Susan Fagan

Summary

Affiliation: Medical College of Georgia
Country: USA

Publications

  1. ncbi Delayed minocycline inhibits ischemia-activated matrix metalloproteinases 2 and 9 after experimental stroke
    Livia S Machado
    Program in Clinical and Experimental Therapeutics, Clinical Pharmacy Department, College of Pharmacy, University of Georgia, Augusta, GA, USA
    BMC Neurosci 7:56. 2006
  2. ncbi Effect of neutrophil depletion on gelatinase expression, edema formation and hemorrhagic transformation after focal ischemic stroke
    Alex K Harris
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, Georgia, USA
    BMC Neurosci 6:49. 2005
  3. ncbi Low dose intravenous minocycline is neuroprotective after middle cerebral artery occlusion-reperfusion in rats
    Lin Xu
    Department of Neurology, Medical College of Georgia, Augusta GA, 30912, USA
    BMC Neurol 4:7. 2004
  4. ncbi Hypertension after experimental cerebral ischemia: candesartan provides neurovascular protection
    Susan C Fagan
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, Georgia 30912 2450, USA
    J Hypertens 24:535-9. 2006
  5. ncbi Urgent need for secondary stroke prevention after transient ischemic attack
    Susan C Fagan
    Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Augusta, Georgia 30912 2450, USA
    Consult Pharm 23:131-40. 2008
  6. ncbi Tactics for vascular protection after acute ischemic stroke
    Susan C Fagan
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, Georgia 30912 2450, USA
    Pharmacotherapy 25:387-95. 2005
  7. ncbi Targets for vascular protection after acute ischemic stroke
    Susan C Fagan
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Athens, GA 30912 2450, USA
    Stroke 35:2220-5. 2004
  8. ncbi Optimal delivery of minocycline to the brain: implication for human studies of acute neuroprotection
    Susan C Fagan
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, GA 30912 2450, USA
    Exp Neurol 186:248-51. 2004
  9. ncbi Drug repurposing for drug development in stroke
    Susan C Fagan
    College of Pharmacy, University of Georgia, Augusta, Georgia 30912, USA
    Pharmacotherapy 30:51S-4S. 2010
  10. ncbi Role of angiotensin-converting-enzyme inhibitors in stroke prevention
    Susan C Fagan
    Department of Clinical and Administrative Pharmacy, University of Georgia, Department of Neurology, Medical College of Georgia (MCG, Neuroscience Service Line, Veterans Affairs Medical Center (VAMC, Augusta, GA, USA
    Am J Health Syst Pharm 60:788-93. 2003

Research Grants

Collaborators

Detail Information

Publications35

  1. ncbi Delayed minocycline inhibits ischemia-activated matrix metalloproteinases 2 and 9 after experimental stroke
    Livia S Machado
    Program in Clinical and Experimental Therapeutics, Clinical Pharmacy Department, College of Pharmacy, University of Georgia, Augusta, GA, USA
    BMC Neurosci 7:56. 2006
    ..Minocycline inhibits inflammation, apoptosis and extracellular matrix degradation. In this study we investigated whether delayed minocycline inhibits brain MMPs activated by ischemia in a model of temporary occlusion in Wistar rats...
  2. ncbi Effect of neutrophil depletion on gelatinase expression, edema formation and hemorrhagic transformation after focal ischemic stroke
    Alex K Harris
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, Georgia, USA
    BMC Neurosci 6:49. 2005
    ..While gelatinase (MMP-2 and -9) activity is increased after focal ischemia/reperfusion injury in the brain, the relative contribution of neutrophils to the MMP activity and to the development of hemorrhagic transformation remains unknown...
  3. ncbi Low dose intravenous minocycline is neuroprotective after middle cerebral artery occlusion-reperfusion in rats
    Lin Xu
    Department of Neurology, Medical College of Georgia, Augusta GA, 30912, USA
    BMC Neurol 4:7. 2004
    ....
  4. ncbi Hypertension after experimental cerebral ischemia: candesartan provides neurovascular protection
    Susan C Fagan
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, Georgia 30912 2450, USA
    J Hypertens 24:535-9. 2006
    ..After ischemic stroke, hypertension increases the risk of recurrence, hemorrhage and fatal cerebral edema, but blood pressure (BP) lowering in the acute stroke period is controversial due to fears of infarct extension and worsened outcomes...
  5. ncbi Urgent need for secondary stroke prevention after transient ischemic attack
    Susan C Fagan
    Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Augusta, Georgia 30912 2450, USA
    Consult Pharm 23:131-40. 2008
    ..To review symptom awareness, diagnostic techniques, and therapeutic interventions for the recognition and treatment of transient ischemic attack (TIA) and to discuss secondary stroke prevention after TIA...
  6. ncbi Tactics for vascular protection after acute ischemic stroke
    Susan C Fagan
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, Georgia 30912 2450, USA
    Pharmacotherapy 25:387-95. 2005
    ..Vascular protection represents a new field to be explored in acute ischemic stroke in order to develop new approaches to therapeutic intervention...
  7. ncbi Targets for vascular protection after acute ischemic stroke
    Susan C Fagan
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Athens, GA 30912 2450, USA
    Stroke 35:2220-5. 2004
    ..The purpose of this review is to identify the pathophysiologic processes involved in vascular damage after ischemia, which may lead to strategies to provide vascular protection in ischemic stroke patients...
  8. ncbi Optimal delivery of minocycline to the brain: implication for human studies of acute neuroprotection
    Susan C Fagan
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, GA 30912 2450, USA
    Exp Neurol 186:248-51. 2004
    ....
  9. ncbi Drug repurposing for drug development in stroke
    Susan C Fagan
    College of Pharmacy, University of Georgia, Augusta, Georgia 30912, USA
    Pharmacotherapy 30:51S-4S. 2010
    ..In fact, vascular protection with the angiotensin II receptor blocker candesartan has already been demonstrated in a clinical trial of acute ischemic stroke...
  10. ncbi Role of angiotensin-converting-enzyme inhibitors in stroke prevention
    Susan C Fagan
    Department of Clinical and Administrative Pharmacy, University of Georgia, Department of Neurology, Medical College of Georgia (MCG, Neuroscience Service Line, Veterans Affairs Medical Center (VAMC, Augusta, GA, USA
    Am J Health Syst Pharm 60:788-93. 2003
  11. ncbi Hemorrhagic transformation is related to the duration of occlusion and treatment with tissue plasminogen activator in a nonembolic stroke model
    Susan C Fagan
    Department of Neurology, Medical College of Georgia, Veteran s Affairs Medical Center, Augusta, GA, USA
    Neurol Res 25:377-82. 2003
    ..001) and without HT (p < 0.001), but only in animals with durations of occlusion of 2 h or more. Duration of occlusion is an important predictor of HT in transient MCAO in the rat and is closely associated with EBA expression...
  12. ncbi Blood pressure lowering after experimental cerebral ischemia provides neurovascular protection
    Hazem F Elewa
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta 30912 2450, USA
    J Hypertens 25:855-9. 2007
    ..These results could be either mediated by BP lowering or a BP-independent cerebrovascular protective effect...
  13. ncbi Minocycline to improve neurologic outcome in stroke (MINOS): a dose-finding study
    Susan C Fagan
    Departmentof Neurology, College of Pharmacy, University of Georgia, Medical College of Georgia, Augusta, GA 30912, USA
    Stroke 41:2283-7. 2010
    ..Minocycline is a promising anti-inflammatory and protease inhibitor that is effective in multiple preclinical stroke models. We conducted an early phase trial of intravenous minocycline in acute ischemic stroke...
  14. ncbi Candesartan augments ischemia-induced proangiogenic state and results in sustained improvement after stroke
    Anna Kozak
    University of Georgia College of Pharmacy, Veterans Administration Medical Center, Augusta, GA 30912 2450, USA
    Stroke 40:1870-6. 2009
    ..We now examine effects of candesartan on proangiogenic factors and 7-day outcomes using the same treatment paradigm...
  15. ncbi Minocycline and tissue-type plasminogen activator for stroke: assessment of interaction potential
    Livia S Machado
    Department of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Augusta, GA 30912 2450, USA
    Stroke 40:3028-33. 2009
    ..This study aimed to determine the effect of minocycline on t-PA clot lysis and t-PA-induced hemorrhage formation after ischemia...
  16. ncbi Early atorvastatin reduces hemorrhage after acute cerebral ischemia in diabetic rats
    Hazem F Elewa
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, Georgia 30912 2450, USA
    J Pharmacol Exp Ther 330:532-40. 2009
    ..0007). We concluded that atorvastatin is a vascular protective agent after experimental ischemic stroke, especially in diabetes...
  17. ncbi Adaptive cerebral neovascularization in a model of type 2 diabetes: relevance to focal cerebral ischemia
    Weiguo Li
    Department of Physiology, Medical College of Georgia, Augusta, Georgia, USA
    Diabetes 59:228-35. 2010
    ..However, how diabetes influences cerebral neovascularization is not clear. Our aim was to determine diabetes-mediated changes in the cerebrovasculature and its impact on the short-term outcome of cerebral ischemia...
  18. ncbi Increased hemorrhagic transformation and altered infarct size and localization after experimental stroke in a rat model type 2 diabetes
    Adviye Ergul
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, USA
    BMC Neurol 7:33. 2007
    ..Diabetes is a risk factor for stroke as well as poor outcome of stroke. The current study tested the hypothesis that diabetes-induced changes in the cerebral vasculature increase the risk of HT and augment ischemic injury...
  19. ncbi Hyperglycemia, diabetes and stroke: focus on the cerebrovasculature
    Adviye Ergul
    Department of Physiology, Medical College of Georgia, Augusta, GA 30912, USA
    Vascul Pharmacol 51:44-9. 2009
    ..Here, we review the impact of diabetes and acute hyperglycemia on experimental stroke with an emphasis on cerebrovasculature structure and function. The relevance to clinical evidence is also discussed...
  20. ncbi Single slice method for quantification of hemorrhagic transformation using direct ELISA
    Hend M Hilali
    College of Pharmacy, University of Georgia, Augusta, GA, USA
    Neurol Res 26:93-8. 2004
    ..This allows two essential variables in experimental stroke research to be assessed on the same slice, leaving the rest of the brain available for other analysis...
  21. ncbi Minocycline for short-term neuroprotection
    Hazem F Elewa
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Athens, Georgia 30912, USA
    Pharmacotherapy 26:515-21. 2006
    ..Minocycline is ready for clinical trials of acute neurologic injury...
  22. ncbi Acute blood-brain barrier opening in experimentally induced focal cerebral ischemia is preferentially identified by quantitative magnetization transfer imaging
    Robert A Knight
    Department of Neurology, Henry Ford Health Sciences Center, Detroit, MI 48202, USA
    Magn Reson Med 54:822-32. 2005
    ..6 demarcates leakage of small molecules such as Gd-DTPA and AIB across the BBB. As to clinical relevance, the quantitation of MT parameters in acute stroke may enable the early detection of areas of BBB opening and potential HT...
  23. ncbi SDF-1 (CXCL12) is upregulated in the ischemic penumbra following stroke: association with bone marrow cell homing to injury
    William D Hill
    Department of Cellular Biology and Anatomy, Medical College of Georgia, Augusta, Georgia 30912 2000, USA
    J Neuropathol Exp Neurol 63:84-96. 2004
    ..These findings suggest SDF-1 is important in the homing of bone marrow-derived cells, especially monocytes, to areas of ischemic injury...
  24. ncbi Type 2 diabetes causes remodeling of cerebrovasculature via differential regulation of matrix metalloproteinases and collagen synthesis: role of endothelin-1
    Alex K Harris
    Medical College of Georgia, Clinical Pharmacy CJ-1020, Augusta, GA 30912, USA
    Diabetes 54:2638-44. 2005
    ..Augmented cerebrovascular remodeling may contribute to an increased risk of stroke in diabetes, and ET(A) receptor antagonism may offer a novel therapeutic target...
  25. ncbi Tracking trends in secondary stroke prevention strategies
    Jody L Carswell
    Medical College of Georgia Health, Augusta, GA, USA
    Ann Pharmacother 38:215-9. 2004
    ..CONCLUSIONS: The dedicated stroke service was able to effectively translate emerging evidence and guidelines into practice and significantly change the use of prescribed medications for secondary stroke prevention...
  26. ncbi Quantitation and localization of blood-to-brain influx by magnetic resonance imaging and quantitative autoradiography in a model of transient focal ischemia
    Robert A Knight
    Department of Neurology, Henry Ford Health Sciences Center, Detroit, MI 48202, USA
    Magn Reson Med 54:813-21. 2005
    ..1 +/- 3.3 x 10(-3) and 6.8 +/- 3.5 x 10(-3) ml.g(-1) . min(-1), respectively). In most instances, Gd-DTPA MRI accurately localized areas of BBB opening...
  27. ncbi Oxidative stress and cardiovascular disease: antioxidants and unresolved issues
    Kamakshi Sachidanandam
    Program in Clinical and Experimental Therapeutics, University of Georgia College of Pharmacy
    Cardiovasc Drug Rev 23:115-32. 2005
    ....
  28. ncbi Drug repurposing for drug development in stroke
    Susan C Fagan
    Program in Clinical and Experimental Therapeutics, University of Georgia College of Pharmacy, Augusta, GA, USA
    Rev Neurol Dis 7:S3-6. 2010
    ..Repurposing of safe, older drugs provides a lower risk alternative. Vascular protection with candesartan is one such approach...
  29. ncbi Repurposing an old drug to improve the use and safety of tissue plasminogen activator for acute ischemic stroke: minocycline
    David C Hess
    Department of Neurology, Medical College of Georgia, Augusta, GA, USA
    Rev Neurol Dis 7:S7-13. 2010
    ..Minocycline is also an anti-inflammatory agent and inhibits poly (ADP-ribose) polymerase-1. Minocycline has been safe and well tolerated in the clinical trials conducted to date...
  30. ncbi Vascular protection in diabetic stroke: role of matrix metalloprotease-dependent vascular remodeling
    Mostafa M Elgebaly
    Department of Clinical Pharmacy, Program in Clinical and Experimental Therapeutics, University of Georgia, College of Pharmacy, Augusta, Georgia, USA
    J Cereb Blood Flow Metab 30:1928-38. 2010
    ..Metformin and minocycline offer vascular protection, which has important clinical implications for diabetes patients who are at a fourfold to sixfold higher risk for stroke...
  31. ncbi Diverse effects of statins on angiogenesis: new therapeutic avenues
    Hazem F Elewa
    Program in Clinical and Experimental Therapeutics, College of Pharmacy, University of Georgia, Augusta, GA 30912 2450, USA
    Pharmacotherapy 30:169-76. 2010
    ..Statins are safe, orally available agents that may acquire novel therapeutic indications through their angiogenic modulating effects...
  32. ncbi Association of serial biochemical markers with acute ischemic stroke: the National Institute of Neurological Disorders and Stroke recombinant tissue plasminogen activator Stroke Study
    Edward C Jauch
    Department of Emergency Medicine, University of Cincinnati Medical Center, Cincinnati, OH 45267 0769, USA
    Stroke 37:2508-13. 2006
    ..These biochemical markers, myelin basic protein (MBP), neuron-specific enolase (NSE), S100beta, and soluble thrombomodulin, were studied for an association with initial stroke severity, infarct volume, and functional outcome...
  33. ncbi New perspectives on the pharmacotherapy of ischemic stroke
    J Chris Bradberry
    School of Pharmacy and Health Professions, Creighton University, 2500 California Plaza, Omaha, NE 68178, USA
    J Am Pharm Assoc (2003) 44:S46-56; quiz S56-7. 2004
    ..To provide an overview of the impact of ischemic stroke and the steps that can be taken to reduce its burden through greater awareness of the disease, improved diagnosis and better treatment, with emphasis on the use of antiplatelet agents...
  34. ncbi Vascular protection with candesartan after experimental acute stroke in hypertensive rats: a dose-response study
    Wieslaw Kozak
    Institute of General and Molecular Biology, Nicolas Copernicus University, Torun, Poland
    J Pharmacol Exp Ther 326:773-82. 2008
    ..Low doses of candesartan provide neurovascular protection after stroke in SHRs. Caution is warranted because acute stroke increases the sensitivity to BP lowering, which, in turn, increases the likelihood of overshooting...
  35. ncbi Atopic dermatitis is associated with a decrement in health-related quality of life
    Gwendoline Kiebert
    MEDTAP International, 7101 Wisconsin Avenue, Suite 600, Bethesda, MD 20814, USA
    Int J Dermatol 41:151-8. 2002
    ..Atopic dermatitis has as large an impact on HRQL as several chronic conditions and other dermatologic conditions...

Research Grants5

  1. Vascular Protection in Acute Ischemic Stroke
    Susan Fagan; Fiscal Year: 2005
    ..Collectively, the successful completion of the research summarized in this proposal can be expected to contribute to the development of methods to make reperfusion safer, and therefore more accessible, to human stroke patients. ..
  2. Mechanisms of Vascular Protection after Acute Stroke
    Susan C Fagan; Fiscal Year: 2010
    ..This project will determine the mechanisms of vascular protection after stroke and develop a medication treatment likely to work in stroke patients. ..