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Cardiovascular & Hematological Disorders-Drug Targets

Eiditor-in-Chief

ISSN (Print): 1871-529X
ISSN (Online): 2212-4063

Review Article

Cardiovascular Effects Mediated by Imidazoline Drugs: An Update

Author(s): Luis Cobos-Puc* and Hilda Aguayo-Morales

Volume 19 , Issue 2 , 2019

Page: [95 - 108] Pages: 14

DOI: 10.2174/1871529X18666180629170336

Price: $58

Abstract

Objective: Clonidine is a centrally acting antihypertensive drug. Hypotensive effect of clonidine is mediated mainly by central α2-adrenoceptors and/or imidazoline receptors located in a complex network of the brainstem. Unfortunately, clonidine produces side effects such as sedation, mouth dry, and depression. Moxonidine and rilmenidine, compounds of the second generation of imidazoline drugs, with fewer side effects, display a higher affinity for the imidazoline receptors compared with α2-adrenoceptors. The antihypertensive action of these drugs is due to inhibition of the sympathetic outflow primarily through central I1-imidazoline receptors in the RVLM, although others anatomical sites and mechanisms/receptors are involved. Agmatine is regarded as the endogenous ligand for imidazoline receptors. This amine modulates the cardiovascular function. Indeed, when administered in the RVLM mimics the hypotension of clonidine.

Results: Recent findings have shown that imidazoline drugs also exert biological response directly on the cardiovascular tissues, which can contribute to their antihypertensive response. Currently, new imidazoline receptors ligands are in development.

Conclusion: In the present review, we provide a brief update on the cardiovascular effects of clonidine, moxonidine, rilmenidine, and the novel imidazoline agents since representing an important therapeutic target for some cardiovascular diseases.

Keywords: Imidazoline, agmatine, nischarin, sympathoinhibition, heart, blood vessels, hypertension, cardiovascular diseases.

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