellingShingle Jana Krystofova Mike
Yasmine White
Rachel S. Hutchings
Christian Vento
Janica Ha
Ariana Iranmahboub
Hadiya Manzoor
Anya Gunewardena
Cheryl Cheah
Aijun Wang
Brian D. Goudy
Satyan Lakshminrusimha
Janel Long-Boyle
Jeffrey R. Fineman
Donna M. Ferriero
Emin Maltepe
Effect of Clemastine on Neurophysiological Outcomes in an Ovine Model of Neonatal Hypoxic-Ischemic Encephalopathy
Children
ovine model
neonates
brain hypoxia-ischemia
clemastine
asphyxia
title Effect of Clemastine on Neurophysiological Outcomes in an Ovine Model of Neonatal Hypoxic-Ischemic Encephalopathy
title_full Effect of Clemastine on Neurophysiological Outcomes in an Ovine Model of Neonatal Hypoxic-Ischemic Encephalopathy
title_fullStr Effect of Clemastine on Neurophysiological Outcomes in an Ovine Model of Neonatal Hypoxic-Ischemic Encephalopathy
title_full_unstemmed Effect of Clemastine on Neurophysiological Outcomes in an Ovine Model of Neonatal Hypoxic-Ischemic Encephalopathy
title_short Effect of Clemastine on Neurophysiological Outcomes in an Ovine Model of Neonatal Hypoxic-Ischemic Encephalopathy
title_sort effect of clemastine on neurophysiological outcomes in an ovine model of neonatal hypoxic ischemic encephalopathy
topic ovine model
neonates
brain hypoxia-ischemia
clemastine
asphyxia
url https://www.mdpi.com/2227-9067/10/11/1728
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